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DECLARACION JURAMENTADA
TesTIG0.1
Flor Hivalja Tosichana con cedula de ciudadania 66.777,U2ue Pal miver
estapo civ: vider Pow a
PROFESION U OFICIO: VOvios
NACIONALIDAD: ¢ Aomboi aa X
pomeuo: Cathe SAF az BARRIO: he SeWwas do Zanoreno
MUNICIPI is AG c DEPARTAMENTO:
TeLeFONO: 2.12693 0771
TESTIGO 2
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