Reporte Essalud

ANEXO N I DET
RUC DEL EMPLEADOR 20142438365

RAZON SOCIAL MUNICIPALIDAD DISTRITAL DE PACHIA
DOMICILIO FISCAL CAL. ARIAS ARAGUEZ NRO S/N - PACHIA-TACNA-TAC
CENTRO VARIOS CENTROS
TIPO DE SEGURO SEGURO REGULAR
LIQUIDAC FEC. LIQUID. CEN DNI TIT

L000014314 10/29/2015 HOSPITAL III DA 5912161IULAV009
L000Q14414 10/29/2015 HOSPITAL III DA 6501231FRVTA005
L000014514 10/29/2015 HOSPITAL III DA 7006251LESCE001
L000014614 10/29/2015 HOSPITAL III DA 7312180FNROE004
L000032315 11/3/2015 HOSPITAL III DA 5210240MACTA001
L000032515 11/3/2015 HOSPITAL III DA 6502271BUZAL003
L000032615 11/3/2015 HOSPITAL III DA 7306070BNXXP0Q7
L000033015 11/3/2015 HOSPITAL III DA 7904281AUGLP009
L000033115 11/3/2015 HOSPITAL III DA 8312191CMSUA001
L000231314 10/29/2015 HOSPITAL III DA 6501231FRVTA005
L000231414 10/29/2015 HOSPITAL III DA 5006031VQDUR005
L000231514 10/29/2015 HOSPITAL III DA 6409281GRANE007
L000231714 10/29/2015 HOSPITAL III DA 6505241PAPEH002
L000231914 10/29/2015 HOSPITAL III DA 7105270CMVGA006
L000232014 10/29/2015 HOSPITAL III DA 7203301JEPDC002
L000232314 10/29/2015 HOSPITAL III DA 7512070JRVAE007
L000386815 11/3/2015 HOSPITAL III DA 6805121TOCDE006
L000387215 11/3/2015 HOSPITAL III DA 8012140CMPOJ001
L000437714 10/29/2015 HOSPITAL III DA 5801150CTQSD008
L000437814 10/29/2015 HOSPITAL III DA 59121611ULAV009
L000438514 10/29/2015 HOSPITAL III DA 7306070BNXXP007
L000438714 10/29/2015 HOSPITAL III DA 7908010YALES001
L000438814 10/29/2015 HOSPITAL III DA 8306121EUMAI000
L000602414 10/29/2015 HOSPITAL III DA 7908010YALES001
L000602514 10/29/2015 HOSPITAL III DA 8703050EIOAN001
L000602614 10/29/2015 HOSPITAL III DA 8908080MTMDJ005
L000736514 10/29/2015 HOSPITAL III DA 6606171AOCQE005
L000737214 10/29/2015 HOSPITAL III DA 8908080MTMDJ005
L000776915 11/3/2015 HOSPITAL III DA 7701161MDRIW001
L000777015 11/3/2015 HOSPITAL III DA 8201081MACPE001
L000872914 10/29/2015 HOSPITAL III DA 6406120BRXXJ009
L000873414 10/29/2015 HOSPITAL III DA 831219CMSUA001
L001268015 11/3/2015 HOSPITAL III DA 5406161QNMAA003
L001760315 11/3/2015 HOSPITAL III DA 8311040ALLAJ000
L001867415 11/11/2015 CAP II OSCAR FE 7006251LESCE001
L001915015 11/11/2015 CAP II OSCAR FE 8010190VGVTK007
L002127215 11/3/2015 HOSPITAL III DA 5210240MACTA0C1
L002127415 11/3/2015 HOSPITAL III DA 6904081MAVGJ007
L002127715 11/3/2015 HOSPITAL III DA 8010190VGVTK007
L002128015 11/3/2015 HOSPITAL III DA 8311040ALLAJ0OO
L002163514 11/5/2015 CAP II LUIS PAL 7006251LESCE001
L002294314 11/5/2015 CAP II LUIS PAL 5006031VQDUR005
L002294414 11/5/2015 CAP II LUIS PAL 5009061MDCIV003
L002294514 11/5/2015 CAP II LUIS PAL 5912161IULAV009
L002294614 11/5/2015 CAP II LUIS PAL 6302081ZIZIR007
L002294714 11/5/2015 CAP II LUIS PAL 7203301JEPDC002
L002294814 11/5/2015 CAP II LUIS PAL 7312180FNROE004
L002294914 11/5/2015 CAP II LUIS PAL 7802151YRCAJ003
L002295014 11/5/2015 CAP II LUIS PAL 8002281MAZAJ009
L002295114 11/5/2015 CAP II LUIS PAL 8612111PCSMP008
L002295214 11/5/2015 CAP II LUIS PAL 8908080MTMDJ005
L002350514 11/5/2015 CAP II LUIS PAL 5912161IULAV009
L002350714 11/5/2015 CAP II LUIS PAL 7203301JEPDC002
L002350914 11/5/2015 CAP II LUIS PAL 7802151YRCAJ003
L002351014 11/5/2015 CAP II LUIS PAL 8002281MAZAJ009
L002511315 11/3/2015 HOSPITAL III DA 5406161QNMAA003
L002511415 11/3/2015 HOSPITAL III DA 6904081MAVGJ007
L002511515 11/3/2015 HOSPITAL III DA 7211181TRVEE005
