N° DE CARTA DE MONTO

HT FACTURA MONTO BENEFICIARIO

GARANTIA C.G.
MELENDEZ SANDOVAL RODOLFO
20210050269 F001-00014084 8000.00 1301-202104109 8000.00
EDGARDO
20210054552 F001-00014256 2918.62 1301-202104413 3000.00 SALAZAR RODRIGUEZ, BEATRIZ

20210050274 F001-00014202 4450.92 1301-202104111 5200.00 FERNANDEZ FIESTAS BAYRON ERICK

MENDOZA VASQUEZ DE PALACIOS MARIA
20210050278 F001-00014080 2800.00 1301-202103925 2800.00
INES

N° DE CARTA DE MONTO
HT FACTURA MONTO BENEFICIARIO
GARANTIA C.G.
20210092911 F001-00015111 239.16 1301-202106057 239.16 TORRES CHAVEZ TERESA DE JESUS

20210092911 F001-00015111 100.00 1301-202106746 100.00 MIRES VELASQUEZ DE GIL MARIA ISABEL

20210092911 F001-00015111 313.88 1301-202106852 313.88 RAMOS SILVA GILMER

20210092911 F001-00015111 100.00 1301-202106522 100.00 MENDOZA MATHEUS PEPE HENRY

20210092911 F001-00015111 150.00 1301-202106754 650.00 BARRANTES MONDRAGON ELIAS

20210092911 F001-00015111 100.00 1301-202106811 100.00 MONTENEGRO LOPEZ NOELANY ARIANA

20210092911 F001-00015111 156.94 1301-202106845 156.94 SAAVEDRA TAFUR NAYELI ISABELA

N° DE CARTA DE MONTO
HT FACTURA MONTO BENEFICIARIO
GARANTIA C.G.
20210046972 F001-00014082 100.00 1301-202104181 100.00 QUISPE VILLEGAS DE DAZA ANGELICA

20210046972 F001-00014082 546.40 1301-202104244 600.00 BECERRA PEREZ HEBER IVAN

20210046972 F001-00014082 517.19 1301-202104100 800.00 CHAVEZ PEREZ JENNYFER NOEMI

20210046972 F001-00014082 100.00 1301-202104305 100.00 DIAZ RISCO, SAMUEL

20210046972 F001-00014082 150.00 1301-202104666 600.00 ARANCIBIA ZAPATA JOSE RUBEN

N° DE CARTA DE MONTO
HT FACTURA MONTO BENEFICIARIO
GARANTIA C.G.
20210043295 F001-00014012 100.00 1301-202103216 100.00 PAZ BARRAGAN MARCOS

20210043295 F001-00014012 100.00 1301-202103221 100.00 VENTURA AYALA LUCILA MARIBEL

20210043295 F001-00014012 100.00 1301-202103246 100.00 COLLANTES SANCHEZ LUZ IRENE

20210043295 F001-00014012 100.00 1301-202103212 100.00 VASQUEZ VALLEJOS, ABELARDO

RAMOS ROA DE HUAMAN MARIA
20210043295 F001-00014012 100.00 1301-202103215 100.00
ROSARIO
20210043295 F001-00014012 100.00 1301-202103218 100.00 DAVILA MONDRAGON JUAN MANUEL

20210043295 F001-00014012 100.00 1301-202103464 100.00 QUIROZ CHIROQUE DORA INES

20210043295 F001-00014012 100.00 1301-202103549 100.00 OLIVERA LINARES LUCILA

20210043295 F001-00014012 100.00 1301-202103836 100.00 ASALDE LOPEZ, JUAN MANUEL

20210043295 F001-00014012 100.00 1301-202103674 100.00 PADILLA ALDUI, JOVANI DEL PILAR

N° DE CARTA DE MONTO
HT FACTURA MONTO BENEFICIARIO
GARANTIA C.G.
20210046968 F001-00014079 100.00 1301-202103075 100.00 MENDOZA SILVA WALTER RICARDO
VILLALOBOS VASQUEZ BRIANA DONA
20210046968 F001-00014079 200.00 1301-202103186 200.00
SOLANGE
20210046968 F001-00014079 100.00 1301-202103861 100.00 DAMIAN AYALA, ROXANA ELIZABETH

20210046968 F001-00014079 100.00 1301-202103866 100.00 SUCLUPE CAJUSOL EXEQUIEL

20210046968 F001-00014079 100.00 1301-202103870 100.00 TICLIAHUANCA DAMIAN DENIS OLIVER

IPARRAGUIRRE MESTANZA JORGE
20210046968 F001-00014079 100.00 1301-202104016 100.00
SANTIAGO
20210046968 F001-00014079 100.00 1301-202104191 100.00 ALTAMIRANO RODRIGO, MIRIAM ALICIA

20210046968 F001-00014079 100.00 1301-202104234 100.00 CASTRO IDROGO YOLMER RUBEN

20210046968 F001-00014079 100.00 1301-202104355 100.00 PALOMINO CHACON FELIPE SAMUEL

20210046968 F001-00014079 100.00 1301-202104515 100.00 ESPINAL CRUZADO ROGER

N° DE CARTA DE MONTO
HT FACTURA MONTO BENEFICIARIO
GARANTIA C.G.
20210021942 F001-13672 100.00 1301-202101437 100.00 RUIZ MONDRAGON DE GARCIA ROSARIO
 20210021942 F001-13672 100.00 1301-202101512 100.00 ALVAREZ PERALES NORA LUCY

