FORMULARIO PARA

Formulario 110 v.3 LA PRESENTACION

DE FACTURAS
FORMULARIO ANEXO
Formulario Dependiente Formulario 702 (STI)

Formulario 610 (RC - IVA) Formulario 510 (Profesiones

Contribuyente Directo Liberales u oficios)

NUMERO DE ORDEN NIT PERIODO FOLIO

MES AO
836118F71C4A 0
4 2017

NOMBRES Y APELLIDOS ALVARO MARCELO SEVILLANO VELEZ

DOMICILIO IRPAVI CALLE 18 A LA ROSA NO. 73

TIPO DE DOCUMENTO DE IDENTIDAD CEDULA DE IDENTIDAD NRO DE DOCUMENTO 3343282 LUGAR DE EXPEDICION LA PAZ

NIT DEL EMPLEADOR 198718021

NOMBRES Y APELLIDOS O RAZON SOCIAL DEL EMPLEADOR AUTO STAR OF AMERICA S.R.L.

DOMICILIO DEL EMPLEADOR AV. BALLIVIAN ESQ. CALLE 13 NO. 678 ZONA CALACOTO

DETALLE DE FACTURAS (En Bolivianos sin centavos)

NUMERO DE NUMERO DE FECHA IMPORTE DE LA CODIGO DE FACTURA

NRO. NIT
FACTURA AUTORIZACION DIA/MES/AO COMPRA CONTROL ELECTRONICA

1 1020255020 727671 416301600070933 01/02/2017 20

2 1020255020 2910824 416301600054775 01/02/2017 20

3 1020255020 1792401 416301600054775 01/02/2017 20

4 1020255020 28901516 416301600054768 04/02/2017 10

5 1007173022 18068 416301600114639 04/02/2017 20

6 1020703023 36463028 416301600091468 04/02/2017 10

7 1020295022 1870 127401600015249 04/02/2017 151 30-DC-6D-F8

8 2298600013 3196 383401600135422 04/02/2017 355 C4-4A-C5-72-CA

9 1006859022 1938 383401700013027 05/02/2017 185 18-40-08-80-39

10 1006827026 193092 277405600048125 05/02/2017 119 78-A7-56-27

11 120737023 23628 383401600139574 06/02/2017 30 73-4D-43-CE

12 3347035010 352 374101700041473 08/02/2017 100

13 306422020 47105 407401600027530 09/02/2017 5 1B-24-64-46

14 1020351029 5461 428401600006077 10/02/2017 1,030 69-8A-26-B5

15 306422020 48635 407401600027530 11/02/2017 10 66-88-AD-49-29

16 4770039014 10077 383101700005510 12/02/2017 80

17 1020541029 131000 263401600029982 12/02/2017 343 16-15-4A-58-42

18 1022039027 8374 271401700006616 13/02/2017 587 98-10-80-98-73

19 1017079029 2423 275401600133627 13/02/2017 70 EF-88-DA-00-F0

20 152030024 32127 384401600066162 13/02/2017 154 0D-BB-33-A7-39

21 1006867025 631 384401700007584 14/02/2017 71 EA-7F-DF-6C-6A

22 1020541029 135923 263401600029982 16/02/2017 11 DD-EA-2A-40

23 1020541029 135947 263401600029982 16/02/2017 67 05-72-07-09-F8

24 1020413025 28095 384401600058611 17/02/2017 35 16-7B-33-40

25 1006867025 32215 384401600065116 17/02/2017 156 40-B9-63-F2-74

26 1006827026 209663 277405600048125 17/02/2017 140 B4-82-86-DB-FD

27 1025631024 771 383401700020742 18/02/2017 118 45-C3-EF-59-FE

28 1020541029 138285 263401600029982 18/02/2017 498 EF-B5-32-74

29 2682631015 6989 383401600131559 09/02/2017 132 5F-9F-19-C2-FE

30 1020541029 142810 263401600029982 21/02/2017 34 CC-22-8B-AA-A0

31 152030024 34745 384401600066162 22/02/2017 108 66-C8-5E-ED-C7

32 222036025 4060 383401600176015 22/02/2017 238 1A-DC-70-70

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33 1020541029 97105 263401600032796 23/02/2017 9 1C-FB-53-C1