L002511715 11/3/2015 HOSPITAL III DA 8010190VGVTK007
L002511815 11/3/2015 HOSPITAL III DA 8311040ALLAJ000
L002645015 11/5/2015 CAP II LUIS PAL 8201081MACPE001
L002903014 11/9/2015 CAP II METROPO 5912161IULAV009
L002903114 11/9/2015 CAP II METROPO 7006251LESCE001
L002903214 11/9/2015 CAP II METROPO 7312180FNROE004
L002903414 11/9/2015 CAP II METROPO 7605030PAPIE001
L002903514 11/9/2015 CAP II METROPO 7709170PAMAY007
L002903614 11/9/2015 CAP II METROPO 7811201PEPCE002
L002903714 11/9/2015 CAP II METROPO 7904281AUGLP009
L002904114 11/9/2015 CAP II METROPO 8211140ASOVL007
L002904214 11/9/2015 CAP II METROPO 8408300MAVAR003
L002997014 11/9/2015 CAP II METROPO 7306070BNXXP007
L002997314 11/9/2015 CAP II METROPO 8408300MAVAR003
L003093014 11/9/2015 CAP II METROPO 5210240MACTA001
L003093514 11/9/2015 CAP II METROPO 7105270CMVGA006
L003093614 11/9/2015 CAP II METROPO 7311081RLMAW002
L003093814 11/9/2015 CAP II METROPO 7811201PEPCE002
L003194314 11/9/2015 CAP II METROPO 6505241PAPEH002
L003194514 11/9/2015 CAP II METROPO 7105270CMVGA0Q6
L003194714 11/9/2015 CAP II METROPO 7512070JRVAE007
L003194714 11/9/2015 CAP II METROPO 7512070JRVAE0G7
L003195014 11/9/2015 CAP II METROPO 8703050E10AN001
L003195014 11/9/2015 CAP II METROPO 8703050EIOAN001
L003297414 11/9/2015 CAP II METROPO 7707131STDRJ002
L003297714 11/9/2015 CAP II METROPO 8312191CMSUA001
L003297814 11/9/2015 CAP II METROPO 8905230VDLYL006
L003488714 11/9/2015 CAP II METROPO 8908080MTMDJ005
L003597914 11/9/2015 CAP II METROPO 8703050E10AN001
L003690914 11/9/2015 CAP II METROPO 5006031VQDUR005
L003691314 11/9/2015 CAP II METROPO 6409281GRANE007
L003691714 11/9/2015 CAP II METROPO 8612111PCSMP008
L003764814 11/9/2015 CAP II METROPO 6409281GRANE007
L003842414 11/9/2015 CAP II METROPO 5006031VQDUR005
L003978015 11/9/2015 CAP II METROPO 6502271BUZAL003
L004411615 11/9/2015 CAP II METROPO 5406161QNMAA003
L004495315 11/9/2015 CAP II METROPO 6904081MAVGJ007
L004495315 11/9/2015 CAP II METROPO 6904081MAVGJ007
L004495615 11/9/2015 CAP II METROPO 8311040ALLAJ000
L004495715 11/9/2015 CAP II METROPO 8903270CTCEM003
L004569015 11/9/2015 CAP II METROPO 7708141FNCVR002
L004569115 11/9/2015 CAP II METROPO 7708141FNCVR002
L004569215 11/9/2015 CAP II METROPO 8010190VGVTK007
L015072114 3/25/2015 HOSPITAL III DA 7306131RRFNM00O
L015072214 3/25/2015 HOSPITAL III DA 7306131RRFNM000
L015072514 3/25/2015 HOSPITAL III DA 7607221LALAI005
L015072714 3/25/2015 HOSPITAL III DA 7811201PEPCE002
L015306514 3/25/2015 HOSPITAL III DA 7101121CARRA003
L015307114 3/25/2015 HOSPITAL III DA 7709170PAMAY007
L015307314 3/25/2015 HOSPITAL III DA 9103191VDGEJ002
L015549314 3/25/2015 HOSPITAL III DA 7306131 RRFNM000
L015549414 3/25/2015 HOSPITAL III DA 7311081RLMAW002
L015816714 3/25/2015 HOSPITAL III DA 7306131 RRFNM000
L015817314 3/25/2015 HOSPITAL III DA 8306121EUMAIOOO
L015817514 3/25/2015 HOSPITAL III DA 9104231ROBIR005
L016280914 3/25/2015 HOSPITAL III DA 7707131STDRJ002
L016281314 3/25/2015 HOSPITAL III DA 8905230VDLYL006
ANEXO N I DETALLE DE LAS PRESTACIONES OTORGADAS N 916990003139
5
AD DISTRITAL DE PACHIA
RAGUEZ NRO S/N - PACHIA-TACNA-TACNA
ROS
ULAR
ASEGURADO TITULAR TIP

INQUILLA LUNA VICTOR HIJO
FLORES VENTURA ALEJANDRO ASEG
LOPEZ SANCHEZ EDGARD MIGUEL CONY
FERNANDEZ RAMOS ERIKA FRIDA CONY
FERNANDEZ RAMOS ERIKA FRIDA ASEG
MEZA CASTILLO ANGELA MARIA ASEG
INQU ILLA LUNA VICTOR HIJO
BASURCO ZEBALLOS LUIS ALBERTO HIJO