20210021942 F001-13672 100.00 1301-202101736 100.00 VEGA CARRANZA CARLOS HUMBERTO

VALDERRAMA BUSTAMANTE CLAUDIA
20210021942 F001-13672 100.00 1301-202101737 100.00
ROSA
20210021942 F001-13672 100.00 1301-202101775 100.00 RODRIGUEZ VASQUEZ LUIS ALBERTO

20210021942 F001-13672 100.00 1301-202101777 100.00 HUAMAN SALINAS ROSARIO ARMINDA

20210021942 F001-13672 100.00 1301-202101778 100.00 ROJAS DE CUBAS MARIA SABINA

20210021942 F001-13672 100.00 1301-202101783 100.00 JAIME REYES WALDO

20210021942 F001-13672 100.00 1301-202101858 100.00 CUBAS SANTA CRUZ ROBERTO PAPIAS

20210021942 F001-13672 100.00 1301-202101528 100.00 MARTINEZ GONZALEZ AMELIDA

NRO DE
ORDE N° DE CARTA DE MONTO
HT FACTURA MONTO BENEFICIARIO INFORME DE
N GARANTIA C.G.
AUDITORIA
100.00 1301-202105803 100.00 ALEJANDRIA LOZANO ELSA VIOLETA

100.00 1301-202105951 100.00 MEJIA SAMILLAN, SERGIO VALENTIN

100.00 1301-202106026 100.00 ZEGARRA ANGULO, IRIS VIOLETA

100.00 1301-202106044 100.00 DAVILA VIDARTE, SEGUNDO FELIPE

156.94 1301-202106076 156.94 OBLITAS ARIAS JOSE

1712-2021-SALUDPOL-
1 20210083271 F001-00014842
GG-DPS-ACP-CPM
313.88 1301-202106132 313.88 DE LA CRUZ URBINA KALESSY ROMINA

100.00 1301-202106175 100.00 CARRION CAVERO ROSA AMARILIS

156.94 1301-202106185 156.94 SORALUZ ZEÑA CARMEN JUSTINA

230.00 1301-202106212 230.00 TINEO TINEO GENARA

120.00 1301-202106375 120.00 ORDOÑEZ OLAYA DYLAN YERAY

100.00 1301-202104181 100.00 QUISPE VILLEGAS DE DAZA ANGELICA

546.40 1301-202104244 600.00 BECERRA PEREZ HEBER IVAN

1001-2021-SALUDPOL-
2 20210046972 F001-00014082 517.19 1301-202104100 800.00 CHAVEZ PEREZ JENNYFER NOEMI
GG-DPS-ACP-CPM
100.00 1301-202104305 100.00 DIAZ RISCO, SAMUEL

150.00 1301-202104666 600.00 ARANCIBIA ZAPATA JOSE RUBEN

100.00 1301-202103216 100.00 PAZ BARRAGAN MARCOS

100.00 1301-202103221 100.00 VENTURA AYALA LUCILA MARIBEL

100.00 1301-202103246 100.00 COLLANTES SANCHEZ LUZ IRENE

100.00 1301-202103212 100.00 VASQUEZ VALLEJOS, ABELARDO

RAMOS ROA DE HUAMAN MARIA
100.00 1301-202103215 100.00
ROSARIO 898-2021-SALUDPOL-GG-
3 20210043295 F001-00014012
DPS-ACP-CPM
100.00 1301-202103218 100.00 DAVILA MONDRAGON JUAN MANUEL

100.00 1301-202103464 100.00 QUIROZ CHIROQUE DORA INES

100.00 1301-202103549 100.00 OLIVERA LINARES LUCILA

100.00 1301-202103836 100.00 ASALDE LOPEZ, JUAN MANUEL

100.00 1301-202103674 100.00 PADILLA ALDUI, JOVANI DEL PILAR

100.00 1301-202103075 100.00 MENDOZA SILVA WALTER RICARDO

VILLALOBOS VASQUEZ BRIANA DONA
200.00 1301-202103186 200.00
SOLANGE
100.00 1301-202103861 100.00 DAMIAN AYALA, ROXANA ELIZABETH

100.00 1301-202103866 100.00 SUCLUPE CAJUSOL EXEQUIEL

100.00 1301-202103870 100.00 TICLIAHUANCA DAMIAN DENIS OLIVER

1000-2021-SALUDPOL-
4 20210046968 F001-00014079
IPARRAGUIRRE MESTANZA JORGE GG-DPS-ACP-CPM
100.00 1301-202104016 100.00
SANTIAGO
100.00 1301-202104191 100.00 ALTAMIRANO RODRIGO, MIRIAM ALICIA

