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Payment To: Valorem Foundation
Address: 850 New Burton Rd
Dover, DE 19904
Email Address: foundation@advalorem.io
Phone: 302-219-6540

YOUR PURCHASE INFORMATION:

Product: Valorem Token Ambassador Block - 10,000 VLR (US Accredited Investors Only)

YOUR PAYMENT INFORMATION:

Payment Date: 04/22/2019
One Time Payment: $4,850.00
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