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% coumena esposprofesionales 28-0000000 0 INFORME DE ACCIDENTE DE TRABAJO. ‘DEL EMPLEADOR © CONTRATANTE 8 ‘sALUOCOOP ‘COLMENA, 2G) C1 ———— wswocot oe cowownsé. i SSC] we me) mA90.20.70-4 OY CARRERA 28 No, 55-69 ee, 6579977 7. 6431992 emo hse@ismocoleom men SANTANDER ee BUCARAMANGA oe lomo. [ener ss NL ORENIA.CASANARE coe ee SENEHARO SONATE PEINEN? CONSTRUGCION cae YoPAL [oss reras76 F"crsaone = ora rca fewer ero [)_wernemcowmone() amen () een [3 novos ‘AGIA pee FEL pee HUMBERTO eae) OO nO = ma07 Gales iver |.a ro "CARRERA 19 N" 16-26 Ps20stszac | ‘CORDOBA "MIONTELIBANO obd=C1 [ASi67. 16, MATERIALES oocGUERO ST rarseeonennerataiowoetacnort ("] a18) siritemit0tsr | tooo [emma (e) avccnma (] vero (]_anmes “tk) cao) | “Cobae BEIGE lowe oom c Pee am) “oe) Gos] [room] amo] terme} eacnmocarnan omorsen ts =O am 00 | GasaNane ora. ESSSRSg oC wal [mmnonarmimoaccon ——qmmecinems) eemoccencs Simmcoecouroms — Cl) yicommonsomiion moresns a oncisormcicom [sons D1 mromaancemnes mciercnuomsooromas [] mnaamenscomerccrcnannvcicnn (} qomnsetorcn OC] mc ED wm Dien memacemnne men oom CF cimeenroa nina ensereny Cee races seems megane econ comunctenmaree Conan tmonmeeneeaerooamessnng CI promemnsenamonosine El or cemC) a mace] ean mun o tmao CSET manors C a acu} ome OO aanamce & wmasnevocuec CI osuemuonsnmonccouccse Cl aamonzeree | OE an mintstemmnnrnn CI Eeeeeee. racooseerewese ] 6 wrromnens ce El 6 mewoans a C2 mreesatocomenconnssraane momcoues —T)_eteaen tenmmncsnoncoume C] mggoesteocamytacousruesenieise Lammoscrcansoats] weredainocomcocontaranntnan emo sect an ATRAPAMIENTO, ‘Paso quo son ge do cme oa mr ay sco te 40ers rn bk pred ro, tain mp Sayfa oe See peony =e ai ES paisa per tela. ee es — Jee ml lnm hin jeClel) mL] "Coll ne ee SERGIO IZAQUITA FLOREZ [bate] mf 1 nm) m 8.561.956 ‘MeDIC¢o (215) fo) (2IoT Ts)

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