БЛАНК ДЛЯ ПРЕДЪЯВЛЕНИЯ БАНКУ-ЭМИТЕНТУ КОМИССИИ И ДРУГИХ РАСХОДОВ ПО ЭКСПОРТНОМУ АККРЕДИТИВУ (ИСПОЛЬЗУЕТСЯ В СЛУЧАЕ, КОГДА ВСЕ БАНКОВСКИЕ РАСХОДЫ ОПЛАЧИВАЮТСЯ ЗА СЧЕТ ИНОСТРАННОЙ СТОРОНЫ)

   Банк                                             THE BANK
   
   When replaying please
       refer to our
   
   No.                                            _____________ 19
   
   
   Copy:
   
   Dear Sirs,
   
   
               Re: Your Letter (s) of Credit mentioned below
   
        For the execution of the operations the following charges are due
   to us, which (see mark X)
   
   +-+  please credit our account with __________________________________
   +-+
        we ask __________________________________________________________
   
        to credit the account of  ...   bank,  ...   /our with __________
   
        _________________________________________________________________
   
        advising / instructing the latter to  advise  ...  bank,  ...  of
        payment by air mail.
   +-+  ...   bank,  ...  have debited your account / account ___________
   +-+
   
        Please consider this letter as DEBIT - ADVISE
   ______________________________________________________________________
   Number of letter of credit     Date of your      Rate      Amount
                                  letter/cable
   ______________________________________________________________________
   
   Your No.           / our
   1. Advising (opening), confimation commission
   2. Commission for increase of the sum of the L / C
   3. Extension commission
   4. Amendment commission
   5. Cable charges
   6.
                                                  _______________________
   
                                                  _______________________
   
   Your No.          / our
   1. Advising (opening), confimation commission
   2. Commission for increase of the sum of the L / C
   3. Extension commission
   4. Amendment commission
   5. Cable charges
   6.
                                                  _______________________
                                                  TOTAL
                                                  _______________________
   
                                                         Yours faintfully