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Cuadro de Recoleccion

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#

FECHA DE HOY
ALCALDIA
PARTIDA DE:
AO

LIBRO

PARTIDA

RECIBO
DEPARTAMENTO
NACIMIENTO
FOLIO
TOMO

GUIA

PAG

AWB

FECHA DE
NACIMIENTO
NOMBRE DEL
INSCRITO
NOMBRE DEL
PADRE
NOMBRE MADRE

NOTA

UNA PARTIDA DE NACIMIENTO

COSTO PARTIDA

CANTIDAD DE
PARTIDAS
COSTO TOTAL

CONTACTO EN
ALCALDIA

TEL.
DATOS DE DESTINATARIO

NOMBRE
DIRECCION DE
ENVIO:
CIUDAD

TELEFONO

DEPARTAMENTO

ATENDIO:

PAMELA JUAREZ
AMSS

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