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FECHA: ___________________________
SOLICITUD DEVOLUCION DE DINERO LEY 1429
RAZON SOCIAL:__________________________________________________________
REPRESENTANTE LEGAL:___________________________________________________
ESTABLECIMIENTO DE COMERCIO: __________________________________________
MATRICULA NÚMERO: ___________________________________________________
VALOR A DEVOLVER: $____________________________________________________
______________________________________________________________________
FIRMA PROPIETARIO O REPRESENTANTE LEGAL
CC.
FUNCIONARIO QUE APRUEBA:
NOMBRE _____________________________________________________________
CARGO _____________________________________________________________
FIRMA _____________________________________________________________

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Formato devolución ley 1429

  • 1. FECHA: ___________________________ SOLICITUD DEVOLUCION DE DINERO LEY 1429 RAZON SOCIAL:__________________________________________________________ REPRESENTANTE LEGAL:___________________________________________________ ESTABLECIMIENTO DE COMERCIO: __________________________________________ MATRICULA NÚMERO: ___________________________________________________ VALOR A DEVOLVER: $____________________________________________________ ______________________________________________________________________ FIRMA PROPIETARIO O REPRESENTANTE LEGAL CC. FUNCIONARIO QUE APRUEBA: NOMBRE _____________________________________________________________ CARGO _____________________________________________________________ FIRMA _____________________________________________________________