BLANCO XXX PATRICIA SOLEDAD ASEG
FERNANDEZ RAMOS ERIKA FRIDA HIJO
FERNANDEZ RAMOS ERIKA FRIQA CONY
AYHUASI GIL PEDRO EFRAIN CONC
CHAMBILLA SEGURA ALFREDO JAVIER ASEG
VASQUEZ DULUDE RAUL ANTONIO ASEG
GUERRA ALANOCA EDGAR JESUS ASEG
PEAFIEL PAREDES HERNAN JOSE ASEG
CHAMBE VARGAS ANGELA MARIA ASEG
JUNES PARDO CESAR OMMAR CONC
JUAREZ VERA EDITH GLADYS HIJO
INQUILLA LUNA VICTOR ASEG
BASURCO ZEBALLOS LUIS ALBERTO HIJO
BASURCO ZEBALLOS LUIS ALBERTO CONY
TICONA CONDORI EPIFANIO WINDER HIJO
CHAMBE PACO JUANA ANGELA ASEG
CENTELLA QUISPE DORA ASEG
JUNES PARDO CESAR OMMAR HIJO
YANARICO LOPEZ SONIA ASEG
ESQUIA MAMANI IVAN JESUS ASEG
PEAFIEL PAREDES HERNAN JOSE HIJO
LOPEZ SANCHEZ EDGARD MIGUEL HIJO
YANARICO LOPEZ SONIA ASEG
ESPINOZA OSNAYO NELLY ASEG
MAYTA MENDOZA JUSTINA YOLINDA HIJO
ALMONTE CHOQUE ELOY CONY
MAYTA MENDOZA JUSTINA YOLINDA ASEG
PEYAFIEL PAREDES HERNAN JOSE ASEG
MENDOZA RAMIREZ WILBER PERCY CONY
MAMAN I CHIP ANA ELIAS ASEG
MAMANI CHIPANA ELIAS CONY
BARRIENTOS XXX JOVA TERESA ASEG
QUIAYONEZ MAMANI AURELIANO JULIO ASEG
TICONA CONDORI EPIFANIO WINDER ASEG
MAMANI CHIPANA ELIAS HIJO
MAMANI CHIPANA ELIAS CONY
TICONA CONDORI EPIFANIO WINDER CONO
LOPEZ SANCHEZ EDGARD MIGUEL ASEG
MAMANI CHIPANA ELIAS ASEG
AYALA LUJAN JHANET SARA ASEG
VARGAS VENTURA KATHERINE MILAGRO ASEG
TICONA CONDORI EPIFANIO WINDER CONO
MAMANI VARGAS JAIME SANTOS CONO
MAMANI CHIPANA ELIAS ASEG
MENDOZA CARITA VICTOR CELESTINO ASEG
INQU ILLA LUNA VICTOR ASEG
ZURITA ZURITA RODOLFO ASEG
JUNES PARDO CESAR OMMAR ASEG
YUJRA COPA JOHNE ASEG
MAMANI ZEBALLOS JOSE LUIS ASEG
PAYCO SARMIENTO PERCY JULIO ASEG
JUNES PARDO CESAR OMMAR ASEG
YUJRA COPA JOHNE ASEG
MAMANI ZEBALLOS JOSE LUIS ASEG
MEZA CASTILLO ANGELA MARA ASEG
QUIONEZ MAMANI AURELIANO JULIO ASEG
MAMANI VARGAS JAIME SANTOS CONC
TUERO VICENTE EDGARD HUMBERTO ASEG
PIZARRO DE PARI ELSA DORIS ASEG
PIZARRO MAMANI YUDITH ROSARIO ASEG
PAREDES PONCE EDGAR HENRY ASEG
AYHUASI GIL PEDRO EFRAIN HIJO
AYHUASI GIL PEDRO EFRAIN ASEG
ACOSTA OLIVEIRA LARIZA DEL PILAR ASEG
MAMANI VELASQUEZ ROSEMERY JACQUEL ASEG
INQUILLA LUNA VICTOR CONC
MAMANI VELASQUEZ ROSEMERY JACQUEL ASEG
RUELAS MAMANI WILLY RICARDO ASEG
PAREDES PONCE EDGAR HENRY CONY
PE-AFIEL PAREDES HERNAN JOSE HIJO
PE-AFIEL PAREDES HERNAN JOSE ASEG
JUAREZ VERA EDITH GLADYS ASEG
SANTOS DUARTE JUAN CARLOS HIJO
VALDEZ LOAYZA LESLIE NOHELY ASEG
AYHUASI GIL PEDRO EFRAIN CONO
GUERRA ALA.NOCA EDGAR JESUS ASEG
BASURCO ZEBALLOS LUIS ALBERTO ASEG
QUIQNEZ MAMANI AURELIANO JULIO ASEG
CENTENO CACERES MAYRA GABRIELA ASEG
FERNANDEZ CUEVA ROGER RIVELINO HIJO
FERNANDEZ CUEVA ROGER RIVELINO CONC
VARGAS VENTURA KATHERINE MILAGROS SEG
RODRIGUEZ FERNANDEZ MIGUEL TRINCA SEG
RODRIGUEZ FERNANDEZ MIGUEL TRINCE CONY
LINARES LINARES IVAN CARLOS ASEG
RODRIGUEZ FERNANDEZ MIGUEL TRINC HIJO
COHAILA RODRIGUEZ ANTONIO HUMBERTO SEG
COHAILA RODRIGUEZ ANTONIO HUMBERTO CONC
COHAILA RODRIGUEZ ANTONIO HUMBERTO HIJO
RODRIGUEZ FERNANDEZ MIGUEL TRINC ASEG
RODRIGUEZ FERNANDEZ MIGUEL TRINC CONY
VALDIVIA GOMEZ JUAN CARLOS ASEG
COHAILA RODRIGUEZ ANTONIO HUMBEEV ASEG
RODRIGUEZ FERNANDEZ MIGUEL TRINC ASEG
COHAILA RODRIGUEZ ANTONIO HUMBER SEG
RODRIGUEZ FERNANDEZ MIGUEL TRING CONY
ESQUIA MAMANI IVAN JESUS HIJO
RAMOS BENITES RONALD FERNANDO CONC
PEA'AREL PAREDES HERNAN JOSE HIJO
PIZARRO MAMANI YUDITH ROSARIO HIJO
JUNES PARDO CESAR OMMAR HIJO
ACIONES OTORGADAS N 916990003139
PACIENTE/BENEFICIARIO AT PERIODO FEC. PREST.