100.00 1301-202104234 100.00 CASTRO IDROGO YOLMER RUBEN

100.00 1301-202104355 100.00 PALOMINO CHACON FELIPE SAMUEL

100.00 1301-202104515 100.00 ESPINAL CRUZADO ROGER

100.00 1301-202101437 100.00 RUIZ MONDRAGON DE GARCIA ROSARIO

100.00 1301-202101512 100.00 ALVAREZ PERALES NORA LUCY

100.00 1301-202101736 100.00 VEGA CARRANZA CARLOS HUMBERTO

VALDERRAMA BUSTAMANTE CLAUDIA
100.00 1301-202101737 100.00
ROSA
100.00 1301-202101775 100.00 RODRIGUEZ VASQUEZ LUIS ALBERTO
513-2021-SALUDPOL/GG-
5 20210021942 F001-13672
ACP-LMB-CPM
100.00 1301-202101777 100.00 HUAMAN SALINAS ROSARIO ARMINDA

100.00 1301-202101778 100.00 ROJAS DE CUBAS MARIA SABINA

 100.00 1301-202101783 100.00 JAIME REYES WALDO

100.00 1301-202101858 100.00 CUBAS SANTA CRUZ ROBERTO PAPIAS

100.00 1301-202101528 100.00 MARTINEZ GONZALEZ AMELIDA

TOTAL 5,991.35 6,777.76

NRO DE
ORDE N° DE CARTA DE MONTO
HT FACTURA MONTO BENEFICIARIO INFORME DE
N GARANTIA C.G.
AUDITORIA
MELENDEZ SANDOVAL RODOLFO
1 20210050269 F001-00014084 8000.00 1301-202104109 8000.00
EDGARDO

2 20210054552 F001-00014256 2918.62 1301-202104413 3000.00 SALAZAR RODRIGUEZ, BEATRIZ 1233-2021-SALUDPOL-

GG-DPS-ACP-CPM
3 20210050274 F001-00014202 4450.92 1301-202104111 5200.00 FIESTAS FERNANDEZ BAYRON ERICK
MENDOZA VASQUEZ DE PALACIOS MARIA
4 20210050278 F001-00014080 2800.00 1301-202103925 2800.00
INES
100.00 1301-202102452 100.00 ESPARZA LLOCTUN VICTOR MANUEL

78.06 1301-202102508 78.06 FACUNDO GARCIA EDWIN FREDDY

425.00 1301-202102511 425.00 LOPEZ VILCHEZ NANCY PATRICIA

100.00 1301-202102530 100.00 FACUNDO VASQUEZ EDWIN YAMIR

100.00 1301-202102531 100.00 CURO SALAZAR CAMILA ALEXANDRA

642-2021-SALUDPOL-GG-
5 20210029486 F001-13805
DPS-ACP-CPM
100.00 1301-202102532 100.00 CALLIRGOS SAAVEDRA ELIZABETH

100.00 1301-202102550 100.00 PIZARRO PURISACA LUZ ANGELICA

100.00 1301-202102553 100.00 DOMINGUEZ UYPAN MONICA

100.00 1301-202102554 100.00 SABARBURU LOPEZ YOLANDA

100.00 1301-202102555 100.00 SEMPERTEGUI ROJAS MARY CRUZ

BAZAN SANDOVAL DE LINARES MARY 1545-2021-SALUDPOL-GG-DPS-
6 20210072572 F001-00014665 1123.86 1301-202103475 2000.00 ACP-CPM
ELISABEL
238.83 1301-202104921 239.16 BARBOZA DE DIAZ KARLA LUISA

238.83 1301-202104923 239.22 BONILLA GUERRERO MARILUZ

1359-2021-SALUDPOL-
7 20210060639 F001-00014452 100.00 1301-202105194 100.00 SEGOVIA MANAY ROBINSON AURELIO
GG-DPS-ACP-CPM
100.00 1301-202105214 100.00 MONTENEGRO PUMARICRA MARIA LUCILA

100.00 1301-202105215 100.00 CHIRINOS TINEO CARLOS ALBERTO

TOTAL 21,374.12 23,081.44

NRO DE
ORDE N° DE CARTA DE MONTO
HT FACTURA MONTO BENEFICIARIO INFORME DE
N GARANTIA C.G.
AUDITORIA
1 20210077797 F001-00014753 500.00 1301-202106090 500.00 RUIZ DIAZ ALEXANDRA LEYLA ARANTZA

2 20210077793 F001-00014758 150.00 1301-202105373 11000.00 MORA ARANA SEGUNDO FELIX

1359-2021-SALUDPOL-
GG-DPS-ACP-CPM
3 20210077787 F001-00014762 150.00 1301-202105446 9500.00 HIDALGO MESIA, JULBIO

4 20210077809 F001-00014760 878.11 1301-202105621 7500.00 VASQUEZ DURAND JUAN CARLOS

5 20210036878 F001-00013957 455.39 1301-202103342 700.00 ZAMBRANO SOTO LOAM BENJAMÍN

760-2021-SALUDPOL-GG-
BAZAN SANDOVAL DE LINARES MARY DPS-ACP-CPM
6 20210036877 F001-00013907 1100.00 1301-202100678 1100.00
ELISABEL
1437-2021-SALUDPOL-GG-DPS-
7 20210065187 F001-00014553 150.00 1301-202104918 11000.00 NIMA ZAPATA KARINA ACP-CPM
SANTAMARIA ACOSTA WALTER 1053-2021-SALUDPOL-GG-DPS-
8 20210045237 F001-0014043 735.88 1301-202100321 4500.00 ACP-CPM
ENRRIQUE
603-2021-SALUDPOL-GG-DPS-
9 20210026391 F001-13787 7215.66 1301-202100761 15000.00 JIMENEZ PEREZ, HERNAN EDGARDO ACP-CPM
1727-2021-SALUDPOL-GG-DPS-
10 20210071603 F001-00014660 150.00 1301-202104803 10000.00 JIMENEZ LOPEZ WILLIAM FERNANDO ACP-CPM

