Formato 3

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DATOS GENERALES

DATOS GENERALES DEL CLIENTE

NOMBRE DE LA EMPRESA

NOMBRE DEL EMPRESA O CLIENTE

RESPONSABLE DE TRABAJO

RESPONSABLE FECHA:

AREA DE TRABAJO

DIRECCION

DIRECCION

TELÉFONO

TELÉFONO

E-MAIL

E-MAIL

ENTREGA DE SERVICIOS Folio: vvvvvvvvvvvvvv

NOMBRE Y FIRMA DE LA EMPRESA

NOMBRE Y FIRMA DEL CLIENTE

*Entregar al recibir el equipo para sellar de recibido

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