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DPTO
PROVINCIA
DISTRITO
UBIGEO
NRO DE AT
CONTRATA
DOS A LA
FECHA
TOTAL S/.
Cantidad
de das
Precio por
da
Precio
Total
Alquiler de
XX salon/es
para XX
personas
(incluye
equipos, de
requerir)
0.00
NRO DE
NRO DE
TOTAL DE
NRO DE AC
ATD
ATC
PERSONAL
CONTRATA
CONTRATA CONTRATA CONTRATA
DOS A LA
DOS A LA DOS A LA DOS A LA
FECHA
FECHA
FECHA
FECHA
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL S/.
N DE
COSTO
PERSONAL X
UNITARIO
DISTRITO QUE
DE
REQUIERE
HOSPEDAJE
HOSPEDEDAJE
TOTAL DE
PASAJES Y
N DE DAS
HRS DE
Itinerario
PRESUPUE
GASTOS DE
QUE
DESPLAMIE (Pasajes y
STO PARA
TRANSPORTE
REQUIERE
NTO HASTA Gastos de
HOSPEDAJE
(costo
HOSPEDAJE
LA UT
Transporte)
X DISTRITO
unitario)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.00
Itinerario
Movilidad
Local
MOVILIDAD
LOCAL
(costo
unitario)
TOTAL
PASAJES
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.00
TOTAL
MOVILIDAD
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.00
UT
DPTO
PROVINCIA
DISTRITO
CAJAMARCA
CAJAMARCA
CAJABAMBA
CONDEBAMBA
CAJAMARCA
CAJAMARCA
CAJABAMBA
SITACOCHA
CAJAMARCA
CAJAMARCA
CAJAMARCA
ASUNCION
CAJAMARCA
CAJAMARCA
CAJAMARCA
CHETILLA
CAJAMARCA
CAJAMARCA
CAJAMARCA
LLACANORA
CAJAMARCA
CAJAMARCA
CAJAMARCA
ENCAANA
CAJAMARCA
CAJAMARCA
CAJAMARCA
MATARA
CAJAMARCA
CAJAMARCA
CAJAMARCA
NAMORA
CAJAMARCA
CAJAMARCA
CAJAMARCA
SAN JUAN
CAJAMARCA
CAJAMARCA
CELENDIN
CHUMUCH
CAJAMARCA
CAJAMARCA
CELENDIN
CORTEGANA
CAJAMARCA
CAJAMARCA
CELENDIN
HUASMIN
CAJAMARCA
CAJAMARCA
CELENDIN
JORGE CHAVEZ
CAJAMARCA
CAJAMARCA
CELENDIN
JOSE GALVEZ
CAJAMARCA
CAJAMARCA
CELENDIN
MIGUEL IGLESIAS
CAJAMARCA
CAJAMARCA
CELENDIN
OXAMARCA
CAJAMARCA
CAJAMARCA
CELENDIN
SOROCHUCO
CAJAMARCA
CAJAMARCA
CELENDIN
SUCRE
CAJAMARCA
CAJAMARCA
CELENDIN
LA LIBERTAD DE PALLAN
CAJAMARCA
CAJAMARCA
CELENDIN
UTCO
CAJAMARCA
CAJAMARCA
CHOTA
CHIGUIRIP
CAJAMARCA
CAJAMARCA
CHOTA
CHIMBAN
CAJAMARCA
CAJAMARCA
CHOTA
COCHABAMBA
CAJAMARCA
CAJAMARCA
CHOTA
HUAMBOS
CAJAMARCA
CAJAMARCA
CHOTA
PACCHA
CAJAMARCA
CAJAMARCA
CHOTA
CHOROPAMPA
CAJAMARCA
CAJAMARCA
CHOTA
MIRACOSTA
CAJAMARCA
CAJAMARCA
CHOTA
QUEROCOTO
CAJAMARCA
CAJAMARCA
CUTERVO
CUTERVO
CAJAMARCA
CAJAMARCA
CUTERVO
LA RAMADA
CAJAMARCA
CAJAMARCA
CUTERVO
QUEROCOTILLO
CAJAMARCA
CAJAMARCA
CUTERVO
CAJAMARCA
CAJAMARCA
CUTERVO
CAJAMARCA
CAJAMARCA
CUTERVO
SANTO TOMAS
CAJAMARCA
CAJAMARCA
HUALGAYOC
BAMBAMARCA
CAJAMARCA
CAJAMARCA
HUALGAYOC
HUALGAYOC
CAJAMARCA
CAJAMARCA
SAN MARCOS
CHANCAY
CAJAMARCA
CAJAMARCA
SAN MARCOS
GREGORIO PITA
CAJAMARCA
CAJAMARCA
SAN MARCOS
TOTAL DE
PERSONAL
META X
DISTRITO
5
2
4
1
1
1
1
3
1
1
2
3
1
0
3
3
2
1
1
1
1
1
1
2
1
1
0
2
10
1
3
1
1
1
11
3
2
2
1
CAJAMARCA
CAJAMARCA
SAN MARCOS
JOSE SABOGAL
CAJAMARCA
CAJAMARCA
SAN MARCOS
PEDRO GALVEZ
