FORMULARIO PARA LA

Formulario 110 V.4 PRESENTACION DE

FACTURAS

FORMULARIO ANEXO
X Funcionario Dependiente Anexo al Form 702 (STI)
Anexo al Form 610 (RC-IVA) Anexo al Form 510 (Profesiones
Liberales u oficios)

NUMERO DE ORDEN NIT PERIODO

MES AÑO
698885 0
06 2021
NOMBRES Y APELLIDOS: RUTH TERESA AGUILAR ROCABADO
A DOMICILIO: CONSTANTINO MORALES 275
TIPO DE DOCUMENTO DE IDENTIDAD: CI - CÉDULA DE IDENTIDAD NRO. DE DOCUMENTO: 824660 LUGAR DE EXPEDICION: COCHABAMBA

NIT DEL EMPLEADOR: 176360023

B NOMBRES Y APELLIDOS O RAZON SOCIAL DEL EMPLEADOR: GOBIERNO AUTONOMO DEPARTAMENTAL DE COCHABAMBA
DOMICILIO DEL EMPLEADOR: AVENIDA ANICETO ARCE NRO. 2876 ZONA/BARRIO: MUYURINA

C DETALLE DE FACTURAS CON DERECHO A CREDITO FISCAL (En Bolivianos)

NUMERO DE FECHA IMPORTE DE LA CODIGO DE
Nro. NIT NUMERO DE AUTORIZACION / CUF TIPO FACTURA
FACTURA DIA/MES/AÑO COMPRA CONTROL

1 1007173022 79368 416801100313627 03/02/2021 100 2E-D7-3D-74-99 E

2 1028627025 15472 263401000133415 03/02/2021 95 68-DE-66-9C-C6

3 1007173022 91383 416801100313627 03/02/2021 100 DC-22-57-0A-0F E

4 1009445021 903 263401100147163 04/02/2021 347 92-53-D5-4D

5 1028627025 17478 263401000133539 04/02/2021 132 E2-A8-25-64

6 4812267019 8157 271401000449978 05/02/2021 6 87-AE-E0-65

7 1020757027 19740 253401000007400 05/02/2021 83 5F-89-24-12-34

8 1028627025 28074 263401000133427 05/02/2021 270 93-74-17-E7

9 1028627025 4074 263401000141381 05/02/2021 22 7E-56-AB-78-74

10 1015447026 16798 271401000430441 05/02/2021 45 89-CC-26-6E-00

11 1028627025 27405 263401000133436 05/02/2021 104 61-49-90-1F

12 1023201022 6548 206401000013740 06/02/2021 94 F7-47-73-C2-84

13 1028627025 19383 263401000133541 10/02/2021 82 40-B1-D9-40-9D

14 4536026014 1807 274401000607323 11/02/2021 124 FE-01-68-7C

15 1028627025 22374 263401000133443 11/02/2021 94 5A-1C-56-DA-90

16 1009397029 36703 263401000128852 12/02/2021 19 4B-EB-7F-6A-BB

17 1023213028 449789 296401100014487 12/02/2021 26 E6-61-0B-7C

18 1028627025 22591 263401000133443 12/02/2021 41 A9-66-F3-72-C1

19 1023213028 453966 296401100014487 12/02/2021 15 9B-71-0F-B4

20 1023213028 454236 296401100014487 12/02/2021 153 BB-19-F2-B8-3B

21 1023213028 454042 296401100014487 12/02/2021 25 6A-1D-29-D8

22 1020757027 14981 253401000007416 12/02/2021 59 47-AD-E5-87-FA

23 1023213028 454029 296401100014487 12/02/2021 40 21-19-30-48-52

24 1007921022 33967 277405100147252 12/02/2021 21 FB-FC-62-A9

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25 1023213028 454422 296401100014487 12/02/2021 39 8A-BB-78-58

