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Bo d e ga
N 1T
/ CC
Ce l u la m
a
l
4 2884 363
3 14 8 5 0 17 19
r
c la u
il
d ia p a
'
2 0 14
'
Ase so r
b @t h o t m
reja
a
d e S e r v ic i o
M E NTO æ ' ' " I N F O RM A C I ON P A R A S EG U I
T e le f o n
e m a
o
o
to
c
ha V
DM
=
'
CO n H '
"
.
il
Si n im t r
Ci h h
U b l t a c 1o n l l a
v
es
o
l c o n t a ct e Co m o d e s e a q u e o
a r a Se g u i M ' ' "
'
-
Fe c h a
i' ' "
' "
'
'"
v
【 . .
'
m os ?
'"
"
l
u
p re s
O S CL I E N T E T R A B A JO S SO L I C I T A D o cu a n do etc u e do n de c o m D e s c r ip c io n d e s i n t o m a s ( q A M BIO D U I I C L [ E N T E M A pI I r 1ES T / , C
6 4 17
KM
EM 1 2 4 4 3 6
r
S O N l 9 i N A ( 10 \ o i A R U I L W 1l
:
2 0 5 e p 2 0 13
e n t a
i l CO
Vi n h n u
n
M
No
U RA DO RA I N F O R M A CI O N D E L A A S EG > 1, h l
Fe
O EL v EHI CU L I N FO R M A CI O N D
COHJ UNTO
Qu
)
e
ha ce r
(qu
e
pa rt
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c o m o
e tc
p
Es t i m a d o
Re p u e s t o s
MO
J
C D E P ED A I D E E M ß R A G
O N A L ES T RA B AJO S A D I CI
D e s c r ip c io
n
d e s in t o m a s
(q u e do
n
de
c u a n
c o m o
ctc
do
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(q u c pa rt e
c o m o
e Ac
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m a
Cli e n t
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A L I N S P E CCI O N G EN ER
D ES CR I P CI O N
Ma
de
p o
o
( Ra z
ó n d e l t r a b a j o a d ic io
n a
l
br a
Re pu e st o s
$
To t a l
t apet es
: A u t o r iz ó :
Co
n
A T / pM
t or a
p
ujo
De G a
1n t
AL I N 5 P EC C I O N H N Vo
T a r JC g a d c C r
j e fe ta l le r
o tro Vo
ß As e so
r
J
M
Scanned by CamScanner
di
v e
h ic u l o
t
日c cu
仁) 哆区
l
X G 0 t P>
R YA
Es t a d o d e l
ta c ta do po r :
B
n lrm ]
ズ 1十
(
乃主
少
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