34 306422020 57716 407401600027530 24/02/2017 5 EC-6A-85-36

35 165608026 437 387401700007415 24/02/2017 48 BD-7F-CD-31

36 306422020 58173 407401600027530 24/02/2017 5 34-DF-39-E3-97

37 212534020 3912 384401700008899 24/02/2017 50 32-62-32-94

38 120737023 26104 383401600139574 24/02/2017 27 80-6A-52-2F

39 269018027 5210 384401700005503 25/02/2017 54 D6-7B-56-33

40 334924019 16007 276401600080625 25/02/2017 245 BE-AD-DC-9A-12

41 188988020 25672 269401600106624 25/02/2017 297 40-59-C1-BE

42 162430027 1122 466301700003171 26/02/2017 10

43 1020541029 149063 263401600029982 26/02/2017 285 E8-5C-39-AE

44 162430027 1408 466301700003171 27/02/2017 10

45 1020541029 149087 263401600029982 26/02/2017 60 13-0A-E8-5E-49

46 1020049022 3900 383401600165464 27/02/2017 295 7B-20-2F-81-F0

47 1020541029 104375 263401600032796 28/02/2017 503 DE-F6-57-9C-8B

48 1020703023 37068883 416301600091468 01/03/2017 10

49 1020703023 36463021 416301600054768 01/03/2017 10

50 1020703023 36876519 416301600091468 01/03/2017 10

51 1020703023 15064283 416301600104926 01/03/2017 10

52 1020703023 14485361 416301600104926 01/03/2017 10

53 1020703023 24318844 416301600104926 01/03/2017 10

54 1020703023 24123281 416301600104926 01/03/2017 10

55 1022039027 12523 271401700006616 01/03/2017 99 D0-4A-53-C5

56 1006827026 227104 277405600048125 01/03/2017 112 05-9E-39-AA-D2

57 1020295022 3376 127401600014250 05/03/2017 35 9C-73-C5-40

58 1020541029 161471 263401600029982 05/03/2017 255 27-EE-15-B6-9E

59 172758021 4363 271401700020989 09/03/2017 41 6B-E2-75-BE-18

60 152030024 39359 384401600066162 11/03/2017 177 91-93-B8-93-D4

61 279538022 714 256401600059761 11/03/2017 699 34-E5-C9-98-32

62 306422020 71051 407401600027530 12/03/2017 10 82-29-76-55-67

63 120737023 28865 383401600139574 12/03/2017 27 DE-54-EE-1B

64 1020549027 119934 277405600054500 12/03/2017 98 BD-58-1E-BE

65 1020541029 171821 263401600029982 12/03/2017 450 0F-EB-82-15-1F

66 1006867025 39517 384401600065116 14/03/2017 167 40-B9-71-F8-7A

67 212534020 13613 384401700008899 16/03/2017 69 0D-6A-C9-48-F7

68 157848024 109994 332401600008848 17/03/2017 165 11-BD-A4-E1-72

69 306422020 74656 407401600027530 17/03/2017 5 E1-A0-79-48-C7

70 240208029 3540 439301600001487 19/03/2017 10

71 269018027 4199 384401700005561 19/03/2017 65 DD-31-F7-48

72 1020541029 183676 263401600029982 21/03/2017 60 D9-03-17-13-1C

73 240208029 5189 439301600001487 24/03/2017 10

74 240208029 6178 439301600001487 26/03/2017 10

75 1006827026 552 466401700006950 29/03/2017 40 EC-AB-9C-05

76 188058025 5963 384401600075194 31/03/2017 138 D7-40-4C-FD-CB

77 306422020 86342 407401600027530 31/03/2017 5 B7-36-91-B2

78 283382025 1157 466401700007633 01/04/2017 30 95-03-19-8A

79 306422020 88056 407401600027530 01/04/2017 10 13-8C-1D-23

80 176760020 1155 263401700006647 02/04/2017 70 E4-FE-28-FD

81 218554028 2002 255401700012469 02/04/2017 59 AB-93-37-3F

82 1019219023 217620 277405600051024 04/04/2017 112 65-3A-B6-7C

83 1020541029 172852 263401600032796 06/04/2017 17 B7-13-D8-A9-4C

84 306422020 92144 407401600027530 07/04/2017 5 3A-F1-D2-1E-1A

2/3
 85 1028627025 13484 263401600031840 10/04/2017 42 2F-52-62-87

86 1020409021 445 255401700016264 10/04/2017 28 DA-29-27-4C-D5

CANTIDAD TOTAL FACTURAS ELECTRONICAS 0
DETERMINACION DEL PAGO A CUENTA COD. IMPORTE
TOTAL DETALLE DE FACTURAS 026 10,020
DETERMINACION DEL PAGO A CUENTA 693 1,303

JURO LA EXACTITUD DEL PRESENTE

LUGAR ACLARACION DE FIRMA SELLO Y FIRMA DEL EMPLEADOR
FORMULARIO
LA PAZ

DIA MES AO ALVARO MARCELO SEVILLANO VELEZ

16 4 2017 FIRMA CI 3343282 LA PAZ

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