26 1023213028 454237 296401100014487 12/02/2021 15 D0-F2-2B-70-83

27 1023149021 9681 256401000143797 12/02/2021 119 9E-43-45-87-52

28 269622020 206 383401000410895 12/02/2021 58 0F-DA-AA-FC-12

29 1023213028 454043 296401100014487 12/02/2021 140 FB-1E-4B-7B-D6

30 1009445021 1700 263401100147159 13/02/2021 12 2C-1C-C2-3E-A7

31 1028627025 29119 263401000133436 13/02/2021 390 38-C0-8C-D1-BE

32 4388432012 363 386101000041804 15/02/2021 80 38-C0-8C-D1-BE

33 1007921022 37877 277405100147252 16/02/2021 21 B7-27-8A-BE

34 149318027 49912 252405000048080 17/02/2021 19 80-34-BB-BE-F5

35 343508025 1969 271401000438514 17/02/2021 10 03-04-F2-FA

36 1028627025 29840 263401000133436 17/02/2021 140 34-9B-C9-F9

37 1028627025 16789 263401000133491 17/02/2021 215 7D-37-AF-A0-C5

38 2961043011 11475 271401000445757 18/02/2021 48 95-B0-F7-47-79

39 1028627025 30152 263401000133436 18/02/2021 63 E7-1C-F1-5D-00

40 4475226012 300 271401000445184 19/02/2021 207 08-ED-4D-64

41 1023149021 108 256401100169989 19/02/2021 149 42-1C-9B-D2-07

42 6498418011 704 271401100465850 20/02/2021 78 9F-23-5F-68-C3

43 1009311029 58440 387401000116894 20/02/2021 78 1C-13-B6-B0-EC

44 153508024 7914 277405100151672 20/02/2021 86 DB-94-71-70-C0

45 177834023 1324 383401100423105 20/02/2021 184 D7-F0-53-91-15

46 1007921022 42950 277405100147252 20/02/2021 21 C7-81-42-20

47 1028627025 24395 263401000133443 20/02/2021 218 03-2D-A9-9C

48 1009397029 38508 263401000128852 20/02/2021 51 02-6A-75-0A

49 1023201022 8781 206401000013740 20/02/2021 55 27-42-A6-B7-23

50 1015447026 31067 271401000438742 22/02/2021 22 43-97-BF-82-4F

51 1020625023 30 268401120410288 22/02/2021 30 5A-D8-F1-D4-B5

52 2902478011 103848 277405000138386 22/02/2021 21 DD-4F-31-E4-E2

53 1023229020 27163 373401000012292 23/02/2021 80 6F-34-FD-13

54 1023229020 6576 373401000012302 23/02/2021 20 6D-7E-64-71-26

55 1009445021 4949 263401100146631 23/02/2021 230 A3-11-C7-89-D1

56 2902478011 105190 277405000138386 23/02/2021 21 0B-3F-08-1D-83

57 1015447026 30829 271401000438863 23/02/2021 146 22-C3-C4-17-F2

58 1020757027 16660 253401000007416 23/02/2021 52 27-D5-58-CC-92

59 4079196016 87 463401100350466 24/02/2021 30 08-6B-33-3F

60 1028627025 25246 263401000133443 24/02/2021 65 5A-A5-2C-FE-68

61 813712012 2981 384401000169039 25/02/2021 56 EF-91-44-09-FC

62 356272025 4314 387401100131295 25/02/2021 57 4D-99-13-C4-2F

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63 1020141023 1129 434401000055155 26/02/2021 2,275 03-57-8E-2D-23