TOTAL 34,760.68 96,659.82

NRO DE
ORDE N° DE CARTA DE MONTO
HT FACTURA MONTO BENEFICIARIO INFORME DE
N GARANTIA C.G.
AUDITORIA
1 20210057355 F001-00014390 2728.81 1301-202104399 4000.00 SUAREZ LABRIN, LUIS ALBERTO

2 20210057345 F001-00014389 1999.97 1301-202101519 2000.00 TORRES DE CARBAJAL SARA 1322-2021-SALUDPOL-GG-DPS-

ACP-CPM
3 20210057344 F001-00014298 4000.00 1301-202104415 4000.00 SANTA CRUZ QUEVEDO, BETTY ALICIA

4 20210057342 F001-00014297 5500.00 1301-202103332 5500.00 MEJIA VASQUEZ OLIVE

5 20210077920 F001-00014751 8569.94 1301-202105128 11000.00 ARCAYA RUJEL ROMMEL

1437-2021-SALUDPOL-
 DAVILA MONTENEGRO LISSETE GG-DPS-ACP-CPM
6 20210077914 F001-00014755 3071.22 1301-202105778 3500.00
MARJHORY
100 1301-202103206 100 COLLANTES CELIS HENRY FRANKLIN

100 1301-202103211 100 VASQUEZ VALLEJOS, ABELARDO

78.06 1301-202103232 78.06 FACUNDO VASQUEZ EDWIN YAMIR

100 1301-202103234 100 BUSTAMANTE NUÑEZ MARIA ELVA ROSA

100 1301-202103235 100 SAMAME DE BACA DAGMA MARY

762-2021-SALUDPOLGG-
7 20210036874 E001-00013959
100 1301-202103242 100 CAMPOS HERRERA JOSE ALFREDO DPSACP-CPM

100 1301-202103243 100 SAAVEDRA LACERNA NORBIL STALIN

100 1301-202103244 100 MACEDO VALENZUELA EDITH MARGOT

100 1301-202103245 100 MELGAREJO SANDOVAL FREDY ALBERTO

OLIVERA TERRONES MILENE
100 1301-202103248 100
ALESSANDRA
227.98 1301-202101260 250 VASQUEZ CARDOZA DORALIZA
CARHUAJULCA RAMIREZ SEGUNDO
100 1301-202101443 100
MANUEL
100 1301-202101511 100 ALVAREZ PERALES NORA LUCY

100 1301-202101595 100 DIAZ GALVEZ EVER

100 1301-202101738 100 SAAVEDRA CAVERO SARA CECILIA

514-2021-SALUDPOL/GG-
8 20210022295 F002-17
ACP-LBM-CPM
100 1301-202101256 100 SUAREZ LABRIN, LUIS ALBERTO

100 1301-202101257 100 FERNANDEZ MONTENEGRO JUANA NOEMI

100 1301-202100706 100 AGUILAR MORALES JOSE DANIEL

100 1301-202101221 100 BRACO MEJIA ROSA EMPERATRIZ

100 1301-202100303 100 BECERRA TENORIO, FRANKLIN

MORALES CASUSOL DE ARENAS
433.53 1301-202102516 450
PETRONILA FRANCISCA
120 1301-202102710 120 FLORES SAAVEDRA SHEYLA

100 1301-202102856 100 ANAYA REAÑO, KARLA PATRICIA

100 1301-202103207 100 MONDRAGON CORREA DYEL YAMIL

100 1301-202103228 100 BECERRA TENORIO, FRANKLIN

823-2021-SALUDPOL-GG-
9 20210040986 F001-00013971
DPS-ACP-CPM
100 1301-202103229 100 BECERRA TENORIO, FRANKLIN

100 1301-202103462 100 LEON OLIVOS PABLO

100 1301-202103609 100 PERALES DELGADO DESIDERIO

100 1301-202103745 100 FIESTAS FERNANDEZ BAYRON ERICK

100 1301-202103188 100 BAUTISTA HERNANDEZ SANTOS SUSANA

100 1301-202102529 100 DIAZ ALARCON EUDOCIA

100 1301-202102903 100 PEREZ DE BECERRA PERPETUA VICTORIA

100 1301-202102909 100 CARBAJAL DELGADO NARDA

100 1301-202102958 100 CHAPOÑAN CHAPOÑAN LUIS ALBERTO

CAMPOS CARRASCO, SEGUNDO
100 1301-202102959 100
CLEMENTE 761-2021-SALUDPOL-GG-
10 20210036880 F001-00013951
DPS-ACP-CPM
100 1301-202102968 100 SIESQUEN SEGURA MARIA SOLEDAD

