205 lines
4.3 KiB
Text
205 lines
4.3 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>SIDD</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" 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"><b>San José, Costa Rica</b></td>
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<td> </td>
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</tr>
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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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</tr>
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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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</tr>
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<tr>
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<td align="center" colspan="2"></td>
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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 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>
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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 - Fax: strFaxOficina</b></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">Fecha:strFecha</td>
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</tr>
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<tr>
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<td>
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<b> strCliente</b>
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</td>
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</tr>
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<tr>
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<td>
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Numero telefónico: strTelefonoCliente</td>
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</tr>
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<tr>
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<td>
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Fax: strFaxCliente</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>
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</td>
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</tr>
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<tr>
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<td>
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Presente</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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<tr>
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<td>
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La solicitud # strNumSolicitud a nombre del propietario strNombreCompletoPropietario, con propósito strProposito, tipo de trámite strTipoTramite se da de baja por la(s) siguiente(s) razón(razones) strObservacion.”
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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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</tr>
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<tr align="center">
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<td >
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Atentamente,</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>
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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="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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_________________________________</td>
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</tr>
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<tr align="left">
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<td >
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Firma 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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strNombreResponsable</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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