CAJAMARCA
CAJAMARCA
SAN MIGUEL
CATILLUC
CAJAMARCA
CAJAMARCA
SAN MIGUEL
TONGOD
CAJAMARCA
CAJAMARCA
SAN PABLO
SAN BERNARDINO
CAJAMARCA
CAJAMARCA
SAN PABLO
SAN PABLO
CAJAMARCA
CAJAMARCA
SAN PABLO
TUMBADEN
CAJAMARCA
CAJAMARCA
SANTA CRUZ
CATACHE
CAJAMARCA
CAJAMARCA
SANTA CRUZ
SANTA CRUZ
CAJAMARCA
CAJAMARCA
SANTA CRUZ
SAUCEPAMPA
CAJAMARCA
CAJAMARCA
SANTA CRUZ
YAUYUCAN
CAJAMARCA
LA LIBERTAD
BOLIVAR
BOLIVAR
CAJAMARCA
LA LIBERTAD
BOLIVAR
LONGOTEA
CAJAMARCA
LA LIBERTAD
BOLIVAR
UCHUMARCA
CAJAMARCA
LA LIBERTAD
BOLIVAR
UCUNCHA
TOTAL S/.
1
1
1
0
2
2
0
2
1
1
1
1
1
2
1
99
Cantidad
de das
Precio por
da
750
Precio Total
1500.00
N DE
TOTAL DE
COSTO
N DE DAS
HRS DE
PERSONAL X
PRESUPUES
UNITARIO
QUE
DESPLAMIE
DISTRITO QUE
TO PARA
DE
REQUIERE
NTO HASTA
REQUIERE
HOSPEDAJE
HOSPEDAJE HOSPEDAJE
LA UT
HOSPEDEDAJE
X DISTRITO
2
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
11
40
40
40
40
40
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
160
160
160
0
0
0
80
0
0
80
80
160
0
0
0
0
0
80
0
80
80
80
80
160
80
80
0
160
720
80
240
80
0
80
880
0
80
80
80
4
5
2
0.5
1
1
1
1
1
7
9
4
3
3
6
5
5
3
4
3
8
15
7
7
6
9
9
8
7
11
14
9
9
12
3
3
2
2
4
LOS ANDES
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
63
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
80
80
80
0
80
80
0
80
80
80
80
0
80
160
0
5040.00
6
1.5
3
4
3
2
2
12
10
8
8
10
8
8
13
PASAJES Y
GASTOS DE
TRANSPORTE
(costo
unitario)
Condebamba-Cajabamba-Cajamarca y Viceversa
50.00
Sitacocha-Cajabamba-Cajamarca y Viceversa
60.00
Asuncion-Cajamarca y Viceversa
20.00
Chetilla-cajamarca y viceversa
20.00
Llacanora-cajamarca y viceversa
6.00
Encaana-Cajamarca y viceversa
20.00
Matara-Cajamarca y Viceversa
15.00
Namora-cajamarca y viceversa
12.00
15.00
100.00
Cortegana-Celendin-Cajamarca y Viceversa
140.00
Huasmin-Celendin-Cajamarca y Viceversa
70.00
60.00
50.00
80.00
Oxamarca-Celendin-Cajamara y viceversa
70.00
Sorochuco-Celendin-Cajamarca y viceversa
70.00
Sucre-Celendin-Cajamarca y Viceversa
60.00
70.00
Utco-Celendin-Cajamarca y viceversa
60.00
Chiguirip-Chota-Cajamaca y viceversa
80.00
200.00
Cochabamba-Chota-Cajamarca y Viceversa
60.00
Huambos-Chota-Cajamarca y Viceversa
70.00
Paccha-Bambamarca-Cajamarca y Viceversa
70.00
Choropampa-Chota-Cajamrca y viceversa
100.00
Miracosta-Chota-Cajamrca y viceversa
160.00
Querocoto-Chota-Cajamarca y Viceversa
90.00
80.00
La Ramada-Cutervo-Cajamarca y Viceversa
110.00
160.00
110.00
110.00
140.00
Bambamarca-Cajamarca y Viceversa
40.00
Hualgayoc-Cajamarca y Viceversa
40.00
30.00
30.00
60.00
80.00
20.00
Catilluc-Cajamarca y Viceversa
40.00
TONGOD-Cajamarca y Viceversa
40.00
40.00
30.00
Tumbaden-Cajamarca y Viceversa
20.00
130.00
100.00
100.00
120.00
Bolivar-Cajamarca yViceversa
