Escanear0021
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..•..
",~··· ...DIAN
~-~''c~:
¡;.y..;v-k~!,~Ji:i.:
••.,.,.
I
fOIIIJIIariodel RegistIu único TribuI;Iio
HqaPñnci¡a: . .
.
o 12
2. Concepto
-"_.- ..
4. Número de formulario .
111.11111111 (415)7707212489984(8020) 0סס001406509164
24.Tq>Ó dec:onlñbÍsyeme: ;"---'.
Pernona
l10luJaI o 8UC9Ilión iliquida· .
lJJgár'de~~'Pa;s: COLOMBIA
31.i'dniér~·
BOUVAR
38.·.País; .
ICOLÓMBlA
~
....
54.Códiga;
:'.. -.-.-'
Sin peIjuicio de las veriIicacianesque la DIAN realce. FinDadelfmeionario-_
9B3. -.,
rt8/6(
984. cargo:
PEROOMO QUINTERO DAVID
AUXIUAR 11I
;-
.
1 .
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