INQUILLA FLORES ROUSS IRENE 01 201407 7/15/2014
FLORES VENTURA ALEJANDRO 01 201407 7/31/2014
PEREZ VELA ANA YSABEL 01 201407 7/7/2014
FEIJOO MENDO JOSE ANTONIO 01 201407 7/21/2014
FERNANDEZ RAMOS ERIKA FRIDA 01 201407 7/22/2014
MEZA CASTILLO ANGELA MARIA 01 201501 1/31/2015
BASURCO BASILIADIS GRECIA ARIANA 01 201501 1/16/2015
BLANCO XXX PATRICIA SOLEDAD 01 201501 1/13/2015
FEIJOO FERNANDEZ JOSE LEOPOLDO 01 201501 1/17/2015
GONGORA SAAVEDRA KARLA JHULIZA 01 201501 1/15/2015
CHAMBILLA SEGURA ALFREDO JAVIER 01 201501 1/7/2015
VASQUEZ DULUDE RAUL ANTONIO 01 201408 8/18/2014
GUERRA ALANOCA EDGAR JESUS 01 201408 8/25/2014
PE-AFIEL PAREDES HERNAN J$SE 01 201408 8/20/2014
CHAMBE VARGAS ANGELA MARIA 01 201408 8/22/2014
TAPIA RAMOS JULIA EDITH 01 201408 8/25/2014
RIVERA JUAREZ FAUSTO MARTIN 01 201408 8/14/2014
INQUILLA LUNA VICTOR 01 201502 2/10/2015
BASURCO BASILIADIS GRECIA ARIANA 01 201502 2/17/2015
BASILIADIS VIACAVA GLORIA DANIELA 01 201502 2/4/2015
TICONA QUISPE CAMILA ALEXANDRA 01 201502 2/9/2015
CHAMBE PACO JUANA ANGELA 01 201502 2/10/2015
CENTELLA QUISPE DORA 01 201409 9/30/2014
JUNES TAPIA OMMAR JAMPIERE 01 201409 9/23/2014
YANARICO LOPEZ SONIA 01 201409 9/29/2014
ESQUIA MAMANI IVAN JESUS 01 201409 9/21/2014
PE-AFIEL ARIAS SOL CAMILA 01 201410 10/27/2014
LOPEZ PEREZ MIGUEL EDGARD 01 201410 10/13/2014
YANARICO LOPEZ SONIA 01 201410 10/28/2014
ESPINOZA OSNAYO NELLY 01 201410 10/30/2014
ACHATA MAYTA KEVIN ALVARO 01 201410 10/9/2014
BASILIADIS VIACAVA GLORIA DANIEL 01 201411 11/14/2014
PAUCCARA ACHIRCANA AGREPINA 01 201411 11/21/2014
LOPEZ PEREZ MARLENE MILAGROS 01 201411 11/18/2014
LOPEZ PEREZ MELISSA ADRIANA 01 201411 11/18/2014
MAYTA MENDOZA JUSTINA YOLINDA 01 201411 11/3/2014
PE-AFIEL PAREDES HERNAN JOSE 01 201503 3/29/2015
FEIJOO FERNANDEZ JOSE LEOPOLDC 01 201503 3/24/2015
CHURA GONZALES NALDY SOLEDAD 01 201503 3/31/2015
MAMANI CHIPANA ELIAS 01 201503 3/28/2015
CARPIO CHARAJA GUISELI 01 201503 3/27/2015
BARRIENTOS XXX JOVA TERESA 01 201412 12/15/2014
QUI-ONEZ MAMANI AURELIANO JULIO 01 201504 4/21/2015
TICONA CONDORI EPIFANIO WINDER 01 201504 4/30/2015
FEIJOO FERNANDEZ JOSE LEOPOLDC 01 201504 4/17/2015
MAMANI CARPIO PRISCILA CHRISTINE 01 201504 4/27/2015
CARPIO CHARAJA GUISELI 01 201504 4/1/2015
QUISPE JUANILLO LOURDES FRESIA 01 201505 5/9/2015
LOPEZ SANCHEZ EDGARD MIGUEL 01 201505 5/20/2015
AYALA LUJAN JHANET SARA 01 201505 5/25/2015
VARGAS VENTURA KATHERINE MILAGROS 01 201505 5/22/2015
QUISPE JUANILLO LOURDES FRESIA 01 201506 6/20/2015
GARCIA OLIVERA LUZ MARINA 01 201506 6/20/2015
MENDOZA CARITA VICTOR CELESTINO 01 201408 8/27/2014
ZURITA ZURITA RODOLFO 01 201408 8/27/2014
JUNES PARDO CESAR OMMAR 01 201408 8/27/2014
YUJRA COPA JOHNE 01 201408 8/27/2014
MAMANI ZEBALLOS JOSE LUIS 01 201408 8/27/2014
PAYCO SARMIENTO PERCY JULIO 01 201408 8/27/2014
JUNES PARDO CESAR OMMAR 01 201409 9/11/2014
YUJRA COPA JOHNE 01 201409 9/11/2014
MAMANI ZEBALLOS JOSE LUIS 01 201409 9/11/2014
TUERO VICENTE EDGARD HUMBERTO 01 201507 7/17/2015
PIZARRO DE PARI ELSA DORIS 01 201401 1/3/2014
PIZARRO MAMANI YUDITH ROSARIO 03 201401 1/24/2014
PAREDES PONCE EDGAR HENRY 03 201401 1/27/2014
AYHUASI GONGORA YAMILET MITAYS 01 201401 1/20/2014
AYHUASI GONGORA JHUCIELY DARLYN 01 201401 1/30/2014
AYHUASI GIL PEDRO EFRAIN 01 201401 1/21/2014
ACOSTA OLIVEIRA LARIZA DEL PILAR 01 201401 1/20/2014
MAMANI VELASQUEZ ROSEMERY JACQUEL 01 201401 1/31/2014
FLORES MAQUERA MARGARITA IRIS 01 201402 2/22/2014
