CIS Innovacio N Fuentes de Me Xico
CIS Innovacio N Fuentes de Me Xico
Directions: This document must be completed in full. If a line item does not pertain then insert the term:
“N/A” (non-applicable).
Personal Information:
Bank Information
ACCOUNT NAME: Innovación Fuentes de México, SA DE CV
I, Francisco Fuentes Alburo, hereby swear under penalty of perjury, that the information provided herein is accurate and true as
of this date: March 11th, 2023
Signature: