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    asd

    Copyright:

    © All Rights Reserved
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    10 views3 pages

    1

    Uploaded by

    Aye Iñigo
    asd

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 3
    s IOMA Buenos Aires LA PROVINCIA Institute de Obra Médico Asatenclal POT SR een ied 6. Pair We bls BOLETA CREDENCIAL Fann pasa LIA No: 102900 SALTO T cREDENCIAL PARA EL AFILIADO DIRECTO 136706482800 DIAZANDREA rie ad : ‘Apel'y Nombre dt Ain fe 3606882 Tare "fone ren? Yiee? Yee ede Daca aha eo re $656 00° Primer Vencimiento: 10/07/2015 IMPORTE TOTALS ‘Segundo Vencimiento: 1008/2015 | ywpoRTE TOTALa: $682.04 Sm 2si0ai20i8 Primer Ala Segunda Ata: [esto de vatier: ‘CREDENCIAL PARA EL FAMILIAR A CARGO [Peo de vats: TOPS f Be TOBATEDD ] (ee fois. |[ran.7™ ]ftee 7 ][Ee. Ni deAada 1 Rowan [Wto: 2275] [comprbant: [imponte ovat: 5856.00” ][wirorre roTata: 866204 | ear Atodo a ange oN fedadenae | ata van (oe) = 1 es coomansissco | PROVING DE BUENOS ARES. | FOMA, 3 soteta ve vepdsito Para ioma aS 2 seen SSS a, 0107/2015. '$ 656,00 ' ft DIAZ ANDREA "$656.00 seats —) ume] | py | eyecare ji suo | | = Lwaesee—| mote | Camron] reer iF So Q SEAN ei en ove 13] (rw.rie floes Jee] | Ml (Oe) for] fe] ee] 7] ae ' 7 fa a a a Domicilio... Familiares a cargo...

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