_SOLICITUD Y CERTIFICACION DE PAGO & ences ero Soros hia Poyoca Cana REQUISICION DEPAGO DEL SUBCONTRATISTA Etter pune, cov serra acon encom cn iad an Boch tts 9-1 Sno Drang Eats Pina 4 do NowERo be soviet: re PemeD See) een, o CoMmAto: recinoe SiMe: Sostt9 ‘Besos Sled de Pogo ta ss compton ce eves cons regan aster, {Sembee osteosarcoma sd 1 eeedeoontatn gra s10774 90008 2. Como net por dees de carbo ‘ig SUECONTRATISTA 3. Suma daleonrat ata teh ines 1 £2) sarrasencs Fe —————— (Gata @ an hod dae) SOTO Siero cortical 5 tote ata terns sssoraa Maro exe 20 mata acer st [linen Sbo tn dela colmeal ce tefl nese) ee) © Taplow ese ratanane eee ae (tins Satcbincso one) oa 1 Vonemenialpace sk sa 9318 © Ee tame Limaey ne Mebverstentin stostassen ESUMENDE ORDENESDE CARED DOONESDEDICCONES BRIAR is pened obs nee revs gor PEGE [S00 $003 laps Soo $003 ces S00 $009 oa SE 0Abi-Karram Morilla MANUEL TLLAN MARTINEZ : {eA 3 eS =HOA DE CONTINUACION Usa cama on convles donde se apa a stn var paras paras. a PERIODS AzU00 7287029 Pina 2 do 3 1: |coo1eo| vatorerocranano | S2UCTUO| sermmaoo [ACTUALMENTE] Oiwcrnapon | apPARAL. RETENCION pe)” DE [DESCRIPCION DEL TRABAJO. ABEMA | este Periono AMACENADO: LAFECHA — 4 costo veer ern reve womioen | ‘acetl (ere) leant] REGO] waa fawtavonean] vALon ar] var [A ho.vioe fond reeee Setoe | Por M Ra VERSENCOTMDD, | hhria starassssomaasrad 04 sacl og $0. soa] og — soorh oor] ssoanasrod $000] et Ee an jneom acento Foe 1 i jt@ene xtnniseDr TTI ao CASETA DE LA ESCALERA NLA veepSEN MSDE LMS | rq stares] srmomsd od sand od 50 sox of — saafoons) sssaors4 somo zr Fin SE TTEAETMCEPLATEACS | sro 2000 serene} a sory of a0 sox] 04 snofoorn| srareecd —s000 a sta HO SUSOADELARNA 14 s0c000q sioec00 od sno} of $0 fox] of — snofoon) ooo} 5000 1 au ROTEMMNCONYRERIES. | 14) ssoen004 seonen0y oq sno} 04 soon tox 03seomafaor) vaca} s10r000 to SERMON ERESANESINTERIORY| aero 9004 sosogmne 04 Sn0q 146100000 $024 15pts000001ys00%] — seo0000 $18,000.00] 1 an REOST LOSS NCE a4 arshaoressed of S00 of ox] of — snofoorn) ssamoessa4 S000 SESSA UNM" CASETADELA SCA sq) stared sorarao} od snof of s0 sox] of — snofoors) serera0} somo RREARACIONDEPLUTEA(MBEDE | soos] gr0004 stops} 04 saad 04 $04 soa] od — soohoorr seoorecd 000]HOA DE CONTINUACION. HO.1h DE DETALLES DEL DOGUMENTO Pina 3do3 to OADELAUNA 19 stoomoq soom.ey 04 snoy og $0 $00] 09 — snoq oco»| srommao0q somo i omemmuconvassues, | | sd-senoovad sioomed od soo] og — s0% $00] 0 sno] 000s] stommooy saxo he RECCION TECNICA 1% scpma2nnoq sez5209 0 snoy od szxoon $00] 09] s2120009 2aro| stonamaor| se20000 he Joasros aouustRATWos om sgptsasoned stesseay 0 snd ad 1.000 $00] 09 ss.omoq 2sro| stsa.senq 5110020 Is VISPORTED ‘gptoocooad steoecox oq sno] 04 sas sox og s2a7019 207s) saree} sare pone ora —— soe — STOR (oa ea IN TT Joeta souicrrun watenutes, | courceraoo y| syp0 hr eireu|oescripciowoe: reasaso ator rocrauano | oaena’”| TRARLUD TERMNADO |ACTUALENTE|CSinceNADD Xf (6/6) ABA |RETENCION orn Liuacenaoos|“ VarecHa wad (oenbee | “eves (eo) ea aaa a a HT % Sees Aso‘SOUEMTUD Y CERTIEACINOE PAGO. Gee hartach ined: tS Barge) thse (Gra Proyectos Css 4 Alte Aro Hon Somberg, ‘suacowrmATO PARA: Sc FORUALETAS REGUSICON DE PAGO BEL SUBCONTRATISTA _Serestaa requ pra pogo como somuera a cortuadon en cron cn! Sbeen 1 