\documentclass{article}

\usepackage{a4wide}


\def\name{Jorge Sousa Pinto}
\def\addra{Depto. Informatica}
\def\addrb{Universidade do Minho}
\def\addrc{Campus de Gualtar}
\def\addrd{4710-057 Braga, Portugal}
\def\paid{370}


\begin{document}




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 \mbox{}
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 \hfill\makebox[0pt][l]{\hspace{1.3cm}\makebox[0pt][r]{
     \parbox{\headwidth}{
       \begin{tabular}[b]{l}
         \Huge\bf ETAPS 2007\\[0.2cm]
         \huge\bf March 24 -- April 1, 2007, Braga, Portugal \\[0.2cm]
         \huge\bf Registration Receipt\\[0.2cm]
         \\[0.5cm]
         We have received from
       \end{tabular}\hfill
       \rule{\headwidth}{1.5pt}
       \\[0.5cm]
       \begin{tabular*}{\headwidth}[b]{l}
         \name\\[0.1cm]
         \addra\\[0.1cm]
         \addrb\\[0.1cm]
         \addrc\\[0.1cm]
         \addrd\\[0.1cm]
       \end{tabular*}\hfill
       \\[0.5cm]
       \begin{tabular*}{\headwidth}{l@{\extracolsep{\fill}}r}
         \bf Description & \hfill \bf  Total Fee\\
       \end{tabular*}
       \rule{\headwidth}{1.5pt}
       \\[0.2cm]
       \begin{tabular*}{\headwidth}{l@{\extracolsep{\fill}}r}
         Conferences and Satelite Events & \paid\ EUR
         \\[0.5cm]
         {\bf Paid in Full}
         \\[0.5cm]
         The ETAPS 2007 Organising Committee
         \end{tabular*}
       }
     }
   }

\end{document}
