POLICIA NACIONAL DEL PERU

COMISARIA PNP DE VICE

DENUNCIA VERBAL Nro. -2011-RPNP-CS-SECH-C-PNP-B.

ACTA DE DENUNCIA VERBAL

--- En el Distrito de Vice siendo las _______horas del da ____/_____/______ se

presento ante el suscrito la persona de: _______________________________
_______________ De_____aos de edad, natural de _____________________, estado
civil________________Identificado con DNI.Nro.__________________, de ocupacin
____________________Con domicilio_______________________________________
de la localidad ___________ Distrito de_________________Provincia______________
Departamento de ____________ Denunciando que el da _______________ del ao en
curso en _______________________________________________________________
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Lo que denuncia ante la Polica para los fines consiguientes, firmando la presente Acta en
presencia del Instructor que certifica.

EL INSTRUCTOR LA DENUNCIANTE

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