64 3575633019 130819 277405000144675 26/02/2021 98 43-A7-C1-32-E6

65 1028627025 33354 263401000133427 26/02/2021 110 BC-27-AB-B6

66 183448022 2975 265401100460041 26/02/2021 20 F1-5E-F2-9C

67 2902478011 108580 277405000138386 26/02/2021 21 BA-D3-73-CB

68 176360023 723 449401100001657 26/02/2021 75 07-E7-04-77-EB

69 1015447026 32047 271401000438742 26/02/2021 41 1C-5D-18-26-B2

70 2902478011 110063 277405000138386 27/02/2021 12 40-52-1F-25-79

71 1028627025 32675 263401000133436 27/02/2021 313 42-5F-BB-CA-33

72 343508025 2262 271401000438514 27/02/2021 91 7F-3E-48-42-1F

73 1028627025 12842 263401000141671 27/02/2021 104 95-C6-A9-D6-F4

74 356272025 4194 387401100131305 27/02/2021 133 B9-F5-F8-4B-D3

75 3772772016 524 383101100423269 27/02/2021 105 E4-59-9D-61

76 1028627025 32765 263401000133436 27/02/2021 313 42-5F-BB-CA-33

77 2542989011 1039 387401100131276 27/02/2021 69 DF-7C-BD-EA-A7

78 2900753017 10178 271401100473935 28/02/2021 61 F9-AC-71-6B

79 1009379021 595450 416401000302462 28/02/2021 47 D3-88-46-A0-8F

80 356272025 4372 387401100131305 28/02/2021 103 1D-A8-E6-97

81 297900027 11293 384401000161487 28/02/2021 316 3B-9B-4B-15-52

82 1009379021 488958 416401000302462 28/02/2021 30 0D-A6-96-35-15

83 1009379021 414823 416401000302462 28/02/2021 428 F3-A2-6E-0C

84 1023083027 1744 265401100453272 01/03/2021 8 B6-63-44-7C-E8

85 1009311029 21201 387401000129272 01/03/2021 70 E7-39-28-BF

86 1007921022 56372 277405100147252 02/03/2021 140 53-C7-46-A6-F9

87 298418024 17887 108401000038869 02/03/2021 10 0A-18-EB-DD-DF

88 1028627025 18645 263401000133491 02/03/2021 413 7F-F5-81-09-B2

89 2961043011 13378 271401000445757 03/03/2021 190 1F-E8-46-8C-7A

90 1007173022 183261 416801100316342 03/03/2021 100 0F-3D-AA-32-00 E

91 1028627025 13514 263401000141671 03/03/2021 347 3A-00-ED-44

92 1028627025 26921 263401000133443 03/03/2021 29 D9-DC-F5-0E

93 1007173022 141844 416801100316342 03/03/2021 100 17-6B-E4-99-68 E

94 1020757027 17853 253401000007416 03/03/2021 65 81-69-BE-BA-43

95 133795023 3439 271401100477927 04/03/2021 81 81-69-BE-BA-43

96 1009445021 7487 263401100147163 04/03/2021 79 EC-95-B2-C4-52

97 1009445021 7330 263401100147163 04/03/2021 348 49-37-DE-38-EB

98 1008409027 784 463401000339012 04/03/2021 520 F5-B0-BF-43-46

99 1007921022 60534 277405100147252 05/03/2021 21 E0-91-D3-6A

100 1015447026 21131 271401000430441 05/03/2021 39 A6-68-18-6C

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101 1007921022 61279 277405100147252 05/03/2021 90 8C-08-3A-9B

