Ir al contenido
VER MAS
REPÚBLICA DE COLOMBIA
Declaración de Importación Privada 500
1. Año 2025
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
032025000658796-8
5 . Número de Identificación Tributaria (NIT)
830028931
6 . DV.
5
11 . Apellidos y nombres o Razón Social
SAMSUNG ELECTRONICS COLOMBIA S.A.
13 . Dirección
CR 7 113 43 OF 607
15 . Teléfono
4870707
12 . Cód. Admón.
03
16 . Cód. Dpto
11
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
860536003
25 . DV.
3
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS ABC REPECEV S.A.S. NIVEL 1
27 . Tipo usuario
26
28 . Cód. usuario
99
29 . Número documento de identificación
1022943854
30 . Apellidos y nombres
CARLOS ANDRES ROJAS MATAJUDIOS
31 . Clase
Importador
02
32 . Tipo declaración
Inicial
33 . Cod.
1
34 .No.Formulario Anterior
XXXXXXXXXXXXXX
35 . Año – Mes – Día
XXXX – XX – XX
36 . Cod. Admón.
XX
37 . Declaración de Exportación
No. XXXXXXXXXXXXXXX
38 . Año – Mes – Día
XXXX – XX – XX
39 . Cod. Admón.
XX
40 . Cod. lugar ingreso
de las mercancías
BOG
41 . Cod. Depósito
99900
42 . Manifiesto de carga
No. 116575015354235
43 . Año – Mes – Día
2025 – 03 – 13
44 . Documento de transporte
No. 41N0697641
45 . Año – Mes – Día
2025 – 03 – 07
46 . Nombre exportador o proveedor en el exterior
SAMSUNG ELECTRONICS CO., LTD
47 . Ciudad
GYEONGGI-DO
48 . Cod.País Exportador
190
49 . Dirección exportador o proveedor en el exterior
129, SAMSUNG-RO, YEONGTONG-GU SUWON 16677
50 . E-mail
010-8705-6749
51 . No. de factura
6900348067
52 . Año – Mes – Día
2025 – 03 – 05
53 . Cod. país
procedencia
351
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
244
56 . Cod. Depto
destino
0
57 . Empresa transportadora
EMIRATES SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.104.56
S 59 . Subpartida arancelaria
8517130000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C134
63 . No. cuotas
o meses
XX
64 . Valor cuota USD
XXXX
65 . Periodicidad del
pago de la cuota
XX
66 . Cod. país
de origen
215
67 . Cod. Acuerdo
XXX
68 . Forma de pago
de la importación
01
69 . Tipo de
importación
01
70 . Cod. país
compra
190
71 . Peso bruto kgs. dcms.
306.00
72 . Peso neto kgs. dcms.
275.40
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
1.000.00
78 .Valor FOB
USD
57.858.55
79 . Valor fletes USD
2.481.66 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
247.681.998
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
247.681.998
99
0
100
0
101
0.00
Salvaguardia
102
0.00
103
0
104
0
105
0
106
0.00
Derechos
Compensatorios
107
0.00
108
0
109
0
110
0
111
0.00
Derechos
Antidumping
112
0.00
113
0
114
0
115
0
116
0.00
Sancion
117
0
118
0
119
0
120
0
Rescate
121
0
122
0
123
0
124
0
Total 125
0
126
0.00
80 . Valor Seguros
USD
2.92
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
2.484.58
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
60.343.13
85 . Código registro
o licencia
X
86 . Número
XXXXXXXXXX
87 .
