信用卡預付現(xiàn)金單

（Bank Credit Cardit Card-Csah Advance Slip）

◆○◆                                                                   CASH

CHARGE TO THE               COMMERCE BANK               ADVANCE SLIPS

ACCOUNT OF                  CARD

費用記入× ×賬戶              商業(yè)銀行信用卡                   預付現(xiàn)金單

（編號）18387

I hereby authorize the Issuer of Commerce Bank Card imprinted

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（注；賬戶名稱）    above to pay the amount shown as Total hereon upon presentation hereof to Issuer by a bank which is a member of the Commerce Bank Card System. I hereby promise to pay said Issuer the amount shown as Total hereon （together） with other charges due thereon if any subject to and in accordance with the terms of the cardholder agreement governing the use of Issuer' s Commerce Bank Card.

    在此我授權單上所印的商業(yè)銀行信用卡發(fā)卡銀行，一旦收到屬于商業(yè)銀行信用卡體系成員銀行所提示的預付現(xiàn)金單，立即按此單據(jù)的總計金額進行支付。我在此允諾按本單據(jù)所示的總計金額，連同按照和根據(jù)調整商業(yè)銀行信用卡使用關系的條款規(guī)定而產生的其他應付費用一起償付給上述發(fā)卡銀行。

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BANK APPROVAL BY銀行核準：

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DATE                AUTH.CODE

日期                        密押

TOTAL$  總計

BORROWER'S SIGNATURE  借款人簽字

CALCD-1

BORROWER COPY此聯(lián)借款人留存

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