102 2961043011 13839 271401000445757 05/03/2021 110 C8-0D-2A-EC-39

103 2902478011 116903 277405000138386 06/03/2021 28 90-91-B6-CF

104 1009445021 5842 263401100146620 06/03/2021 675 83-5F-C5-2C

105 1020269020 638308 104401000000393 06/03/2021 11 94-78-CA-3A-8D

106 1028627025 34754 263401000133436 06/03/2021 209 AE-2A-AF-6D-94

107 2902478011 117873 277405000138386 06/03/2021 17 AA-7D-C5-42

108 1023201022 11143 206401000013740 06/03/2021 72 70-41-3E-24-30

109 1022379027 5316 269401000294435 08/03/2021 30 83-C0-AE-0F-19

110 1009445021 8453 263401100146608 09/03/2021 330 07-2E-61-29

111 2961043011 14532 271401000445757 10/03/2021 56 C7-72-6F-C0-FD

112 1028627025 35782 263401000133436 10/03/2021 75 B6-B9-10-4A-B8

113 1007921022 67301 277405100147252 10/03/2021 21 E6-48-9A-26-08

114 1009445021 6698 263401100147061 10/03/2021 124 06-2A-C5-E2-41

115 1028627025 13217 263401000133458 10/03/2021 84 88-F0-75-C9-06

116 1028627025 13046 263401000141685 10/03/2021 167 2B-46-E2-58-56

117 3147640018 10001 269401000287948 11/03/2021 32 5A-D4-70-20

118 1007921022 68767 277405100147252 11/03/2021 21 1C-96-5C-04-D6

119 1020757027 19034 253401000007416 12/03/2021 59 32-9D-F3-50-63

120 1023213028 1028324 296401100014487 12/03/2021 23 27-07-09-96

121 1009311029 26258 387401000129272 13/03/2021 44 E2-DB-09-BC-EA

122 1028627025 36838 263401000133436 13/03/2021 130 38-90-3F-55-7E

123 1028627025 3648 476401100126767 13/03/2021 11 84-31-A3-07-F4

124 1007921022 72022 277405100147252 13/03/2021 21 02-01-03-E0-51

125 1028627025 24892 263401000133502 13/03/2021 107 A5-A1-9D-C9

126 195818025 4626 383401000408982 13/03/2021 78 A1-E6-56-1E-D7

127 153508024 48174 277405100151672 14/03/2021 70 5E-2C-0D-CF-FA

128 1023213028 1057099 296401100014487 15/03/2021 41 35-09-CE-7C

129 1023213028 1056645 296401100014487 15/03/2021 15 19-EF-43-53

130 1009445021 8097 263401100146620 15/03/2021 184 17-6E-61-B5

131 1023213028 1056722 296401100014487 15/03/2021 88 F0-65-30-F7

132 1023213028 1056721 296401100014487 15/03/2021 25 99-81-5C-C6

133 1028627025 23202 263401000133616 15/03/2021 80 5E-5D-EA-AA

134 1023213028 1056708 296401100014487 15/03/2021 37 44-69-5D-61-C0

135 1023213028 1056915 296401100014487 15/03/2021 117 62-17-BE-99-EF

136 1023213028 1056916 296401100014487 15/03/2021 15 D8-94-50-DF-88

137 153508024 50260 277405100151672 15/03/2021 19 D4-F4-27-21

138 311894026 2153 266401100030679 16/03/2021 13 D2-B6-03-B1

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139 1023109029 4843 463401000345708 16/03/2021 162 74-04-1D-A1