100 1301-202102993 100 GONZALES VILLALOBOS, CRISTI TATIANA

100 1301-202103011 100 RAMOS FERNANDEZ SEGUNDO PASCUAL

100 1301-202103219 100 ACOSTA CAJUSOL CESAR AUGUSTO

100 1301-202103240 100 PEREZ VDA DE ZUMAETA, RICARDINA

100 1301-202103238 100 TUÑOQUE SIALER ROXANA DEL MILAGRO

100 1301-202103239 100 CASTAÑEDA AURAZO JORGE ELVER

100 1301-202103826 100 QUIROZ VERA SEGUNDO AMARANTO

100 1301-202103837 100 CABREJOS VASQUEZ, PEDRO

100 1301-202103840 100 GUERRERO CABELLOS LUIS MARIO

824-2021-SALUDPOL-GG-
11 20210040990 F001-00014011
DPS-ACP-CPM
100 1301-202103854 100 MIRES VELASQUEZ DE GIL MARIA ISABEL

100 1301-202103858 100 ELORREAGA ELERA HELI HUMBERTO

100 1301-202103860 100 SUAREZ LABRIN, LUIS ALBERTO

BARRANTES FERNANDEZ ERCELIZ DEL
100 1301-202103868 100
CARMEN
100 1301-202103873 100 PIZARRO PURISACA LUZ ANGELICA

TOTAL 31,329.51 35,498.06

 FACTURA CARTA DE GARANTIA
N° HT
N° S/ N° S/
F001-
1 20210077920 8569.94 1301-202105128 11000
00014751
F001-
2 20210077914 3071.22 1301-202105778 3500
00014755
E001-
100 1301-202103206 100
00013959
E001-
100 1301-202103211 100
00013959
E001-
78.06 1301-202103232 78.06
00013959
E001-
100 1301-202103234 100
00013959
E001-
100 1301-202103235 100
00013959
3 20210036874
E001-
100 1301-202103242 100
00013959
E001-
100 1301-202103243 100
00013959
E001-
100 1301-202103244 100
00013959
E001-
100 1301-202103245 100
00013959
E001-
100 1301-202103248 100
00013959

F002-17 227.98 1301-202101260 250

F002-17 100 1301-202101443 100

F002-17 100 1301-202101511 100

F002-17 100 1301-202101595 100

F002-17 100 1301-202101738 100

4 20210022295
F002-17 100 1301-202101256 100

F002-17 100 1301-202101257 100

F002-17 100 1301-202100706 100

F002-17 100 1301-202101221 100

F002-17 100 1301-202100303 100

F001-
433.53 1301-202102516 450
00013971

F001-
120 1301-202102710 120
00013971
F001-
100 1301-202102856 100
00013971
F001-
100 1301-202103207 100
00013971
F001-
100 1301-202103228 100
5 20210040986 00013971
F001-
100 1301-202103229 100
00013971
F001-
100 1301-202103462 100
00013971
F001-
100 1301-202103609 100
00013971
F001-
100 1301-202103745 100
00013971
F001-
100 1301-202103188 100
00013971
F001-
100 1301-202102529 100
00013951
F001-
100 1301-202102903 100
00013951
F001-
100 1301-202102909 100
00013951
F001-
100 1301-202102958 100
00013951
F001-
100 1301-202102959 100
00013951
6 20210036880
F001-
100 1301-202102968 100
00013951
F001-
100 1301-202102993 100
00013951
F001-
100 1301-202103011 100
00013951
F001-
100 1301-202103219 100
00013951
F001-
100 1301-202103240 100
00013951
 F001-
100 1301-202103238 100
00014011
F001-
100 1301-202103239 100
00014011
F001-
100 1301-202103826 100
00014011
F001-
100 1301-202103837 100
00014011
F001-
100 1301-202103840 100
00014011
7 20210040990
F001-
100 1301-202103854 100
00014011
F001-
100 1301-202103858 100
00014011
F001-
100 1301-202103860 100
00014011
F001-
100 1301-202103868 100
00014011
F001-
100 1301-202103873 100
00014011
8 20210024264 F001-13689 150 1301-202100365 9000

9 20210024267 F001-13752 420 1301-202100317 420

TOTAL POR PAGAR S/ 17,670.73

 BENEFICIARIO INFORME AUDITORIA MEDICA Nº INF. TECNICO

XXX-2021-SALUDPOL/GG-
ARCAYA RUJEL ROMMEL XXX-2022-SALUDPOL/GG-DPS
DPS-XXX
DAVILA MONTENEGRO
LISSETE MARJHORY
COLLANTES CELIS HENRY
FRANKLIN
VASQUEZ VALLEJOS,
ABELARDO
FACUNDO VASQUEZ EDWIN
YAMIR
BUSTAMANTE NUÑEZ MARIA
ELVA ROSA
SAMAME DE BACA DAGMA
MARY
CAMPOS HERRERA JOSE
ALFREDO
SAAVEDRA LACERNA NORBIL
STALIN
MACEDO VALENZUELA EDITH
MARGOT
MELGAREJO SANDOVAL
FREDY ALBERTO
OLIVERA TERRONES MILENE
ALESSANDRA
VASQUEZ CARDOZA
DORALIZA
CARHUAJULCA RAMIREZ
SEGUNDO MANUEL
ALVAREZ PERALES NORA
LUCY
DIAZ GALVEZ EVER
SAAVEDRA CAVERO SARA
CECILIA
SUAREZ LABRIN, LUIS
ALBERTO
FERNANDEZ MONTENEGRO
JUANA NOEMI
AGUILAR MORALES JOSE
DANIEL
BRACO MEJIA ROSA
EMPERATRIZ
BECERRA TENORIO,
FRANKLIN
MORALES CASUSOL DE
ARENAS PETRONILA
FRANCISCA