irene ght so774 005, 2. canto ei perro amto $000 3. mace! corto ia fecha fea 12) Taree 4. Tearcampeinioyunacrada aa fecha SIs (Counra Gantahoa ce aes) 2 {00 lejos: 000% do mate amacarace= etre Tot (ea Sa 03 6a coun as Feat Sxpoe)| Be guecernenteetn B25 (tre mos nea 5 eT) 7. Maretas eausises rnc pr pono a 1 Verano po acu tm ©. Sco genses ara tamnar eye retensin Utne Smoos ties) soszase.5 [ta ae contin arson os Fon Ton recs pono or a Pret i srbaco st ree a) $0 a 50 $y [Gartonatopor oars cart 08 Prorat od namenooe 4 FACTURANO Sotszovcntot ‘enoog 2onxaa-200020 nO et sutcntote qusestte cna a, liber yee Taboo ores ‘Solent de Papo so amet scorn cat eacuernrin a seen ¥ os es ot ‘nie co alts prev han ao pga pa Conte, eel pogo acl ev poe susie we preeramerte ence S5uBCONTRATISIA: Const reno Saree manip: sas o tn Poe cargoesHous De contac HOW. De DETALLES Det DOCUMENTO iin 2043 sci amano Reso, OLCTUDvCECAZODE HOO, Mae weno nesounm:s \Gatatsima! oncoreobs sone oops a re pars mente oanoug Sad anaz0 wpe] otc0°E loescreconoa mao) Wore | STEPERO | jarteitige| LAFEDHA Pace eat | Sos cS ERAMENEG| “vest [00/0] even — viSesse eo s.rroroy. ROSAS LE f f + eae B ries] sxaras sonoast] oo | toad oo | som sau ov | $004 oorfacmasr§) son fitta uses ten) iiseoersaanaeor Wenner sche EOF harshVnecon ans 2 Ponda ERSSRERISESE EY) soso | s1a725yoroef] 00 | soa oo | soa] saz] 00 | 009) 0005) srorel] 8029 Fmeo fevata.traesscor am 3 fomame Pistexaeorsuscor | 70% | 200) peyyef] 00 | soa oo | som] sou} ov | soo orefsraresoy son « inten Wwosuncancuama | 10 |siom00q jaoone] 02 | $009] 0 | tom) soa] ao | see] ozox{seosnoes] soso Fomeo s fBadan”™ MESSE NERO y 10 |ss00000 gromre] 02 | $0091 05 | oesoed] £222} 05 | aoeooet] sosox]seocn0ee] + asoee Fmeg [etenceis.cors © femewe" fenenvestencaus | 20 |*99.,,$ 00 | soa 15 hana] $005 18 |rmrenoS| t50%]84000009 ras g.rroran fnaberabotse nosy f | 7 fomaee fOsAs (Aue “SY Jaxscs| sxaras samoest] oo | soa oo | som] saxo} ov | $004 oornfaasoes§] son finer pve (3, pce eteny eB BR ESERIASESY aso | stars graye] 00 | 400) 09 | som] 80a] 0” | toe] ocofssraro] — s00y o Fama’ pacmmcewoemuxer | oe som) aooiscf] 0 | soo oo | soa] sam] oo | 009] onox)senorso] saad FreHous De contac HodADe DETALLES Det DOCUMENTO ign 943 rege |comcore loescreccnoa mano] NO fore) | SFEPEMCDO | eristre| UArEGHA oan, Trew | costo. ™ " ae JALMACENADOS| __ O¥E+F) (GC) rexnamia| REFENCION a ters eo) 10 Boome” aonoe umn 1a [sae syne] 00 | sore] oo | soa] soma] on | sol ovon)ssocooad soad Fare ow Binsee"™ PEsReseRt, — | 0 |swo00] wypocd] 00 | soo} oo | som] sea] on | sou) ocn|ssoronn] 500) 2 Pattaror-| 028.2054] F | . f| tgs ve laum”"paeccowrecnca en | 10 leases] 00 | soe) 002+ | coanost] £000] 0026 | aazrgc] 240%) onsen] 822277 ts Bouse" [ggorossonmesreamvos | yy |srsorg! $1 oo | soodlonee| yaad] 8009 002¢| .rucd] 2504] ssasecll #14109 1 on™ fransporre x 1a [$0000 sned] 00 | sol aout |scacone] $000] ante |sesonee] aon} sessonn] saxo ores arrael son] vad] #20) Lanse] 2204] morsel] sonra 106] pescrecouoa tesa | --YA8, setaiteste | romccutenoe| sao ‘sot meottnoo esaane aaiacawoos no | YAliaceAADOALA | hey [ewatemunan] perexcon PREVIA [este PERicpo| ENDOE), FECHA (OVEF), ere €-9) oro TERRES GRERALES | FTI 5 EET 33 EEE ET EC EI DETALLES OFL.DOCLMENTO -SOLCTUD ¥ CERTCACIEN PARARACO