120.00
Longotea-Cajamarca y Viceversa
100.00
Uchumarca-Cajamarca y Viceversa
100.00
Ucuncha-Bolivar-Cajamarca y Viceversa
160.00
13772.00
MOVILIDAD
LOCAL
(costo
unitario)
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
TOTAL
PASAJES
250
120
80
20
6
20
15
36
15
100
280
210
60
0
240
210
140
60
70
60
80
200
60
140
70
100
0
180
800
110
480
110
110
140
440
120
60
60
60
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
15272.00
80
20
40
0
80
60
0
260
100
100
120
120
100
200
160
6752.00
TOTAL
MOVILIDAD
100
40
80
20
20
20
20
60
20
20
40
60
20
0
60
60
40
20
20
20
20
20
20
40
20
20
0
40
200
20
60
20
20
20
220
60
40
40
20
20
20
20
0
40
40
0
40
20
20
20
20
20
40
20
1980.00
UT
PROVINCIA
DISTRITO
AT
CONDEBAMBA
CAJABAMBA
SITACOCHA
ASUNCION
CAJAMARCA
CHETILLA
LLACANORA
ENCAANA
MATARA
NAMORA
SAN JUAN
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
CHUMUCH
CORTEGANA
HUASMIN
CELENDIN
MIGUEL IGLESIAS
OXAMARCA
SOROCHUCO
SUCRE
LA LIBERTAD DE PALLAN
UTCO
CHIGUIRIP
CHIMBAN
COCHABAMBA
HUAMBOS
CHOTA
PACCHA
CHOROPAMPA
MIRACOSTA
QUEROCOTO
CUTERVO
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
CUTERVO
CUTERVO
LA RAMADA
QUEROCOTILLO
SANTO TOMAS
BAMBAMARCA
HUALGAYOC
HUALGAYOC
CHANCAY
SAN MARCOS
GREGORIO PITA
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
SAN MARCOS
SAN MIGUEL
GREGORIO PITA
JOSE MANUEL QUIROZ
JOSE SABOGAL
PEDRO GALVEZ
CATILLUC
TONGOD
SAN BERNARDINO
SAN PABLO
SAN PABLO
CATACHE
SANTA CRUZ
BOLIVAR
SANTA CRUZ
SAUCEPAMPA
YAUYUCAN
BOLIVAR
LONGOTEA
UCHUMARCA
UCUNCHA
TOTAL
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
1,980.00
Por el servicio de
hospedaje
HOSPEDAJE
80.00
80.00
80.00
80.00
80.00
80.00
80.00
-
50.00
50.00
50.00
50.00
50.00
60.00
60.00
20.00
20.00
20.00
20.00
20.00
6.00
20.00
15.00
12.00
12.00
12.00
15.00
T0TAL
70.00
150.00
70.00
150.00
70.00
160.00
160.00
40.00
40.00
120.00
120.00
40.00
26.00
40.00
115.00
32.00
32.00
32.00
35.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
100.00
140.00
140.00
70.00
70.00
70.00
60.00
80.00
80.00
80.00
70.00
70.00
70.00
70.00
70.00
60.00
70.00
60.00
80.00
200.00
60.00
70.00
70.00
70.00
100.00
160.00
90.00
200.00
240.00
160.00
170.00
90.00
170.00
80.00
100.00
100.00
100.00
90.00
90.00
90.00
90.00
90.00
160.00
90.00
160.00
180.00
300.00
160.00
170.00
170.00
170.00
200.00
260.00
190.00
80.00
80.00
80.00
80.00
80.00
180.00
100.00
180.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
-
80.00
80.00
80.00
80.00
80.00
80.00
80.00
110.00
160.00
160.00
160.00
110.00
110.00
140.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
30.00
30.00
30.00
180.00
180.00
180.00
180.00
180.00
180.00
180.00
210.00
260.00
260.00
260.00
210.00
130.00
240.00
140.00
140.00
140.00
140.00
140.00
140.00
140.00
