信用卡预付现金单

（Bank Credit Cardit Card-Csah Advance Slip）

◆○◆                                                                   CASH

CHARGE TO THE               COMMERCE BANK               ADVANCE SLIPS

ACCOUNT OF                  CARD

费用记入× ×账户              商业银行信用卡                   预付现金单

（编号）18387

I hereby authorize the Issuer of Commerce Bank Card imprinted

________________

（注；账户名称）    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.

    在此我授权单上所印的商业银行信用卡发卡银行，一旦收到属于商业银行信用卡体系成员银行所提示的预付现金单，立即按此单据的总计金额进行支付。我在此允诺按本单据所示的总计金额，连同按照和根据调整商业银行信用卡使用关系的条款规定而产生的其他应付费用一起偿付给上述发卡银行。

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BANK APPROVAL BY银行核准：

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DATE                AUTH.CODE

日期                        密押

TOTAL$  总计

BORROWER'S SIGNATURE  借款人签字

CALCD-1

BORROWER COPY此联借款人留存

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