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<table border="0" cellpadding="2" cellspacing="2" style="width:50%;"> <tbody> <tr> <td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Mots nuls / <span style="font-weight:600;">Void words :</span></span></td> <td>{% numberinput_tag name="9320ed7f" data_label="nombre de mots nuls" data_map_field="nomap" data_help="nombre de mots nuls" data_required_field="false" data_bold_text="false" %}</td> </tr> <tr> <td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Lignes nulles / <span style="font-weight:600;">Void lines : </span></span></td> <td>{% numberinput_tag name="e58d40a3" data_label="nombre de lignes nulles" data_map_field="nomap" data_help="nombre de lignes nulles" data_required_field="false" data_bold_text="false" %}</td> </tr> </tbody> </table> <table border="0" cellpadding="2" cellspacing="2" style="width:50%;"> <tbody> <tr> <td style="vertical-align: bottom; width: 20%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Le <span style="font-weight:600;">on the :</span></span></td> <td>{% dateinput_tag name="5a9f5b99" placeholder="jj/mm/aaaa" data_label="Date" data_map_field="sign_date" data_help="Date" data_ancien_ids="3987" data_required_field="false" data_bold_text="true" %}</td> <td style="vertical-align: bottom; width: 12%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">à <span style="font-weight:600;">at :</span></span></td> <td style="width: 10%;">{% numberinput_tag name="aeabc193" data_label="heure de signature" data_map_field="nomap" data_help="heure de signature" maxlength="2" data_required_field="false" data_bold_text="false" %}</td> <td style="vertical-align: bottom;">h</td> <td style="width: 10%;">{% numberinput_tag name="f485edb2" data_label="minutes de l'heure de signature" data_map_field="nomap" data_help="minutes de l'heure de signature" maxlength="2" data_required_field="false" data_bold_text="false" %}</td> </tr> </tbody> </table> <table border="0" cellpadding="10" cellspacing="10" style="height: 150px; width: 100%;"> <tbody> <tr> <td style="vertical-align: top; width: 15%;"><span style="font-size:10px;"><span style="font-family:ITCAvantGardePro;">Signer et parapher l'ensemble des documents édités ce jour ayant seule valeur d'originaux. <span style="font-weight:600;"><em>Sign and initial all the documents published on this day having only the value of originals.</em></span></span></span></td> <td style="width: 40%; height: 150px; vertical-align: top;"> <p> </p> <p style="text-align: center;"><span style="font-family: ITCAvantGardePro; font-size: 12px;"> LE MANDANT / <span style="font-weight:600;">PRINCIPAL</span></span><br /> <span style="font-size:10px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"><em>Mention manuscrite / <span style="font-weight:600;">with written mention</span></em></span></span></p> <p style="text-align: center;"><em><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><font face="ITCAvantGardePro">"Lu et approuvé, Bon pour mandat"</font></span></em></p> <p style="text-align: center;"><span style="color:#95a5a6;"><span style="font-size:10px;"><span style="font-family: ITCAvantGardePro;">.........................................................................</span></span></span><br /> <span style="font-size:8px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"><em> </em></span></span></p> </td> <td style="width: 40%; height: 150px; vertical-align: top; white-space: nowrap;"> <p> </p> <p style="text-align: center;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">LE MANDATAIRE<em style="font-weight: 200; font-size: 9px;"> </em><em style="font-size: 11px;"><b>/ </b></em><em style="font-size: 11px;"><b><span style="font-weight:600;">THE AGENT</span></b></em></span></p> <p style="text-align: center;"><span style="font-size:10px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"><em>Mention manuscrite / <span style="font-weight:600;">with written mention</span></em></span></span></p> <p style="text-align: center;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><em>"Lu et approuvé, Mandat accepté"</em></span></p> <p style="text-align: center;"><span style="color:#95a5a6;"><span style="font-size:10px;"><span style="font-family: ITCAvantGardePro;">.........................................................................</span></span></span><br /> <span style="font-size:8px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"><em> </em></span></span></p> </td> </tr> <tr> <td style="vertical-align: top; width: 15%;"> </td> <td style="width: 40%; height: 150px; vertical-align: top;"> </td> <td style="width: 40%; height: 150px; vertical-align: top; white-space: nowrap;"> </td> </tr> </tbody> </table>
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