Western Union Money Transfer

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1.1.1.1.

To Send Money-Customer Copy


Sender Transaction Details

Name: LAN CHANDLER Receivers Name: AUGUSTO BITTENCOURT MTCN 617-015-0013


MACHADO FILHO Date & Time: 11/03/2023/11:58AM GMT

Address: USA, WASHINGTON DC Destination : Brazil


ID Type: ID Operator ID 305
ID# C0569439 Amount sent: 500,000USD
Issue Date: 01-12-2021 Transfer Fee: 320.5USD
ID Issuer: New york
ID Expiration Date: 30-01-2023 Rewards Country: BRAZIL Delivery charge: 0.00
ID Number: *****158 Tax: 450.5 USD
Phone Pin Will Receiver have valid ID? Yes No Promotion

Question: LIGHT Optional Services: MONEY IN MINUTES Exchange Rate: 0.88


Answer: LIGHT Thank Payout Amount : 2.608.550.00Real
Address: Porto Alegre Payout Currency :(BRM)
Sender Mobile Number: +12028275182 < if sending to
a mobile> Receiver Mobile Number: +555195927301
<if sending to a mobile>

Total Points

Enrolling to the Gold Card Program


Gold Card Number:
Points Earned :
If you choose to provide details of your landline mobile phone and or your e-mail in the optional ebntries above you also expressly consent 10 of such commercial
communication in the indicated medium (telephones/mms/e-mail) to bring notified collection by sms and agree that any charges imposed by the provider of such services
are your sole responsibility
IMPOETANT NOTICE: THE TERMS AND CONDITIONS ON WHICH THE SERVICE IS PROVIDED ARE SET OUT ON THE REVERSE OF THIS FORM. YOU ARE ADVICE TO READ THIS
TERMS AND CONDITIONS ESPECIALLY THOSE RESTRICTING LIABILITY AND DATE PROTECTION BEFOR SIGINING THIS FORM. IN ADDITION TO THE TRANSFER FEE, WERSTEN
UNION AND ITS AGENT ALSO MAKE MONEY FROM THE EXCHANGE OF CURRENCIES PLEASE AEE OTHER IMPORTANT INFORMATIONS REGARDING CURRENCY EXCHANGE AND
LEGAL RESTICTIONS THAT MAY DELAY THE TRANSACTIONS SET FORTH ON THE BAZCK OF THIS FORM, PROTECT YOURSELD FROM CONSUMER FROUD. BE CAERFULL WHEN A
STRANGER ASKES YOU TO SEND MONEY, DO NOT DIVERGE THE DETAILS OF THIS TRANSFER TO A THIRD.

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