Cod.
oficina
99
88 . Año
XXXX
89 . Programa No
XXXXXXXXXX
90 . Cód Interno del
Producto
0
91 . Descripción de las mercancías(No inicie la descripción de las mercancías a importar con lo señalado en el arancel de aduanas en la subpartida arancelaria – Incluya marcas, seriales y otros) (Si el campo es insuficiente, continúe al respaldo de este formulario)
NAC: 550678-DECL: 1895858-DO: 893105779251- DECL 1 DE 1.- //NOS ACOGEMOS AL ARTICULO 424 DEL ESTATUTO TRIBUTARIO MODIFICADO POR L
A LEY 1819DEL 29/12/2016 ARTÍCULO 175 NUMERAL 6 (EXCLUSIÓN DEL IVA). //NOS ACOGEMOS AL ARTÍCULO 2.8.3.1 ORDINAL 2.8.3.1.4 DE LA R
ESOLUCIÓN 5050 DEL 10DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOMOL
OGACIÓN)// NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA
S.A. OEA COD. OE0001. . PEDIDOS: 3084590715. ID DELIVERY: 6080836713. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A065MZKACOM, PRODU
CTO: TELEFONO CELULAR GALAXY A06 (CON ACCESORIOS PARAUSO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODELO: SM(continúa al respaldo)
127 . Valor pagos anteriores: 0 128 . Recibo oficial de pago anterior No.: XXXXXXXXXXXXXXX 129. Fecha: XXXX XX XX
130 . Espacio reservado DIAN – Actuación aduanera
Estado de levante: Levante automático
No hay declaración posterior
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032025000658796
133. Feha: 202503 14
134 . Levante No. 032025000393632 135 . Fecha
2025 – 03 – 14
Firma funcionario responsable 136 . Nombre
137 . C.C. No.
Firma declarante 997 . Espacio exclusivo para el sello
de la entidad recaudadora
(Fecha efectiva de la transacción)
Coloque el timbre de la máquina
registradora al dorso de este formulario
980 . Pago Total $
0
996 . Espacio para autoadhesivo de la entidad recaudadora
(Número del adhesivo)
SYGA
Autoadhesivo 92032502073400
Fecha presentación 2025-03-14 17:07:31
Valor pagado $0.00
Fecha de Impresión: 2025-03-14 17:23:39
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000658796-8
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
-A065M, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL./ /MOBILE,SM-A065M,BLACK,COM( QTY. 1000,00 u )(1000,00 PCE); IMEIS: 3563
10857831450. 356310857831476. 356310857831567. 356310857832276. 356310857832938. 356310857834132. 356310857841053. 35631085784354
7. 356310857849601. 356310857853397.356310857855913. 356310857856580. 356310857856614. 356310857856945. 356310857857422. 35631085
7857448. 356310857857455. 356310857857463. 356310857857505. 356310857857521. 356310857858388. 356310857858537. 356310857858685. 3
56310857858792. 356310857858818. 356310857859337. 356310857859535. 356310857859675. 356310857859741. 356310857859766. 35631085785
9808. 356310857859816. 356310857859824. 356310857870193. 356310857870201. 356310857870219. 356310857870268. 356310857870284. 3563
10857870292. 356310857870334. 356310857870474. 356310857870482. 356310857870508.356310857870607. 356310857870623. 356310857870748
. 356310857870789. 356310857870805. 356310857870862. 356310857871183. 356310857871233. 356 310857871282. 356310857871290. 3563108
57871308. 356310857871324. 356310857871332. 356310857871340. 356310857871365. 356310857871373. 356310857871399. 356310857871407.
356310857870243. 356310857870250. 356310857870417. 356310857870524. 356310857870656. 356310857870672. 356310857870888. 3563108578
71191. 356310857871225. 356310857871266. 356310857871274. 356310857871415. 356310857871431. 356310857871449. 356310857871456. 356
310857871464. 356310857871480. 356310857871514. 356310857871548.356310857871563. 356310857871571. 356310857871597. 35631085787160
5. 356310857871621. 356310857871746. 356310857871779. 356310857871787. 356310857871837. 356310857871845. 356310857871852. 3563108
57871860. 356310857871878. 356310857871886. 356310857871894. 356310857871910. 356310857871944. 356310857871969. 356310857871977.