FLORES SAAVEDRA SHEYLA

ANAYA REAÑO, KARLA
PATRICIA
MONDRAGON CORREA DYEL
YAMIL
BECERRA TENORIO,
FRANKLIN
BECERRA TENORIO,
FRANKLIN
LEON OLIVOS PABLO
PERALES DELGADO
DESIDERIO
FERNANDEZ FIESTAS
BAYRON ERICK
BAUTISTA HERNANDEZ
SANTOS SUSANA
DIAZ ALARCON EUDOCIA
PEREZ DE BECERRA
PERPETUA VICTORIA
CARBAJAL DELGADO NARDA
CHAPOÑAN CHAPOÑAN LUIS
ALBERTO
CAMPOS CARRASCO,
SEGUNDO CLEMENTE
SIESQUEN SEGURA MARIA
SOLEDAD
GONZALES VILLALOBOS,
CRISTI TATIANA
RAMOS FERNANDEZ
SEGUNDO PASCUAL
ACOSTA CAJUSOL CESAR
AUGUSTO
PEREZ VDA DE ZUMAETA,
RICARDINA
TUÑOQUE SIALER ROXANA
DEL MILAGRO
CASTAÑEDA AURAZO JORGE
ELVER
QUIROZ VERA SEGUNDO
AMARANTO
CABREJOS VASQUEZ, PEDRO
GUERRERO CABELLOS LUIS
MARIO
MIRES VELASQUEZ DE GIL
MARIA ISABEL
ELORREAGA ELERA HELI
HUMBERTO
SUAREZ LABRIN, LUIS
ALBERTO
BARRANTES FERNANDEZ
ERCELIZ DEL CARMEN
PIZARRO PURISACA LUZ
ANGELICA
FLORES CHUMPEN JULIO MAR

