ACTAS DE CONCILIACION DE DENUNCIAS

NUMERO DE DENUNCIA SUNDDEIPDSE/___________/2022

FECHA________________ HORA: ________________

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FISCAL ACTUANTE: DENUNCIANTE

Nombre y Apellido: Nombre y Apellido:

Cédula de identidad N° Cédula de identidad N°

Firma:______________ Firma:_____________

DENUNCIADO

Nombre y Apellido:

Cédula de identidad N°

Firma:________________