356310857872017. 356310857872025. 356310857872033. 356310857872041. 356310857872074. 356310857872082. 356310857872090. 3563108578
72116. 356310857872132. 356310857872140. 356310857872157. 356310857872181. 356310857872199. 356310857872215.356310857872231. 3563
10857872272. 356310857872306. 356310857872348. 356310857872389. 356310857872421. 356310857872439. 356310857872447. 35631085787245
4. 356310857872462. 356310857872470. 356310857872496. 356310857872512. 356310857872520. 356310857872546. 356310857872553. 3563108
57872561. 356310857872603. 356310857872611. 356310857872637. 356310857872645. 356310857872652. 356310857872660. 356310857872678.
356310857872710. 356310857859881. 356310857859915. 356310857859931. 356310857860038. 356310857860087. 356310857860186. 3563108578
60582. 356310857860681. 356310857860830. 356310857861051. 356310857861283. 356310857861465.356310857861473. 356310857861481. 3563
10857861499. 356310857861531. 356310857861564. 356310857861572. 356310857861861. 356310857861887. 356310857861895. 35631085786195
2. 356310857861978. 356310857862026. 356310857862034. 356310857862042. 356310857862075. 356310857862232. 356310857862265. 3563108
57862315. 356310857862331. 356310857862364. 356310857862380. 356310857862414. 356310857862430. 356310857862448. 356310857862463.
356310857862471. 356310857862497. 356310857862521. 356310857862554. 356310857862562. 356310857862570. 356310857862612. 3563108578
62687.356310857862703. 356310857862737. 356310857862844. 356310857862869. 356310857862877. 356310857862893. 356310857862901. 3563
10857862919. 356310857862935. 356310857862950. 356310857862968. 356310857862984. 356310857863008. 356310857863024. 35631085786307
3. 356310857863115. 356310857863230. 356310857863271. 356310857863289. 356310857863347. 356310857863354. 356310857863362. 3563108
57863370. 356310857863388. 356310857863396. 356310857863404. 356310857863412. 356310857863438. 356310857863537. 356310857863545.
356310857863925. 356310857863941. 356310857863966. 356310857863974. 356310857864055. 356310857864063. 356310857864105.35631085786
4121. 356310857864154. 356310857864170. 356310857864188. 356310857864196. 356310857864204. 356310857864212. 356310857864220. 3563
10857864238. 356310857864246. 356310857864253. 356310857864261. 356310857864279. 356310857864287. 356310857864295. 35631085786430
3. 356310857864311. 356310857864329. 356310857864337. 356310857864345. 356310857864352. 356310857864360. 356310857864378. 3563108
57864386. 356310857864394. 356310857864402. 356310857864410. 356310857864428. 356310857864436. 356310857864451. 356310857864469.
356310857864477. 356310857864485.356310857864493. 356310857864519. 356310857864527. 356310857864543. 356310857864550. 35631085786
4576. 356310857864584. 356310857864592. 356310857864600. 356310857864618. 356310857864626. 356310857864642. 356310857864659. 3563
10857864667. 356310857864675. 356310857864683. 356310857864691. 356310857864709. 356310857864717. 356310857864725. 35631085786473
3. 356310857864741. 356310857864758. 356310857864766. 356310857864782. 356310857864790. 356310857864808. 356310857864816. 3563108
57864824. 356310857864832. 356310857864840. 356310857864857. 356310857864865. 356310857864873. 356310857864881. 356310857864899.