140.00
140.00
140.00
140.00
60.00
60.00
60.00
130.00
130.00
50.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
5,120.00
30.00
60.00
80.00
20.00
40.00
40.00
40.00
30.00
30.00
130.00
130.00
100.00
100.00
120.00
120.00
100.00
100.00
100.00
160.00
6,822.00
130.00
160.00
180.00
120.00
140.00
60.00
140.00
50.00
130.00
150.00
230.00
200.00
200.00
220.00
140.00
200.00
200.00
200.00
180.00
13,922.00
UT
PROVINCIA
AT
DISTRITO
COMPROBANTE DE PAGO:
BOLETA DE VENTA, FACTURA
MONTO A
NOMBRE DEL PROGRAMA
RENDIR EN
DECLARACIN JURADA
NACIONAL CUNA MAS,
B.V
INCLUIR DIRECCION EN
/FACTURA/DDJJ
AMBOS CASOS
MOVILIDAD LOCAL
CONDEBAMBA
CAJABAMBA
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
PASAJES Y
GASTOS DE
TRANSPORTE
HOSPEDAJE
T0TAL
50.00
70.00
50.00
150.00
50.00
70.00
50.00
150.00
50.00
70.00
80.00
60.00
160.00
80.00
60.00
160.00
20.00
40.00
80.00
80.00
SITACOCHA
ASUNCION
20.00
20.00
20.00
CHETILLA
20.00
LLACANORA
ENCAANA
MATARA
20.00
40.00
80.00
20.00
120.00
80.00
20.00
120.00
20.00
40.00
20.00
6.00
26.00
20.00
20.00
40.00
20.00
15.00
115.00
20.00
12.00
32.00
20.00
12.00
32.00
20.00
12.00
32.00
SAN JUAN
20.00
15.00
35.00
CHUMUCH
20.00
100.00
200.00
ASUNCION
CAJAMARCA
NAMORA
80.00
80.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
80.00
140.00
240.00
140.00
160.00
70.00
170.00
70.00
90.00
70.00
170.00
60.00
80.00
80.00
100.00
20.00
80.00
100.00
20.00
80.00
100.00
20.00
70.00
90.00
20.00
70.00
90.00
20.00
70.00
90.00
CORTEGANA
HUASMIN
JOSE GALVEZ/JORGE
CHAVEZ
MIGUEL IGLESIAS
80.00
80.00
CELENDIN
OXAMARCA
20.00
70.00
90.00
20.00
70.00
90.00
SUCRE
20.00
60.00
160.00
LA LIBERTAD DE
PALLAN
20.00
70.00
90.00
UTCO
20.00
80.00
60.00
160.00
CHIGUIRIP
20.00
80.00
CHIMBAN
20.00
80.00
200.00
300.00
20.00
80.00
60.00
160.00
20.00
80.00
70.00
170.00
20.00
80.00
70.00
170.00
PACCHA
20.00
80.00
70.00
170.00
CHOROPAMPA
20.00
80.00
100.00
200.00
SOROCHUCO
COCHABAMBA
80.00
-
###
180.00
HUAMBOS
CHOTA
MIRACOSTA
20.00
80.00
160.00
260.00
20.00
80.00
90.00
190.00
20.00
80.00
QUEROCOTO
20.00
###
80.00
180.00
100.00
20.00
80.00
###
180.00
20.00
80.00
###
180.00
20.00
80.00
###
180.00
20.00
80.00
###
180.00
20.00
80.00
###
180.00
20.00
80.00
###
180.00
20.00
80.00
###
180.00
CUTERVO
CUTERVO
CUTERVO
LA RAMADA
20.00
80.00
80.00
180.00
20.00
80.00
110.00
210.00
20.00
80.00
160.00
260.00
20.00
80.00
160.00
260.00
20.00
80.00
160.00
260.00
80.00
110.00
210.00
110.00
130.00
QUEROCOTILLO
20.00
SANTO DOMINGO DE
LA CAPILLA
20.00
SANTO TOMAS
20.00
80.00
140.00
240.00
20.00
80.00
40.00
140.00
20.00
80.00
40.00
140.00
20.00
80.00
40.00
140.00
20.00
80.00
40.00
140.00
BAMBAMARCA
20.00
80.00
40.00
140.00
20.00
80.00
40.00
140.00
20.00
80.00
40.00
140.00
20.00
80.00
40.00
140.00
20.00
80.00