140 1007921022 76571 277405100147252 17/03/2021 21 2B-34-4A-FD

141 1020757027 27486 253401000007400 17/03/2021 59 D3-15-EB-EF-7A

142 1028627025 38428 263401000133436 18/03/2021 31 63-B0-66-0C-0F

143 1007921022 79492 277405100147252 19/03/2021 35 29-E7-4F-16-B1

144 1009445021 14520 263401100146990 19/03/2021 250 63-96-66-23

145 1009311029 28901 387401000129272 19/03/2021 58 7B-2A-45-C3-2F

146 1009397029 45271 263401000128852 19/03/2021 16 D1-52-D9-20-C9

147 298418024 20156 108401000038869 19/03/2021 50 2F-07-11-5D-F3

148 2902478011 131538 277405000138386 20/03/2021 21 47-51-BD-AB-94

149 825203012 35327 277405100150628 20/03/2021 17 7D-02-83-A7-50

150 1015447026 10025 263401000136370 20/03/2021 41 2F-EE-6F-0E

151 1028627025 39265 263401000133436 20/03/2021 298 7E-CD-2F-F6-A7

152 1028627025 39195 263401000133436 20/03/2021 60 C9-0C-49-EF

153 1009445021 4976 263401100146988 20/03/2021 355 9F-DB-02-46-5A

154 1023201022 13585 206401000013740 20/03/2021 119 66-03-5C-0F-C1

155 1028627025 25247 263401000133560 22/03/2021 175 19-F9-84-9B

156 2961043011 12669 271401100484016 22/03/2021 140 22-F3-57-9D-58

157 1020757027 20387 253401000007416 23/03/2021 46 1D-97-4A-3C-43

158 2902478011 175353 277405000138408 23/03/2021 17 AC-49-9F-34

159 298418024 20643 108401000038869 23/03/2021 50 F8-58-DA-30-B4

160 3147640018 362 269401100329518 24/03/2021 29 8C-97-17-CE-58

161 1028627025 15520 263401000141685 24/03/2021 131 7D-F7-17-D0-FB

162 1028627025 40459 263401000133436 24/03/2021 52 FB-9D-76-16-96

163 1008409027 957 463401000339012 24/03/2021 2,410 B7-28-39-4D-B8

164 3757984015 7598 383401000397458 25/03/2021 48 16-07-30-FF

165 1028627025 18616 263401000141671 26/03/2021 52 15-6D-F3-6B-9D

166 813712012 4518 384401000169039 26/03/2021 56 13-22-4D-EC-C0

167 1009311029 31420 387401000129272 26/03/2021 50 46-B6-D9-19-30

168 1028627025 20377 263401000141659 26/03/2021 133 CB-B4-4C-83-5E

169 300150020 20345 463401000324704 26/03/2021 614 A5-27-97-AC-FA

170 1009311029 31715 387401000129272 26/03/2021 58 23-89-12-76

171 1028627025 20693 263401000141659 27/03/2021 111 77-4D-E4-31-68

172 1009445021 9683 263401100147171 27/03/2021 40 A9-98-F0-03-A8

173 356272025 21601 387401000120903 27/03/2021 25 67-11-1D-6D

174 1009311029 7529 387401100134524 27/03/2021 58 B0-65-3D-D2-61

175 1007921022 90667 277405100147252 27/03/2021 21 88-C5-16-5E-A8

176 1009445021 6875 263401100147042 27/03/2021 16 A7-17-33-9D-A7

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177 139241023 899 389401100123232 27/03/2021 15 57-E8-1A-7C-30

178 1028627025 41445 263401000133436 27/03/2021 307 5A-AD-AC-2A

179 153508024 300829 277405000137103 27/03/2021 17 C4-76-14-D6-F1

180 3807851012 110 383101000406894 28/03/2021 330

181 1007921022 92504 277405100147252 28/03/2021 116 25-2C-D9-66-F7

182 1020757027 21020 253401000007416 29/03/2021 14 FD-0C-D2-9B-73

183 1020141023 1371 434401000055155 29/03/2021 2,275 DB-79-6F-30

184 1020757027 21019 253401000007416 29/03/2021 46 8E-4C-DE-AD-B1

185 2902478011 140319 277405000138386 29/03/2021 21 17-98-22-97-31

186 1015447026 40588 271401000438863 29/03/2021 142 38-A3-CD-42

187 1009445021 12356 263401100146581 29/03/2021 116 A7-6C-7B-4E-12

188 1015447026 59705 271401000438892 30/03/2021 148 C1-CA-CF-BE-FB

189 5930268017 2558 476401100133767 30/03/2021 54 23-E8-2E-DC

190 1023229020 37046 373401000012292 30/03/2021 122 89-A9-40-93-4B

191 1023229020 37048 373401000012292 30/03/2021 62 18-9B-29-BB-9D

192 1007173022 22622 416801100322983 31/03/2021 100 5F-87-80-A3 E

193 1009379021 689912 416401000302462 31/03/2021 30 16-22-EA-DF-02

194 2902478011 187580 277405000138408 31/03/2021 18 7A-C4-3F-2C

195 1009379021 614931 416401000302462 31/03/2021 428 2A-CA-AD-95

196 1028627025 33264 263401000133443 31/03/2021 63 9C-BC-85-DA

197 1009379021 796065 416401000302462 31/03/2021 53 C1-28-5F-C1-E6

198 2902478011 142634 277405000138386 31/03/2021 35 BC-57-AB-B6-EB

199 1007173022 79687 416801100322983 31/03/2021 100 E1-3D-EF-85-D3 E

200 1009311029 34132 387401000129272 01/04/2021 44 9D-83-12-8D

201 1009445021 5511 263401100146727 01/04/2021 127 5F-A3-65-F3

202 1007881020 22701 271401000457250 01/04/2021 12 91-38-8C-33-AE

203 1009311029 48168 387401000123241 02/04/2021 38 77-5E-B4-E4

204 316898027 9458 384401000160878 02/04/2021 96 D6-24-99-30-DC

205 1015447026 60879 271401000438892 02/04/2021 155 54-43-8E-B2-FB

206 316898027 7899 332401000015205 02/04/2021 160 99-D3-2E-9F

207 356272025 22463 387401000120903 03/04/2021 104 38-70-8A-AB-CC

208 1009311029 35305 387401000129272 03/04/2021 58 FD-11-09-82-C3

209 1009445021 13572 263401100146581 03/04/2021 121 DB-1F-9F-02-F4

210 298418024 22089 108401000038869 03/04/2021 25 7D-8F-4A-B6-83

211 1015447026 59690 271401000435260 03/04/2021 71 BB-11-14-04

212 1009445021 9622 263401100147090 04/04/2021 318 31-31-6E-B1-8C

213 1028627025 20947 263401000141671 05/04/2021 114 5B-1A-CD-62-6C

214 1028627025 34542 263401000133443 05/04/2021 82 37-20-83-EA

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215 1020757027 31331 253401000007400 06/04/2021 65 2C-62-8F-B7

