NOMBRES Y APELLIDOS

APARICIO B. MILAGROS

CANQUI FLORES EDY LUIS

CAXI VILLASANTE VLADIMIR

CAZASOLA CONDORI FREDY

CHOQUE YANAPA ANA C.

CHUQUIMAMANI P. YSELA

FERNANDES HANCO RUBY

GUEVARA ZEA FREDY ZDEN

HINOJOSA LESLY VALERI

HUANCA CACERES ROYER

H. LOAYSA CARINA

IDME CAJMA HEBER MOISES

ITURRIAGA CHACON J. YOEL

M. CHOQUEMOROCO CRISTIAN

MAMANI SANCA EUSEBIO

MAURA ARANA TICONA

PACSI IBAÑEZ YALI EDWIN

PAREDES BELLIDO ISAC

PARI SUCA SANDRA

QUISPE QUISPE SOLEDAD

SAPANA CANASA MIGUEL

SURCO CRUZ RINA CLARET

TAPIA LIMACHI NEFTALIA

TICONA CAHUI RUT WENDY

N° TIKET DESDE - HASTA

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

DEBE – PAGO S/. 50.00

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

E. TALONARIO SI / NO

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

PAGO TICKETS SI / NO

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________

____________/_____________