Anex 15
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Acknowledge Receipt of PER DIEMS International AIDS Society México A. C. Santander No. 9 Col. Insurgentes Mixcoac, México, D.F. C.P. 03920 +52 55 5563 4793 Fax: Ext. 103
Name: Profile ID: Total Amount:
Country USD
AIDS Programme
Date
Scholarship Recipient
__________________________ Signature I acknowledge to have received this receipt for the specified amount
IAS Programme
Name: Profile ID: Total Amount:
Country USD
AIDS Programme
Date
Scholarship Recipient
__________________________ Signature I acknowledge to have received this receipt for the specified amount
IAS Programme
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