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Annexe 3Tableaux <strong>de</strong> portefeuille : Bor<strong>de</strong>reau <strong>de</strong> remiseEtablissement <strong>de</strong> crédit (co<strong>de</strong> BIC) : | | | | | | | | | | | |Date <strong>de</strong> Rapport 1 : | | | | | | | | | | |A compléterDate <strong>de</strong> création 1 : | | | | | | | | | | |Numéro du support d'informations : | | | | | | |°°°°°°°°°°°Nom <strong>de</strong> l'établissement <strong>de</strong> crédit: ...........................................................Nom du responsable : ............................................ tél............... n°.........Signature pour réceptionSignature du remettant........................................ ........................................Date <strong>de</strong> réception 2 | | | | | | | | | | |1 Selon le format "aaaa mm jj".2 Réservé à la B.N.B.

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