ROTULO DE INDICIOS/ EVIDENCIAS / ELE-MENTOS RECOGIDOS (EN

CADENA DE CUSTODIA)

EN CADENA DE CUSTODIA
NÚMERO DE
HALLAZGO:__________________________________________________________

CANTIDAD _____________________ UNIDAD DE MEDIDA____________________

DEPENDENCIA, UNIDAD, DIVISIÓN, QUE INTERVIENE:

_____________________________________________________________________
LUGAR DE RECOLECCIÓN / DIRECCIÓN:
_____________________________________________________________________
_____________________________________________________________________
D____________M_____________A_____________ HORA_________: (0-24 HORAS)

DESCRIPCIÓN Y
CONDICIÓN:__________________________________________________________
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TIPO DE EMBALAJE
UTILIZADO:___________________________________________________________
_____________________________________________________________________
SERVIDOR QUE RECOLECTA EL BIEN
NOMBRE
COMPLETO__________________________________________________________

DNI _ CIP _ Nº ________________________________________________________

CARGO______________________________________________________________

FIRMA_______________________________________________________________

FECHA DE EMBALAJE: D________M________A_______

 ROTULO DE INDICIOS / EVIDENCIAS / ELEMENTOS RECOGIDOS (EN CADENA DE CUSTODIA)

EN CADENA DE CUSTODIA
NÚMERO DE HALLAZGO:__________________________________________________________

CANTIDAD _____________________ UNIDAD DE MEDIDA____________________

DEPENDENCIA, UNIDAD, DIVISIÓN, QUE INTERVIENE:

____________________________________________________________________________________________
LUGAR DE RECOLECCIÓN / DIRECCIÓN:
_____________________________________________________________________
D____________M_____________A_____________ HORA_________: (0-24 HORAS)

DESCRIPCIÓN Y CONDICIÓN:__________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
TIPO DE EMBALAJE UTILIZADO:___________________________________________________________
SERVIDOR QUE RECOLECTA EL BIEN
NOMBRE COMPLETO__________________________________________________________________________
DNI _ CIP _ Nº _______________________________________________________________________________
CARGO_____________________________________________________________________________________
FIRMA______________________________________________________________________________________
FECHA DE EMBALAJE: D________M________A_______
ROTULO DE INDICIOS / EVIDENCIAS / ELEMENTOS RECOGIDOS (EN
CADENA DE CUSTODIA)

EN CADENA DE CUSTODIA
NÚMERO DE
HALLAZGO:__________________________________________________________

CANTIDAD _____________________ UNIDAD DE MEDIDA____________________

DEPENDENCIA, UNIDAD, DIVISIÓN, QUE INTERVIENE:

_____________________________________________________________________
LUGAR DE RECOLECCIÓN / DIRECCIÓN:
_____________________________________________________________________
D____________M_____________A_____________ HORA_________: (0-24 HORAS)

DESCRIPCIÓN Y
CONDICIÓN:__________________________________________________________
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PAG DOS DEL ROTULO DE INDICIOS / EVIDENCIAS / ELEMENTOS
RECOGIDOS (EN CADENA DE CUSTODIA)
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TIPO DE EMBALAJE
UTILIZADO:___________________________________________________________
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SERVIDOR QUE RECOLECTA EL BIEN
NOMBRE
COMPLETO__________________________________________________________

DNI _ CIP _ Nº ________________________________________________________

CARGO______________________________________________________________

FIRMA_______________________________________________________________
ROTULO DE INDICIOS / EVIDENCIAS / ELEMENTOS RECOGIDOS (EN
CADENA DE CUSTODIA)

EN CADENA DE CUSTODIA
NÚMERO DE
HALLAZGO:__________________________________________________________

CANTIDAD _____________________ UNIDAD DE MEDIDA____________________

DEPENDENCIA, UNIDAD, DIVISIÓN, QUE INTERVIENE:

_____________________________________________________________________
LUGAR DE RECOLECCIÓN / DIRECCIÓN:
_____________________________________________________________________
D____________M_____________A_____________ HORA_________: (0-24 HORAS)

DESCRIPCIÓN Y
CONDICIÓN:__________________________________________________________
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TIPO DE EMBALAJE
UTILIZADO:___________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
SERVIDOR QUE RECOLECTA EL BIEN
NOMBRE
COMPLETO__________________________________________________________

DNI _ CIP _ Nº ________________________________________________________

CARGO______________________________________________________________

FIRMA_______________________________________________________________

FECHA DE EMBALAJE: D________M________A_______

 ACTA DE LEVANTAMIENTO DE INDICIOS / EVIDENCIAS /
ELEMENTOS RECOGIDOS (EN CADENA DE CUSTODIA)

EN CADENA DE CUSTODIA
NÚMERO DE
HALLAZGO:__________________________________________________________

CANTIDAD _____________________ UNIDAD DE MEDIDA____________________

DEPENDENCIA, UNIDAD, DIVISIÓN, QUE INTERVIENE:

_____________________________________________________________________
_____________________________________________________________________
LUGAR DE RECOLECCIÓN / DIRECCIÓN:
_____________________________________________________________________
D____________M_____________A_____________ HORA_________: (0-24 HORAS)

DESCRIPCIÓN Y
CONDICIÓN:__________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
TIPO DE EMBALAJE
UTILIZADO:___________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
SERVIDOR QUE RECOLECTA EL BIEN
NOMBRE
COMPLETO__________________________________________________________

DNI _ CIP _ Nº ________________________________________________________

CARGO______________________________________________________________

FIRMA_______________________________________________________________

FECHA DE EMBALAJE: D________M________A_______