216 133795023 11340 271401000456551 06/04/2021 319 78-FA-78-2A-6F

217 2961043011 19019 271401100484016 07/04/2021 235 3D-50-93-F2-98

218 321278029 8756 275401100402777 07/04/2021 88 06-53-3C-CC

219 1023083027 1984 265401100465855 07/04/2021 25 F6-01-B6-DB-3F

220 177834023 3151 383401100423105 07/04/2021 180 E9-91-B2-F2

221 1020757027 1193 253401100009214 07/04/2021 12 E9-0E-08-CF-EE

222 5318596012 1595 384401100178599 07/04/2021 78 E8-06-BF-2B

223 1009397029 4210 263401100154738 07/04/2021 37 31-BF-D8-59

224 2730424018 1117 433401100072008 08/04/2021 1,146 95-FA-96-CB-9E

225 2730424018 1114 433401100072008 08/04/2021 1,146 27-EE-16-AC

226 1020625023 2455 268401120410288 08/04/2021 18 49-5D-B2-23-FB

227 1015447026 62299 271401000435260 09/04/2021 495 95-44-53-F2-0B

228 1009445021 10219 263401100147090 09/04/2021 244 31-E7-63-F7-30

229 1009311029 38467 387401000129272 10/04/2021 52 EE-BC-EB-32-DB

230 1020757027 4285 265401100476630 10/04/2021 109 C3-41-CE-3A

231 1028627025 32191 263401000133518 11/04/2021 278 C6-DC-14-60-1F

232 176760020 12457 263401100148530 11/04/2021 45 51-58-20-07-01

233 4475226012 554 271401000445184 12/04/2021 123 1D-86-2B-26

234 9431930015 20638 383401100425125 12/04/2021 34 23-9C-E3-36-A7

235 1007881020 24830 271401000457250 12/04/2021 11 52-83-C3-D3

236 1028627025 47072 263401000133436 14/04/2021 31 44-9C-BF-AA-9D

237 1020757027 32899 253401000007400 14/04/2021 36 BB-FE-CC-57

238 1028627025 17352 263401000141663 14/04/2021 114 7D-02-77-E5

239 300150020 22820 463401000324704 15/04/2021 83 B8-78-89-83

240 1020757027 32934 253401000007400 15/04/2021 69 F9-CE-5B-81-94

241 1023213028 1705262 296401100014487 15/04/2021 23 E2-B1-5A-4A-F1

242 195818025 6246 383401000408982 16/04/2021 87 AE-E5-39-A3-28

243 1028627025 15808 263401000133458 16/04/2021 161 EF-04-9E-06-2E

244 1028627025 15809 263401000133458 16/04/2021 25 0A-53-81-E5-40

245 1009445021 6911 263401100146988 17/04/2021 15 AD-34-F8-5B

246 1009311029 45750 387401000128765 17/04/2021 88 24-A0-9E-4D

247 1009445021 6910 263401100146988 17/04/2021 470 3C-0C-B9-B8-10

248 183448022 7662 265401100460041 18/04/2021 432 0B-FB-9D-49

249 176760020 14070 263401100148530 18/04/2021 445 0B-8B-77-51-1C

250 1020635028 816 444401100004669 19/04/2021 20 63-FC-15-C6

251 1023213028 1763452 296401100014487 19/04/2021 15 9C-A3-87-29-6D

252 1023213028 1763901 296401100014487 19/04/2021 60 7C-3B-3A-D8-C4

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253 1023213028 1763529 296401100014487 19/04/2021 107 C1-40-F7-41-ED

