MANSE, S.A.

REFORMA 107
MONTERREY N,L.

DEPARTAMENTO DE MANTENIMIENTO
SOLICITUD DE INTERVENCIN

SOLICITUD NM.: 18/05

FECHA DE SOLICITUD:_________________
GRADO DE URGENCIA:________________
SOLICITADA POR:____________________

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UBICACIN:_________________________________________________________________________________________________
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DISPONIBLE DEL:___________________________________________ AL ____________________________________________

TRABAJO SOLICITADO:
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SOLICITO:

NIETO CADENA PEDRO ANTONIO

AUTORIZO:

ELABORO OT NUMERO:

GRUPO: 6102