MAMANI VELASQUEZ ROSEMERY JACQUEL 01 201402 2/19/2014
RUELAS MAMANI WILLY RICARDO 01 201403 3/25/2014
VILLARROEL CUTIPA MARIBEL GEORGIN 01 201403 3/21/2014
JUAREZ VERA EDITH GLADYS 01 201404 4/23/2014
SANTOS SALINAS JUAN CARLOS 02 201405 5/12/2014
VALDEZ LOAYZA LESLIE NOHELY 01 201405 5/21/2014
BASURCO ZEBALLOS LUIS ALBERTO 01 201501 1/14/2015
CENTENO CACERES MAYRA GABRIELA 01 201506 7/22/2015
FERNANDEZ TORREALVA DAFNE KAROI 01 201507 7/16/2015
TORREALVA REYES CARMEN LUISA 01 201507 7/15/2015
RODRIGUEZ FERNANDEZ MIGUEL TRINC 01 201401 1/29/2014
PIZARRO MAMANI NORMA LOURDES 01 201401 1/29/2014
LINARES LINARES IVAN CARLOS 01 201401 1/3/2014
RODRIGUEZ PIZARRO LIZANDRO JOSE 01 201401 1/29/2014
COHAILA RODRIGUEZ ANTONIO HUMBEBT 01 201402 2/19/2014
FLORES AYCA SANTA MARGARITA 01 201402 2/19/2014
COHAILA FLORES ALEXANDER ANTONIC 01 201402 2/19/2014
RODRIGUEZ FERNANDEZ MIGUEL TRINC 01 201402 2/7/2014
VALDIVIA GOMEZ JUAN CARLOS 01 201402 2/24/2014
RODRIGUEZ FERNANDEZ MIGUEL TRINCD1 01 201403 3/24/2014
ESQUIA LIMACHE MARIA MILAGROS 01 201404 4/23/2014
LENGUA VASCONES GINA VIVIANA 01 201404 4/8/2014
JALIRI PIZARRO ANDREZ LENNIN JES 01 201405 5/15/2014
JUNES TAPIA OMMAR JAMPIERE 01 201406 6/24/2014
SANTOS SALINAS LUCIANA ISABELLA 01 201406 6/28/2014
TOTAL
IMPORTE
43.86
551.22
46.09
1,091.25
469.55
344.81
356.94
30.25
66.97
37.40
32.93
68.20
29.00
62.00
2,171.00
236.20
340.92
274.90
50.25
7,853.65
235.37
70.30
54.61
150.53
61.99
170.65
40.40
31.98
117.00
169.29
32.00
54.98
35.88
56.00
76.60
91.01
76.88
34.94
69.00
611.40
32.00
178.67
58.30
31.20
112.64
71.60
57.04
32.00
151.50
84.00
94.32
57.50
32.00
69.74
32.00
4,594.59
65.25
685.93
32.00
99.00
228.75
64.00
32.00
34.70
42.27
34.89
53.27
65.66
164.54
551.97
170.00
91.10
149.04
60.99
32.00
82.65
133.14
114.55
47.06
125.00
98.95
95.88
59.79
66.97
250.40
237.19
32.00
71.00
204.78
44.19
58.97
333.57
113.00
434.46
50.19
122.00
7.28
30.00
22.00
47.19
3.01
22.00
2.25
22.00
97.60
148.50
44.60
136.10
32.00
52.03
52.26
87.27
60.00
7.30
22.00
3.57
12.00
12.00
18.00
10.83
22.00
3.57
22.00
49.00
54.00
90.00
69.68
4.20
18.00
229.60
43.20
32.00
348.07
39.93
525.00
29.70
20.26
80.00
32.00
119.00
126.00
119.00
150.00
119.00
119.00
150.00
119.00
126.00
119.00
105.00
107.00
119.00
136.00
136.00
119.00
22.00
22.00
22.00
22.00
22.00
22.00
22.00
22.00
22.00
22.00
38.60
58.68
85.63
362.94
608.20
653.62
107.00
2.17
53.00
13.00
54.00
21.34
5.00
52.00
8.27
27.00
5.00
27.00
22.00
22.00
4.20
14.00
16.00
20.94
13.00
26.00
26.00
39.00
92.00
22.00
53.00
22.00
75.00
13.00
36.25
63.00
13.00
46.00
22.00
23.66
2.20
25.00
52.00
22.00
263.00
250.00
44.00
5.88
52.00
36.00
4.20
44.00
250.00
20.25
22.00
46.00
13.00
27.00
2.00
27.00
45.36
13.00
22.00
4.20
27.00
11.46
35.00
4.20
22.00
313.00
13.00
22.00
3.50
27.00
5.31
27.00
4.23
50.00
168.00
4.20
38.00
40.00
6.92
27.00
35.00
25.00
13.00
22.00
13.00
22.00
22.00
13.00
13.00
40.00
63.00
158.00
2.80
72.00
4.20
76.00
253.00
1.96
13.00
13.00
13.00
13.00
25.00
12.00
0.43
27.00
30.00
13.00
2.17
27.00
13.00
13.00
104.00
142.00
4.20
104.00
22.00
61.00
44.16
40.00
27.00
6.70
65.00
12.00
13.00
14.00
92.00
11.20
66.00
49.00
1.08
4.90
22.00
22.00
24.46
49.00
3.05
22.00
10.20
13.00
27.00
5.67
36.00
46.00
27.00
30.00
95.00
22.00
6.86
13.00
22.00
22.00
13.00
22.00
2.80
92.00
22.00
14.70
30.76
34.00
22.00
27.01
44.00
255.00
1.40
22.00
30.76
26.00
22.00
13.00
105.00
13.00
13.00
2.02
169.00
72.00
2.55
27.00
14.00
100.00
10.00
94.00
215.00
44.00
81.00
31.00
14.00
