FORMATO UNIVERSAL DE PAGO

6(&5(7$5Ë$'(),1$1=$6

/Ë1($'(&$3785$3$5$3$*2(19(17$1,//$
2024/03/19
2024/12/31
212000 000028 580451 159511 246
POR FAVOR CAPTURE SIN ESPACIOS

Total a pagar: $1615.0

DATOS DEL CONTRIBUYENTE

SAVA610808 SAVA610808HGRLZN05
RFC CURP

ANTONIO SALAZAR VAZQUEZ

120%5('(120,1$&,Ï125$=Ï162&,$/

'$726'(/$&2175,%8&,Ï1

CLAVE CONCEPTO CANTIDAD TARIFA O TASA SUBTOTAL

212102 5(129$&,Ï1$872029,/,67$$f26 1 1615.0 $1615.0

TOTAL A PAGAR: $1615.0

3$*$5(181$62/$(;+,%,&,Ï1