EFTA00129600



<table border="1"><tr><td colspan="2">VENDOR NO.</td><td colspan="2">VENDOR NAME</td></tr><tr><td colspan="4">GNMM113327A2</td></tr><tr><td>08/30/2010</td><td colspan="2">FADVMM10/242/401</td><td></td></tr><tr><td>DATE</td><td colspan="2">DOCUMENT NO.</td><td>VOUCHER NO.</td></tr></table>

<table border="1"><tr><td>DOCUMENT AMOUNT</td></tr><tr><td>550.00</td></tr><tr><td>550.00</td></tr><tr><td>DRAFT AMOUNT</td></tr></table>