40.00
140.00
20.00
80.00
40.00
140.00
20.00
80.00
40.00
140.00
20.00
40.00
60.00
20.00
40.00
60.00
20.00
40.00
60.00
20.00
80.00
30.00
130.00
20.00
80.00
30.00
130.00
HUALGAYOC
HUALGAYOC
CHANCAY
20.00
30.00
50.00
GREGORIO PITA
20.00
80.00
30.00
130.00
JOSE MANUEL
QUIROZ
20.00
80.00
60.00
160.00
JOSE SABOGAL
20.00
80.00
PEDRO GALVEZ
20.00
80.00
20.00
120.00
CATILLUC
20.00
80.00
40.00
140.00
SAN MARCOS
###
180.00
SAN MIGUEL
TONGOD
20.00
20.00
20.00
20.00
20.00
###
40.00
60.00
40.00
140.00
30.00
50.00
30.00
130.00
130.00
150.00
SAN BERNARDINO
80.00
SAN PABLO
SAN PABLO
CATACHE
80.00
-
CATACHE
20.00
80.00
130.00
230.00
20.00
80.00
100.00
200.00
SAUCEPAMPA
20.00
80.00
100.00
200.00
YAUYUCAN
20.00
80.00
120.00
220.00
BOLIVAR
20.00
120.00
140.00
LONGOTEA
20.00
80.00
100.00
200.00
20.00
80.00
100.00
200.00
20.00
80.00
100.00
200.00
20.00
160.00
180.00
6,822.00
13,922.00
BOLIVAR
UCHUMARCA
UCUNCHA
TOTAL
1,980.00
5,120.00
FIRMA
DISTRITO
NOMBRES Y APELLIDOS
DNI
HOSPEDAJE
05/10/2016
HOSPEDAJE
06/10/2016
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
MATARA
40.00
40.00
CHUMUCH
40.00
40.00
CORTEGANA
80.00
80.00
CONDEBAMBA
CAJABAMBA
SITACOCHA
ASUNCION
CAJAMARCA
CELENDIN
T0TAL RECIBIDO
CELENDIN
40.00
40.00
40.00
40.00
SUCRE
40.00
40.00
UTCO
40.00
40.00
CHIGUIRIP
40.00
40.00
CHIMBAN
40.00
40.00
40.00
40.00
40.00
40.00
PACCHA
40.00
40.00
CHOROPAMPA
40.00
40.00
MIRACOSTA
40.00
40.00
QUEROCOTO
40.00
40.00
HUASMIN
HUAMBOS
CHOTA
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
LA RAMADA
40.00
40.00
QUEROCOTILLO
40.00
40.00
40.00
40.00
CUTERVO
CUTERVO
SANTO TOMAS
HUALGAYOC BAMBAMARCA
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
JOSE MANUEL
QUIROZ
40.00
40.00
JOSE SABOGAL
40.00
40.00
PEDRO GALVEZ
40.00
40.00
40.00
40.00
SAN BERNARDINO
40.00
40.00
SAN PABLO
40.00
40.00
CATACHE
40.00
40.00
SANTA CRUZ
40.00
40.00
SAUCEPAMPA
40.00
40.00
CHANCAY
SAN MARCOS
SAN PABLO
SANTA CRUZ
SANTA CRUZ
YAUYUCAN
40.00
40.00
LONGOTEA
40.00
40.00
40.00
40.00
40.00
40.00
2,480.00
2,480.00
BOLIVAR
UCHUMARCA
OCTUBRE - 2016
FIRMA
FORMATO N 03
DECLARACIN JURADA
Yo, ..
identificado con D.N.I. N .
de la ....
del PROGRAMA NACIONAL CUNA MS
, en concordancia con lo dispuesto mediante Ley 28693 Ley General del Sistema Nacional de Tesorera en su Artculo 51 (51.2) y la Directiva de Tesorera N 001-2007-EF/77.15 (Art. 71),
declaro bajo juramento haber efectuado gastos que detallo a continuacin, de los cuales no ha sido posible obtener comprobantes de pago autorizados por la SUNAT.
N Ord.
FECHA
DETALLE
ALIMENTACIN
ALOJAMIENTO
MOVILIDAD LOCAL Y AL
TERMINAL DE TRANSPORTE
PASAJES Y GASTOS DE
TRANSPORTE
OTROS GASTOS
Son (Letras):
con
S/.
/100 Soles
_________________
_________________
D.N.I
D.N.I