356310857864907.356310857864915. 356310857864923. 356310857864931. 356310857864949. 356310857864956. 356310857864964. 35631085786
4972. 356310857864980. 356310857864998. 356310857865011. 356310857865029. 356310857865037. 356310857865045. 356310857865052. 3563
10857865060. 356310857865078. 356310857865086. 356310857865094. 356310857865102. 356310857865110. 356310857865128. 35631085786513
6. 356310857865144. 356310857865151. 356310857865169. 356310857865177. 356310857865185. 356310857865193. 356310857865201. 3563108
57865219. 356310857865227. 356310857865235. 356310857865243.356310857865250. 356310857865268. 356310857865276. 356310857865284. 3
56310857865292. 356310857865300. 356310857865318. 356310857865326. 356310857865334. 356310857865342. 356310857865359. 35631085786
5367. 356310857865375. 356310857865383. 356310857865391. 356310857865409. 356310857865417. 356310857865425. 356310857865433. 3563
10857865441. 356310857865458. 356310857865466. 356310857865474. 356310857865490. 356310857865508. 356310857865516. 35631085786552
4. 356310857865540. 356310857865557. 356310857865565. 356310857865573. 356310857865581. 356310857865599. 356310857865607. 3563108
57865615. 356310857865623. 356310857865631.356310857867561. 356310857867579. 356310857867587. 356310857867595. 356310857867603. 3
56310857867611. 356310857867629. 356310857867637. 356310857867645. 356310857867652. 356310857867660. 356310857867678. 35631085786
7686. 356310857867694. 356310857867702. 356310857867710. 356310857867728. 356310857867736. 356310857867744. 356310857867751. 3563
10857867769. 356310857867777. 356310857867785. 356310857867793. 356310857867801. 356310857867819. 356310857867827. 35631085786783
5. 356310857867843. 356310857867850. 356310857867868. 356310857867876. 356310857867884.356310857867892. 356310857867900. 35631085
7867918. 356310857867926. 356310857867934. 356310857867942. 356310857867959. 356310857867967. 356310857867975. 356310857867983. 3
56310857867991. 356310857868007. 356310857868015. 356310857868023. 356310857868031. 356310857868049. 356310857868056. 35631085786
8064. 356310857868072. 356310857868080. 356310857868098. 356310857868106. 356310857868114. 356310857868130. 356310857868148. 3563
10857868155. 356310857868163. 356310857868171. 356310857868189. 356310857868205. 356310857868213. 356310857868221. 35631085786823
9. 356310857868247. 356310857868254. 356310857868270. 356310857868288.356310857868296. 356310857868304. 356310857868312. 35631085
7868320. 356310857868338. 356310857868346. 356310857868361. 356310857868379. 356310857868387. 356310857868395. 356310857868403. 3
56310857868411. 356310857868429. 356310857868437. 356310857868445. 356310857868452. 356310857868460. 356310857868478. 35631085786
8486. 356310857868494. 356310857875606. 356310857876117. 356310857876141. 356310857876505. 356310857876570. 356310857876646. 3563
10857876653. 356310857876737. 356310857876943. 356310857873189. 356310857873361. 356310857873395. 356310857873544.356310857873569
. 356310857873650. 356310857873676. 356310857873700. 356310857873791. 356310857873833. 356310857873841. 356310857873932. 35631085
7874153. 356310857874179. 356310857874203. 356310857874260. 356310857874278. 356310857874351. 356310857874377. 356310857874468. 3
56310857874492. 356310857874690. 356310857875911. 356310857876109. 356310857876232. 356310857876448. 356310857876463. 35631085787
6497. 356310857876711. 356310857876778. 356310857877123. 356310857873320. 356310857873353. 356310857873379. 356310857873403. 3563
10857873445. 356310857873460. 356310857873601. 356310857873643. 356310857873684. 356310857873692.356310857873718. 356310857873783
. 356310857873924. 356310857874039. 356310857874047. 356310857874054. 356310857874070. 356310857874120. 356310857874187. 35631085
7874344. 356310857874427. 356310857874534. 356310857874591. 356310857874674. 356310857874708. 356310857874724. 356310857875374. 3
56310857875994. 356310857876042. 356310857876166. 356310857876471. 356310857876620. 356310857876760. 356310857876992. 35631085787
7172. 356310857873411. 356310857873437. 356310857873502. 356310857873528. 356310857873585. 356310857873759. 356310857873890. 3563