49.00
12.86
2.70
13.00
19.55
49.00
157.00
50.00
22.00
40.00
8.40
67.00
22.00
41.40
22.00
26.00
14.00
57.00
50.09
58.00
45.81
393.85
84.00
116.00
355.05
66.80
1,013.68
56.00
64.70
94.96
15.78
204.00
84.00
12.00
28.00
28.00
254.07
223.00
377.90
65.40
107.24
210.57
52.06
46.78
35.88
97.00
651.26
49.00
32.00
32.00
77.00
32.00
49.27
42.56
48.06
69.31
32.00
65.00
17.00
64.00
160.11
96.00
192.18
40.65
103.07
75.00
52.66
45.61
981.35
126.21
19.35
173.00
32.00
97.40
42.00
61.86
1,832.88
42.00
44.21
317.25
50.65
32.00
50.67
17.00
77.64
55.17
131.00
52,688.76
ANEXO N II EVALUACION DE LOS PERIODOS

N PERIODO MES FORMUL TRIBUTO FEC. DECLARADA

1 201410 201408 0601 052100 18/09/14
2 201410 201407 0601 052100 20/08/14
3 201410 201406 0601 052100 18/07/14
4 201410 201405 0601 052100 19/06/14
5 201410 201404 0601 052100 05/06/14
6 201410 201403 0601 052100 22/04/14
7 201410 201402 052100
8 201410 201401 052100
9 201410 201312 052100
10 201410 201311 052100
11 201410 201310 052100
12 201410 201309 052100
13 201410 201308 052100
14 201410 201307 052100
15 201410 201306 052100
16 201410 201305 052100
17 201410 201304 052100
18 201410 201303 052100
1 201402 201312 0601 052100 20/01/14
2 201402 201311 0601 052100 18/12/13
3 201402 201310 0601 052100 20/11/13
4 201402 201309 0601 052100 18/10/13
5 201402 201308 0601 052100 18/09/13
6 201402 201307 0601 052100 19/08/13
7 201402 201306 052100
8 201402 201305 052100
9 201402 201304 052100
10 201402 201303 052100
11 201402 201302 052100
12 201402 201301 052100
13 201402 201212 052100
14 201402 201211 052100
15 201402 201210 052100
16 201402 201209 052100
17 201402 201208 052100
18 201402 201207 052100
1 201504 201502 0601 052100 20/03/15
2 201504 201501 0601 052100 20/02/15
3 201504 201412 0601 052100 21/01/15
4 201504 201411 0601 052100 19/12/14
5 201504 201410 0601 052100 20/11/14
6 201504 201409 0601 052100 21/10/14
7 201504 201408 601 052100
8 201504 201407 601 052100
9 201504 201406 601 052100
10 201504 201405 601 052100
11 201504 201404 601 052100
12 201504 201403 052100
13 201504 201402 052100
14 201504 201401 052100
15 201504 201312 052100
16 201504 201311 052100
17 201504 201310 052100
18 201504 201309 052100
1 201404 201402 0601 052100 20/03/14
2 201404 201401 0601 052100 20/02/14
3 201404 201312 0601 052100 20/01/14
4 201404 201311 0601 052100 18/12/13
5 201404 201310 0601 052100 20/11/13
6 201404 201309 0601 052100 18/10/13
7 201404 201308 601 052100
8 201404 201307 601 052100
9 201404 201306 052100
10 201404 201305 052100
11 201404 201304 052100
12 201404 201303 052100
13 201404 201302 052100
14 201404 201301 052100
15 201404 201212 052100
16 201404 201211 052100
17 201404 201210 052100
18 201404 201209 052100
1 201501 201411 0601 052100 19/12/14
2 201501 201410 0601 052100 20/11/14
3 201501 201409 0601 052100 21/10/14
4 201501 201408 0601 052100 18/09/14
5 201501 201407 0601 052100 20/08/14
6 201501 201406 0601 052100 18/07/14
7 201501 201405 601 052100
8 201501 201404 601 052100
9 201501 201403 052100
10 201501 201402 052100
11 201501 201401 052100
12 201501 201312 052100
13 201501 201311 052100
14 201501 201310 052100
15 201501 201309 052100
16 201501 201308 052100
17 201501 201307 052100
18 201501 201306 052100
1 201503 201501 0601 052100 20/02/15
2 201503 201412 0601 052100 21/01/15
3 201503 201411 0601 052100 19/12/14
4 201503 201410 0601 052100 20/11/14
5 201503 201409 0601 052100 21/10/14
6 201503 201408 0601 052100 18/09/14
