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COMIT DE AGUA POTABLE Y SANEAMIENTO DEL LITORAL DIRIAMBA

DIA

MES AO

CAPS
RECIBO DE INGRESOS
POR C$

Recib de: __________________________________________________________________________ N.de Usuario__________________________


La cantidad de: _______________________________________________________________________________________________________________
En concepto de: ______________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
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Comunidad

Entregu Conforme

Recib Conforme

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