10857873973.356310857873999. 356310857874005. 356310857874088. 356310857874211. 356310857874252. 356310857874286. 356310857874419
. 356310857874617. 356310857875978. 356310857876026. 356310857876224. 356310857876596. 356310857876604. 356310857876679. 35631085
7876794. 356310857877107. 356310857877149. 356310857869468. 356310857869476. 356310857869484. 356310857869492. 356310857869518. 3
56310857869526. 356310857869534. 356310857869542. 356310857869559. 356310857869567. 356310857869575. 356310857869583. 35631085786
032025000658796-8
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000658796-8
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
9591. 356310857869617. 356310857869633. 356310857869641. 356310857869658. 356310857869666. 356310857869674. 356310857869682.35631
0857869690. 356310857869708. 356310857869716. 356310857869724. 356310857869740. 356310857869757. 356310857869765. 356310857869781
. 356310857869799. 356310857869807. 356310857869823. 356310857869831. 356310857869849. 356310857869856. 356310857869864. 35631085
7869872. 356310857869880. 356310857869898. 356310857869906. 356310857869914. 356310857869922. 356310857869930. 356310857869948. 3
56310857869955. 356310857869971. 356310857869989. 356310857869997. 356310857870003. 356310857870011. 356310857870029. 35631085787
0037. 356310857870045. 356310857870052.356310857870060. 356310857870078. 356310857870086. 356310857870094. 356310857870110. 35631
0857870136. 356310857870144. 356310857870151. 356310857870169. 356310857870177. 356310857870185. 356310857870227. 356310857870235
. 356310857870276. 356310857870318. 356310857870359. 356310857870375. 356310857870391. 356310857870458. 356310857870581. 35631085
7870649. 356310857870698. 356310857870706. 356310857870730. 356310857870847. 356310857871175. 356310857871316. 356310857871357. 3
56310857871381. 356310857871423. 356310857871472. 356310857871506. 356310857871530. 356310857871589. 356310857871647. 35631085787
1761. 356310857871803.356310857865649. 356310857865656. 356310857865664. 356310857865672. 356310857865680. 356310857865698. 35631
0857865706. 356310857865714. 356310857865722. 356310857865730. 356310857865748. 356310857865755. 356310857865763. 356310857865771
. 356310857865789. 356310857865797. 356310857865805. 356310857865821. 356310857865839. 356310857865847. 356310857865854. 35631085
7865862. 356310857865870. 356310857865888. 356310857865896. 356310857865904. 356310857865912. 356310857865920. 356310857865938. 3
56310857865946. 356310857865961. 356310857865979. 356310857865987.356310857865995. 356310857866001. 356310857866019. 356310857866
027. 356310857866035. 356310857866043. 356310857866050. 356310857866068. 356310857866076. 356310857866084. 356310857866092. 35631
0857866100. 356310857866118. 356310857866126. 356310857866134. 356310857866142. 356310857866159. 356310857866167. 356310857866175
. 356310857866183. 356310857866209. 356310857866217. 356310857866225. 356310857866233. 356310857866241. 356310857866258. 35631085
7866266. 356310857866282. 356310857866290. 356310857866308. 356310857866316. 356310857866324. 356310857866332. 356310857866340. 3
56310857866357. 356310857866365. 356310857866373.356310857866381. 356310857866399. 356310857866407. 356310857866415. 356310857866
423. 356310857866431. 356310857866449. 356310857866456. 356310857866464. 356310857866472. 356310857866480. 356310857866506. 35631
0857866514. 356310857866522. 356310857866530. 356310857866548. 356310857866563. 356310857866571. 356310857866589. 356310857866597
. 356310857866605. 356310857866613. 356310857866621. 356310857866639. 356310857866647. 356310857866654. 356310857866662. 35631085
7866670. 356310857866688. 356310857866696. 356310857866704. 356310857866712. 356310857866720.356310857866738. 356310857866746. 35
6310857866753. 356310857866761. 356310857866779. 356310857866787. 356310857866803. 356310857866811. 356310857866829. 356310857866
837. 356310857866845. 356310857866852. 356310857866860. 356310857866878. 356310857866886. 356310857866894. 356310857866902. 35631
0857866910. 356310857866928. 356310857866936. 356310857866944. 356310857866951. 356310857866969. 356310857866977. 356310857866985