BERRU LOPEZ DONATILA

 N° DE CARTA
HT FACTURA MONTO DE MONTO C.G.
GARANTIA
20210057355 F001-00014390 2728.81 1301-202104399 4000.00

20210057345 F001-00014389 1999.97 1301-202101519 2000.00

20210057344 F001-00014298 4000.00 1301-202104415 4000.00

20210057342 F001-00014297 5500.00 1301-202103332 5500.00

N° DE CARTA
HT FACTURA MONTO DE MONTO C.G.
GARANTIA
20210065187 F001-00014553 150.00 1301-202104918 11000.00

20210045237 F001-0014043 735.88 1301-202100321 4500.00

20210026391 F001-13787 7215.66 1301-202100761 15000.00

20210071603 F001-00014660 150.00 1301-202104803 10000.00

N° DE CARTA
HT FACTURA MONTO DE MONTO C.G.
GARANTIA
20210077797 F001-00014753 500.00 1301-202106090 500.00

20210077793 F001-00014758 150.00 1301-202105373 11000.00

20210077787 F001-00014762 150.00 1301-202105446 9500.00

20210077809 F001-00014760 878.11 1301-202105621 7500.00

N° DE CARTA
HT FACTURA MONTO DE MONTO C.G.
GARANTIA
20210036878 F001-00013957 455.39 1301-202103342 700.00

20210036877 F001-00013907 1100.00 1301-202100678 1100.00

N° DE CARTA
HT FACTURA MONTO DE MONTO C.G.
GARANTIA
20210060639 F001-00014452 238.83 1301-202104921 239.16

20210060639 F001-00014452 238.83 1301-202104923 239.22

20210060639 F001-00014452 100.00 1301-202105194 100.00

20210060639 F001-00014452 100.00 1301-202105214 100.00

20210060639 F001-00014452 100.00 1301-202105215 100.00

N° DE CARTA
HT FACTURA MONTO DE MONTO C.G.
GARANTIA
20210072572 F001-00014665 1123.86 1301-202103475 2000.00

N° DE CARTA
HT FACTURA MONTO DE MONTO C.G.
GARANTIA
20210077888 F001-00014761 1999.26 1301-202105780 4000.00

N° DE CARTA
HT FACTURA MONTO DE MONTO C.G.
GARANTIA
20210029486 F001-13805 100.00 1301-202102452 100.00

20210029486 F001-13805 78.06 1301-202102508 78.06

20210029486 F001-13805 425.00 1301-202102511 425.00

20210029486 F001-13805 100.00 1301-202102530 100.00

20210029486 F001-13805 100.00 1301-202102531 100.00

20210029486 F001-13805 100.00 1301-202102532 100.00

20210029486 F001-13805 100.00 1301-202102550 100.00

20210029486 F001-13805 100.00 1301-202102553 100.00

20210029486 F001-13805 100.00 1301-202102554 100.00

20210029486 F001-13805 100.00 1301-202102555 100.00

 BENEFICIARIO

SUAREZ LABRIN, LUIS ALBERTO

TORRES DE CARBAJAL SARA

SANTA CRUZ QUEVEDO, BETTY
ALICIA
MEJIA VASQUEZ OLIVE

BENEFICIARIO

NIMA ZAPATA KARINA

ACOSTA SANTAMARIA WALTER
ENRRIQUE
JIMENEZ PEREZ, HERNAN
EDGARDO
JIMENEZ LOPEZ WILLIAM
FERNANDO

BENEFICIARIO

RUIZ DIAZ ALEXANDRA LEYLA

ARANTZA
MORA ARANA SEGUNDO FELIX

HIDALGO MESIA, JULBIO

VASQUEZ DURAND JUAN CARLOS

BENEFICIARIO

ZAMBRANO SOTO LOAM BENJAMÍN

BAZAN SANDOVAL DE LINARES
MARY ELISABEL

BENEFICIARIO

BARBOZA DE DIAZ KARLA LUISA

BONILLA GUERRERO MARILUZ

SEGOVIA MANAY ROBINSON
AURELIO
MONTENEGRO PUMARICRA MARIA
LUCILA
CHIRINOS TINEO CARLOS ALBERTO

BENEFICIARIO

BAZAN SANDOVAL DE LINARES

MARY ELISABEL

BENEFICIARIO

BARRIONUEVO BURGOS LOURDES

ROXANA

BENEFICIARIO

ESPARZA LLOCTUN VICTOR

MANUEL
FACUNDO GARCIA EDWIN FREDDY

LOPEZ VILCHEZ NANCY PATRICIA

FACUNDO VASQUEZ EDWIN YAMIR

CURO SALAZAR CAMILA
ALEXANDRA
CALLIRGOS SAAVEDRA ELIZABETH

PIZARRO PURISACA LUZ ANGELICA

DOMINGUEZ UYPAN MONICA

SABARBURU LOPEZ YOLANDA

SEMPERTEGUI ROJAS MARY CRUZ

 FACTURA CARTA DE GARANTIA INFORME
° HT BENEFICIARIO AUDITORIA
N° S/ N° S/ MEDICA Nº

F001- LATORRE URIARTE 1857-2021-

1 20210092913 3175.53 1301-202106792 8500
00015184 LILY SALUDPOL-
GG-DPS-ACP-
F001- ORDOÑEZ OLAYA CPM
2 20210092912 2155.31 1301-202106817 3000
00015114 DYLAN YERAY
FRANCIA GONZALES,
100 1301-202101234 100
PEDRO ALEJANDRO
RIVADENEIRA
100 1301-202101527 100 MURILLO VDA. DE
CHAVEZ ENMA
SUYON MORENO
100 1301-202101857 100
MARIA ROSA
100 1301-202101975 100 SAENZ CALVAY NELLY 546-2021-
SALUDPOL/
3 20210024230 F001-13747 RUIZ MONDRAGON
100 1301-202101436 100 GG-ACP-LMB-
DE GARCIA ROSARIO
CPM
TORRES MONTALVO
100 1301-202101785 100
ELMER
PAREDES VASQUEZ
100 1301-202101786 100
RICHARD ALONSO
SORALUZ ZEÑA
100 1301-202101788 100
CARMEN JUSTINA
LOPEZ VILCHEZ
100 1301-202101803 100
NANCY PATRICIA
445-2021-
BAZAN SANDOVAL DE
SALUDPOL/
4 20210012426 F001-13524 800 1301-202007948 800 LINARES MARY
GG-ACP-LMB-
ELISABEL
CPM
SANTA MARIA PITA
150 1301-202105800 650
ALBERTO ANTONIO
TAFUR FERNANDEZ
1778-2021-
219.4 1301-202105975 500 DE HANCCO,
F001- SALUDPOL-
5 20210083309 ADELINDA
