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26/3/2017 XLIENARM2017<Preregistrodemdicosaspirantes

DPA
HOJADEAYUDAPARAELPAGOENVENTANILLABANCARIA

DERECHOSPRODUCTOSYAPROVECHAMIENTOS
__________________________________________________________________________________________________________________________________

VEHJ9207263Q2 VEHJ920726HGTLRV05
______________________________________________________ ______________________________________________________

REGISTROFEDERALDECONTRIBUYENTES CLAVENICADEREGISTRODEPOBLACIN

VELAZQUEZ
__________________________________________________________________________________________________________________________________

APELLIDOPATERNO
HERRERA
__________________________________________________________________________________________________________________________________

APELLIDOMATERNO
JAVIER
__________________________________________________________________________________________________________________________________

NOMBRE(S)

__________________________________________________________________________________________________________________________________

DENOMINACINORAZNSOCIAL

1 5 SECRETARIADESALUD

_________________________________________________________________________________________________________________
CLAVE DEPENDENCIA



MARQUECONX

x NOAPLICAPERIODO
MENSUAL BIMESTRAL TRIMESTRAL CUATRIMESTRAL SEMESTRAL DELEJERCITO


PERIODO: ____________________________________________ EJERCICIO: __________________________________________
EJEMPLOTRIMESTRAL:1ENEROMARZO AAAA

CLAVEDE

REFERENCIA
157001619

CADENADELA

DEPENDENCIA
002450141ENARM

CONCEPTO DPA IVAACTOSACCIDENTALES


__________________________________________ __________________________________ _________________________
IMPORTE $ 3,000 $
_________________________________________________________________________________________________________ _____________________________________________________________________________________ _______________________________________________________________________________________

PARTEACTUALIZADA $ $
_________________________________________________________________________________________________________ _____________________________________________________________________________________ _______________________________________________________________________________________

RECARGOS $ $
_________________________________________________________________________________________________________ _____________________________________________________________________________________ _______________________________________________________________________________________

MULTAPORCORRECCINFISCAL $ $
_________________________________________________________________________________________________________ _____________________________________________________________________________________ _______________________________________________________________________________________

CANTIDADAPAGAR $ 3,000 $
_________________________________________________________________________________________________________ _____________________________________________________________________________________ _______________________________________________________________________________________

TOTALAPAGAR $ 3,000
_______________________________________________________________________________________

ESTAHOJANOESUNCOMPROBANTEOFICIALDEPAGO,PORLOCUALNOSERSELLADAPORELCAJERO

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