221 lines
5 KiB
Text
221 lines
5 KiB
Text
<!DOCTYPE html>
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<html xmlns="http://www.w3.org/1999/xhtml">
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<head>
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<meta http-equiv="Content-Type" content="text/html; charset=utf-8"/>
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<title>SIGDD</title>
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<style type="text/css">
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.auto-style1 {
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height: 18px;
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}
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</style>
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</head>
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<body>
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<table id="EncabezadoDoc" width="660" align="center" cellspacing="0" cellpadding="0" style="font-family:Arial, Helvetica, sans-serif">
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<tr>
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<td rowspan="5" valign="top"><img alt="" src="../../Images/Logos/logoAyA.png" style="width: 100px; height: 82px;" /></td>
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<td colspan="2" align="center"> </td>
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<td width="1px" rowspan="2"> </td>
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</tr>
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<tr>
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<td colspan="2" align="center" style="text-align:justify" nowrap="nowrap" width="559px"><b>INSTITUTO COSTARRICENSE DE ACUEDUCTOS Y ALCANTARILLADOS</b></td>
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</tr>
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<tr>
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<td colspan="2" align="center" style="text-align:justify"></td>
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<td> </td>
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<tr>
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<td colspan="2" align="center"></td>
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<td> </td>
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<td colspan="2" align="center"></td>
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<td> </td>
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<td align="center" colspan="2"></td>
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<td>
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</td>
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<td width="1px"> </td>
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<td colspan="1" align="center" >
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<h3>Región strRegion </h3>
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</td>
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<tr height="18px">
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<td> </td>
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<td colspan="2" align="center" ><b>Apartado strApartado - Teléfono: strTelefonoOficina</b></td>
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</tr>
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<tr height="18px">
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<td> </td>
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<td colspan="2" align="center"> </td>
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</tr>
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</tbody>
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</table>
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<br />
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<br />
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<br />
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<br />
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<table id="AdjuntosDoc" cellpadding="0" align="center" cellspacing="0" style="font-family: Arial, Helvetica, sans-serif" width="660">
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<tr>
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<td class="auto-style1" style="text-align:right">Fecha:strFecha</td>
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</tr>
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<tr>
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<td>
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</td>
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<tr>
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<td style="text-align:justify">
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<b>Señor (a) (es)</b>
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</td>
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</td>
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<td style="text-align:justify">
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<b> strCliente</b>
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</td>
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<td>
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</td>
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<td>
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</td>
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<td>
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</td>
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<td>
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<td>
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Estimado (a) (es) señor (a) (es)</td>
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</tr>
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<tr>
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<td>
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</td>
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<td style="text-align:justify">
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Quien subscribe strNombreResponsable, en mi condición de funcionario (a) del aréa de strDependencia del Instituto Costarricense de Acueductos y Alcantarillados, hago constar que a las strHora horas del día strFecha, recibí del señor(a) strCliente, el formulario de solicitud y requisitos debidamente completos, la cual se registró con el consecutivo de solicitud No strNumSolicitud, correspondiente al folio real matrícula N° strNumeroFolio y plano catastro No. strNumeroPlanoCatastro.
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</td>
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</tr>
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<td>
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</td>
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</tr>
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<tr>
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<td>
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Sin otro particular, atentamente.</td>
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</tr>
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<td>
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</td>
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<td>
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<td>
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<td>
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</tr>
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<tr align="center">
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<td >
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</td>
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<tr align="center">
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<td >
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<tr align="center">
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<td >
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<tr align="center">
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<td >
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</td>
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</tr>
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<tr align="left">
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<td >
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strNombreResponsable</td>
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</tr>
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<tr align="left">
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<td >
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Responsable de emitir documento </td>
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</tr>
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<tr align="left">
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<td >
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</td>
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</tr>
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</table>
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</body>
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</html>
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