7 201503 201407 601 052100
8 201503 201406 601 052100
9 201503 201405 601 052100
10 201503 201404 601 052100
11 201503 201403 052100
12 201503 201402 052100
13 201503 201401 052100
14 201503 201312 052100
15 201503 201311 052100
16 201503 201310 052100
17 201503 201309 052100
18 201503 201308 052100
1 201411 201409 0601 052100 21/10/14
2 201411 201408 0601 052100 18/09/14
3 201411 201407 0601 052100 20/08/14
4 201411 201406 0601 052100 18/07/14
5 201411 201405 0601 052100 19/06/14
6 201411 201404 0601 052100 05/06/14
7 201411 201403 052100
8 201411 201402 052100
9 201411 201401 052100
10 201411 201312 052100
11 201411 201311 052100
12 201411 201310 052100
13 201411 201309 052100
14 201411 201308 052100
15 201411 201307 052100
16 201411 201306 052100
17 201411 201305 052100
18 201411 201304 052100
1 201406 201404 0601 052100 05/06/14
2 201406 201403 0601 052100 22/04/14
3 201406 201402 0601 052100 20/03/14
4 201406 201401 0601 052100 20/02/14
5 201406 201312 0601 052100 20/01/14
6 201406 201311 0601 052100 18/12/13
7 201406 201310 052100
8 201406 201309 052100
9 201406 201308 052100
10 201406 201307 052100
11 201406 201306 052100
12 201406 201305 052100
13 201406 201304 052100
14 201406 201303 052100
15 201406 201302 052100
16 201406 201301 052100
17 201406 201212 052100
18 201406 201211 052100
1 201405 201403 0601 052100 22/04/14
2 201405 201402 0601 052100 20/03/14
3 201405 201401 0601 052100 20/02/14
4 201405 201312 0601 052100 20/01/14
5 201405 201311 0601 052100 18/12/13
6 201405 201310 0601 052100 20/11/13
7 201405 201309 052100
8 201405 201308 052100
9 201405 201307 052100
10 201405 201306 052100
11 201405 201305 052100
12 201405 201304 052100
13 201405 201303 052100
14 201405 201302 052100
15 201405 201301 052100
16 201405 201212 052100
17 201405 201211 052100
18 201405 201210 052100
1 201401 201311 0601 052100 18/12/13
2 201401 201310 0601 052100 20/11/13
3 201401 201309 0601 052100 18/10/13
4 201401 201308 0601 052100 18/09/13
5 201401 201307 0601 052100 19/08/13
6 201401 201306 0601 052100 17/07/13
7 201401 201305 052100
8 201401 201304 052100
9 201401 201303 601 052100
10 201401 201302 052100
11 201401 201301 052100
12 201401 201212 052100
13 201401 201211 601 052100
14 201401 201210 052100
15 201401 201209 052100
16 201401 201208 601 052100
17 201401 201207 052100
18 201401 201206 052100
1 201502 201412 0601 052100 21/01/15
2 201502 201411 0601 052100 19/12/14
3 201502 201410 0601 052100 20/11/14
4 201502 201409 0601 052100 21/10/14
5 201502 201408 0601 052100 18/09/14
6 201502 201407 0601 052100 20/08/14
7 201502 201406 601 052100
8 201502 201405 601 052100
9 201502 201404 601 052100
10 201502 201403 052100
11 201502 201402 052100
12 201502 201401 052100
13 201502 201312 052100
14 201502 201311 052100
15 201502 201310 052100
16 201502 201309 052100
17 201502 201308 052100
18 201502 201307 052100
1 201507 201505 0601 052100 19/06/15
2 201507 201504 0601 052100 22/05/15
3 201507 201503 0601 052100 23/04/15
4 201507 201502 0601 052100 20/03/15
5 201507 201501 0601 052100 20/02/15
6 201507 201412 0601 052100 21/01/15
7 201507 201411 052100
8 201507 201410 052100
9 201507 201409 052100
10 201507 201408 601 052100
11 201507 201407 601 052100
12 201507 201406 601 052100
13 201507 201405 601 052100
14 201507 201404 601 052100
15 201507 201403 052100
16 201507 201402 052100
17 201507 201401 052100
18 201507 201312 052100
1 201505 201503 0601 052100 23/04/15