. 356310857866993. 356310857867009. 356310857867017. 356310857867025. 356310857867033. 356310857867041. 356310857867058. 35631085
7867066. 356310857867074. 356310857867082. 356310857867090. 356310857867108.356310857867116. 356310857867124. 356310857867165. 35
6310857867173. 356310857867181. 356310857867199. 356310857867207. 356310857867215. 356310857867223. 356310857867231. 356310857867
249. 356310857867256. 356310857867264. 356310857867272. 356310857867280. 356310857867298. 356310857867314. 356310857867322. 35631
0857867330. 356310857867348. 356310857867355. 356310857867363. 356310857867371. 356310857867389. 356310857867397. 356310857867405
. 356310857867413. 356310857867421. 356310857867439. 356310857867447. 356310857867454. 356310857867470. 356310857867488.356310857
867496. 356310857867504. 356310857867512. 356310857867520. 356310857867538. 356310857867546. 356310857867553. 356310857868502. 35
6310857868510. 356310857868528. 356310857868536. 356310857868544. 356310857868551. 356310857868569. 356310857868577. 356310857868
585. 356310857868593. 356310857868601. 356310857868619. 356310857868627. 356310857868635. 356310857868643. 356310857868650. 35631
0857868668. 356310857868676. 356310857868684. 356310857868692. 356310857868700. 356310857868718. 356310857868726. 356310857868734
. 356310857868742. 356310857868759. 356310857868767. 356310857868775. 356310857868783. 356310857868791.356310857868809. 356310857
868817. 356310857868825. 356310857868833. 356310857868841. 356310857868858. 356310857868866. 356310857868882. 356310857868890. 35
6310857868908. 356310857868916. 356310857868924. 356310857868932. 356310857868940. 356310857868973. 356310857868981. 356310857868
999. 356310857869005. 356310857869013. 356310857869021. 356310857869039. 356310857869047. 356310857869054. 356310857869062. 35631
0857869070. 356310857869088. 356310857869096. 356310857869112. 356310857869120. 356310857869138. 356310857869146. 356310857869153
. 356310857869161.356310857869179. 356310857869187. 356310857869195. 356310857869211. 356310857869229. 356310857869245. 356310857
869252. 356310857869260. 356310857869278. 356310857869286. 356310857869294. 356310857869302. 356310857869310. 356310857869328. 35
6310857869336. 356310857869344. 356310857869351. 356310857869369. 356310857869377. 356310857869385. 356310857869393. 356310857869
401. 356310857869419. 356310857869427. 356310857869435. 356310857869443. 356310857869450. 356310857871811. 356310857871829. 35631
0857871902. 356310857871928. 356310857871936. 356310857871951. 356310857871985. 356310857871993. 356310857872009. 356310857872058
.356310857872066. 356310857872165. 356310857872256. 356310857872298. 356310857872363. 356310857872397. 356310857872413. 356310857
872488. 356310857872595. 356310857872629. 356310857872686. 356310857872702. 356310857872728. 356310857872736. 356310857872769. 35
6310857872777. 356310857872785. 356310857872801. 356310857872819. 356310857872827. 356310857872843. 356310857872850. 356310857872
876. 356310857872892. 356310857872975. 356310857872983. 356310857872991. 356310857873007. 356310857873015. 356310857873056. 35631
0857873072. 356310857873080. 356310857873106.356310857873114. 356310857873122. 356310857873130. 356310857873148. 356310857873163.
356310857872744. 356310857872751. 356310857872793. 356310857872835. 356310857872868. 356310857872918. 356310857872926. 356310857
873023. 356310857873049. 356310857873098. 356310857873197. 356310857873221. 356310857873247. 356310857873262. 356310857873270. 35
6310857873346. 356310857873429. 356310857873452. 356310857873494. 356310857873668. 356310857873726. 356310857873734. 356310857873
767. 356310857873940. 356310857874013. 356310857874021. 356310857874112. 356310857874161. 356310857874195. 356310857874245. 35631
0857874294. 356310857874302.356310857874336. 356310857874385. 356310857874450. 356310857874500. 356310857874518. 356310857874542.
356310857874625. 356310857874666. 356310857875366. 356310857875440XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025000658796-8
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3