00014908 GG-DPS-ACP-
JAIME HUAMAN CPM
150 1301-202106074 850
VALERI SHANTAL
VILLACREZ MESIA,
156.94 1301-202106416 156.94
LUIS RAFAEL
CABRERA RIOS, LIDIA
236.74 1301-202105931 2000
NANCY 1858-2021-
F001- TELLO CHUGUDEN SALUDPOL-
6 20210092910 798.42 1301-202105169 2500
00015112 OLGA GG-DPS-ACP-
JUAREZ FLORES, CPM
948.44 1301-202105632 2000
VICTOR MARTIN
VASQUEZ TIRADO
100 1301-202106460 100
EDILBERTO
LAREDO QUIÑONES
100 1301-202106469 100
MARCO ALEX
LEON DELGADO DE
100 1301-202106526 100 TORRES LIZETH
MADYLEY
SIPION ALBUJAR JOSE
100 1301-202106561 100 1861-2021-
AVELINO
F001- SALUDPOL-
7 20210092915 BRIONES HUAMAN
00015033 470.8 1301-202106719 470.8 GG-DPS-ACP-
JORGE ALBERTO
CPM
INFANTE ALFARO
100 1301-202106193 100 MARIETA JOSEFINA
DEL PILAR
GARCIA RAMOS DE
100 1301-202106458 100 SALAZAR YESSICA
MILAGRO
CORONEL TARRILLO
100 1301-202106472 100
MAURO
1781-2021-
F001- CARRASCO SALUDPOL-
8 20210088785 456.97 1301-202105983 5000
00015034 CARRASCO ELMER GG-DPS-ACP-
CPM
PAREDES VASQUEZ
100 1301-202103859 100
RICHARD ALONSO
CASTRO GUEVARA
100 1301-202103884 100
LOURDES MABEL
MARCELO
100 1301-202104022 100 VILLALOBOS NORA
CONSUELO
LEONARDO MONTEZA
100 1301-202104084 100
JOSE ANTONIO
1096-2021-
F001- 100 1301-202104448 100 VERA JIMENEZ OSCAR SALUDPOL-
9 20210050287
00014210 GG-DPS-ACP-
ZULOETA LATORRE
100 1301-202104565 100 CPM
LUIS ALBERTO
VASQUEZ BARBOZA
100 1301-202104641 100
EFFIO
SIESQUEN SEGURA
100 1301-202104649 100
MARIA SOLEDAD
DURAND CHOLAN
100 1301-202104650 100
MONICA VANESSA
DIAZ VDA. DE RIVERA
100 1301-202104652 100
CECILIA
 PINEDO SERVAN
100 1301-202102548 100
JOSE MANUEL
OLIVERA TERRONES
384.21 1301-202102566 450
MILENE ALESSANDRA
HUAYNA ZEVALLOS,
100 1301-202102655 100
OLGA LUZ
100 1301-202102902 100 DIAZ RISCO, SAMUEL
BALDERA 764-2021-
F001- 100 1301-202102951 100 BALLADARES SALUDPOL-
10 20210036879
00013952 GUILLERMO GG-DPS-ACP-
CPM
RIVADENEIRA
100 1301-202103044 100 MURILLO VDA. DE
CHAVEZ ENMA
MONTEZA MONTEZA
100 1301-202103222 100
AURELIA
ALVARADO
100 1301-202102527 100 SOPLAPUCO,
ENRIQUE JESUS
HERRERA
1183-2021-
F001- FERNANDEZ,
11 20210054558 150 1301-202101432 6500 SALUDPOL-
00014258 ANTUANETH
GG-DPS-CPM
ALEXANDRA
1533-2021-
F001- SUCNO OSORIO SALUDPOL-
12 20210071595 756.71 1301-202102507 7800
00014659 HENRY ERWIN GG-DPS-ACP-
CPM
ALVAREZ CORDOVA
100 1301-202103987 100
CLAUDIO
SEMPERTEGUI ROJAS 1184-2021-
230 1301-202104180 233
F001- MARY CRUZ SALUDPOL-
13 20210054559
00014291 MONTALVO MEJIA GG-DPS-ACP-
230 1301-202104394 230
MARIA LUZ CPM
TEJADA PEREZ ROCIO
100 1301-202104651 100
DEL PILAR
JIMENEZ LOPEZ
100 1301-202102644 100
CYNTHIA ROSA
BRIONES SANDOVAL
100 1301-202101096 100
LUIS ALBERTO
VEGA HUAMAN
100 1301-202101442 100
LUZMILA
ODAR GARCIA,
390 1301-202101514 390
CARMEN MERCEDES
COLLANTES DE 750-2021-
100 1301-202101784 100
SALDAÑA ZOILA SALUDPOL-
14 20210032606 F001-13906
CASTRO ROJAS LEYLA GG-DPS-ACP-
100 1301-202102158 100
AURORA CPM
VALENCIA AGUIRRE,
100 1301-202102210 100
CARLOS ALBERTO
CHAVEZ PEREZ
100 1301-202102533 100
JENNYFER NOEMI
YGNACIO CUBAS
500 1301-202102715 500
MARIA ESTHER
RODRIGUEZ SERREPE
100 1301-202102866 100
WERNHER CLINT
TOTAL POR PAGAR S/ 16,659.47 46,830.74

N° DE CARTA MONTO
HT FACTURA MONTO BENEFICIARIO
DE GARANTIA C.G.
F001- PAUCAR GALINDO,
20210050328 15000.00 1301-202102638 15000.00
00014208 ARTURO

F001- PAUCAR GALINDO,

20210050328 13333.11 1301-202104447 13333.11
00014208 ARTURO

N° DE CARTA MONTO
HT FACTURA MONTO BENEFICIARIO
DE GARANTIA C.G.
F001- ALVAREZ PERALES
20210077923 100.00 1301-202105495 100.00
00014749 NORA LUCY
F001- BONILLA VERA
20210077923 100.00 1301-202105638 100.00
00014749 MOISES

F001- CAMPOS RONCAL

20210077923 100.00 1301-202105641 100.00
00014749 GABRIELA KATHERINE

F001- ORDOÑEZ OLAYA

20210077923 100.00 1301-202105721 100.00
00014749 DYLAN YERAY

F001- CHAVEZ MONTOYA

20210077923 100.00 1301-202105726 100.00
00014749 OSCAR NELSON

F001- COLLANTES SANCHEZ

20210077923 100.00 1301-202105737 100.00
00014749 LUZ IRENE
 F001- PALMA REYES, MARY
20210077923 100.00 1301-202105765 100.00
00014749 ELIZABETH

F001- RAMOS FERNANDEZ

20210077923 100.00 1301-202105796 100.00
00014749 SEGUNDO PASCUAL

F001- VASQUEZ TIRADO

20210077923 100.00 1301-202105821 100.00
00014749 EDILBERTO

F001- CAMPOS FARFAN

20210077923 100.00 1301-202105940 100.00
00014749 JOAQUIN ALEXANDER