254 1023213028 1763719 296401100014487 19/04/2021 15 8B-98-46-86

255 1023213028 1763515 296401100014487 19/04/2021 50 D1-77-87-09-6C

256 1015447026 6528 271401100489532 19/04/2021 39 3F-A4-42-89

257 1023213028 1763528 296401100014487 19/04/2021 25 E6-ED-C5-17

258 1023213028 1763718 296401100014487 19/04/2021 130 7C-41-46-E1-EB

259 293516023 9603 206401100014638 20/04/2021 129 E8-F3-2F-0C-8E

260 1009311029 43111 387401000129272 21/04/2021 110 D8-03-9B-2B

261 1009445021 16496 263401100146696 21/04/2021 149 29-94-42-25-B4

262 301204024 25229 426401100082352 21/04/2021 54 F9-B3-25-D2

263 1020757027 73 253401100009673 22/04/2021 70 2E-EA-2D-30

264 1015447026 70186 271401000438892 22/04/2021 258 D2-DA-4C-B5-B6

265 1028629027 670 249401100571827 22/04/2021 89 30-3B-CC-DE-10

266 301204024 20213 426401100082040 22/04/2021 54 4B-71-52-40-07

267 152838029 33456 384401000162178 22/04/2021 22 16-BE-67-55-49

268 1028627025 21618 263401000141685 23/04/2021 126 B8-65-99-82-2C

269 1028627025 14380 263401000141541 24/04/2021 229 7B-9A-84-23-A0

270 1028627025 33580 263401000141644 24/04/2021 89 1F-8A-4D-3B-1A

271 1020141023 89 434401100065391 26/04/2021 2,275 FF-A8-8D-01-A8

272 2961043011 27335 271401100484016 26/04/2021 188 D5-5C-E2-E8

273 1009445021 18777 263401100146736 26/04/2021 131 B1-AA-6D-C8

274 292696024 15524 251401000068596 27/04/2021 1,300 B0-C8-5D-1D

275 301204024 29333 426401100082040 27/04/2021 67 01-2C-57-D2

276 1028627025 796 263401100160531 28/04/2021 82 2B-30-F5-FA-95

277 1020757027 1018 253401100009687 28/04/2021 46 EE-5F-14-87-10

278 1028627025 788 263401100160452 28/04/2021 65 36-12-E2-72

279 1015447026 73362 271401000438892 29/04/2021 204 12-C6-16-BA-73

280 301204024 51814 426401100082040 29/04/2021 54 F1-80-DB-B6-8C

281 1028627025 397 263401100160583 29/04/2021 24 AE-A8-43-31-B1

282 301204024 51807 426401100082040 29/04/2021 85 94-A0-7B-AD

283 301204024 51819 426401100082040 29/04/2021 85 D3-41-21-33

284 8674241019 1561 383401000402934 30/04/2021 22 D6-5A-B2-72-DA

285 1009379021 996296 416401000302462 30/04/2021 47 7B-88-54-2A

286 1009379021 815231 416401000302462 30/04/2021 428 47-0C-2F-86-C7

287 1009379021 890654 416401000302462 30/04/2021 30 E6-0C-47-46-24

288 1009445021 12950 263401100147035 30/04/2021 207 26-AD-07-A3

289 1009311029 46461 387401000129272 30/04/2021 78 39-5B-63-84

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 CANTIDAD TOTAL FACTURAS PRODUCCION NACIONAL 0

CANTIDAD TOTAL OTRAS FACTURAS 289

DETERMINACION DEL PAGO A CUENTA COD. Bolivianos

D DETERMINACION DEL PAGO A CUENTA
Monto otras facturas y facturas electrónicas
COD. Bolivianos
Cod. 26 42,204

Monto facturas producción nacional Cod. 113 0

DETERMINACION DEL PAGO A CUENTA OTROS PRODUCTOS Cod. 115 = Cod. 26 *13% 5,487

DETERMINACION DEL PAGO A CUENTA PRODUCTOS NACIONALES Cod. 116 = Cod. 113*15,6% 0

TOTAL DETERMINACION DEL PAGO A CUENTA Cod 693 = Cod. 115+Cod. 116 5,487

E DETALLE DE FACTURAS SIETE RG

NUMERO DE FECHA IMPORTE DE LA CODIGO DE
Nro. NIT NUMERO DE AUTORIZACION / CUF TIPO FACTURA
FACTURA DIA/MES/AÑO COMPRA CONTROL

CANTIDAD TOTAL FACTURAS SIETE RG 0

F DECLARACION DE MONTO PAGO A CUENTA COD. Bolivianos

Monto Facturas SIETE RG Cod. 464 0

PAGO A CUENTA POR FACTURAS SIETE RG Cod. 465 = Cod.464*5% 0

JURO LA EXACTITUD DEL PRESENTE

LUGAR ACLARACION DE FIRMA FIRMA Y SELLO EMPLEADOR
FORMULARIO
COCHABAMBA
RUTH TERESA AGUILAR ROCABADO
DIA MES AÑO

02 06 2021 FIRMA CI 824660 COCHABAMBA

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