2 201505 201502 0601 052100 20/03/15
3 201505 201501 0601 052100 20/02/15
4 201505 201412 0601 052100 21/01/15
5 201505 201411 0601 052100 19/12/14
6 201505 201410 0601 052100 20/11/14
7 201505 201409 052100
8 201505 201408 601 052100
9 201505 201407 601 052100
10 201505 201406 601 052100
11 201505 201405 601 052100
12 201505 201404 601 052100
13 201505 201403 052100
14 201505 201402 052100
15 201505 201401 052100
16 201505 201312 052100
17 201505 201311 052100
18 201505 201310 052100
1 201408 201406 0601 052100 18/07/14
2 201408 201405 0601 052100 19/06/14
3 201408 201404 0601 052100 05/06/14
4 201408 201403 0601 052100 22/04/14
5 201408 201402 0601 052100 20/03/14
6 201408 201401 0601 052100 20/02/14
7 201408 201312 052100
8 201408 201311 052100
9 201408 201310 052100
10 201408 201309 052100
11 201408 201308 052100
12 201408 201307 052100
13 201408 201306 052100
14 201408 201305 052100
15 201408 201304 052100
16 201408 201303 052100
17 201408 201302 052100
18 201408 201301 052100
1 201506 201504 0601 052100 22/05/15
2 201506 201503 0601 052100 23/04/15
3 201506 201502 0601 052100 20/03/15
4 201506 201501 0601 052100 20/02/15
5 201506 201412 0601 052100 21/01/15
6 201506 201411 0601 052100 19/12/14
7 201506 201410 052100
8 201506 201409 052100
9 201506 201408 601 052100
10 201506 201407 601 052100
11 201506 201406 601 052100
12 201506 201405 601 052100
13 201506 201404 601 052100
14 201506 201403 052100
15 201506 201402 052100
16 201506 201401 052100
17 201506 201312 052100
18 201506 201311 052100
1 201409 201407 0601 052100 20/08/14
2 201409 201406 0601 052100 18/07/14
3 201409 201405 0601 052100 19/06/14
4 201409 201404 0601 052100 05/06/14
5 201409 201403 0601 052100 22/04/14
6 201409 201402 0601 052100 20/03/14
7 201409 201401 052100
8 201409 201312 052100
9 201409 201311 052100
10 201409 201310 052100
11 201409 201309 052100
12 201409 201308 052100
13 201409 201307 052100
14 201409 201306 052100
15 201409 201305 052100
16 201409 201304 052100
17 201409 201303 052100
18 201409 201302 052100
1 201403 201401 0601 052100 20/02/14
2 201403 201312 0601 052100 20/01/14
3 201403 201311 0601 052100 18/12/13
4 201403 201310 0601 052100 20/11/13
5 201403 201309 0601 052100 18/10/13
6 201403 201308 0601 052100 18/09/13
7 201403 201307 052100
8 201403 201306 052100
9 201403 201305 052100
10 201403 201304 052100
11 201403 201303 052100
12 201403 201302 052100
13 201403 201301 052100
14 201403 201212 052100
15 201403 201211 052100
16 201403 201210 052100
17 201403 201209 052100
18 201403 201208 052100
1 201412 201410 0601 052100 20/11/14
2 201412 201409 0601 052100 21/10/14
3 201412 201408 0601 052100 18/09/14
4 201412 201407 0601 052100 20/08/14
5 201412 201406 0601 052100 18/07/14
6 201412 201405 0601 052100 19/06/14
7 201412 201404 601 052100
8 201412 201403 052100
9 201412 201402 052100
10 201412 201401 052100
11 201412 201312 052100
12 201412 201311 052100
13 201412 201310 052100
14 201412 201309 052100
15 201412 201308 052100
16 201412 201307 052100
17 201412 201306 052100
18 201412 201305 052100
1 201407 201405 0601 052100 19/06/14
2 201407 201404 0601 052100 05/06/14
3 201407 201403 0601 052100 22/04/14
4 201407 201402 0601 052100 20/03/14
5 201407 201401 0601 052100 20/02/14
6 201407 201312 0601 052100 20/01/14
7 201407 201311 052100
8 201407 201310 052100
9 201407 201309 052100
10 201407 201308 052100
11 201407 201307 052100
12 201407 201306 052100
13 201407 201305 052100
LUACION DE LOS PERIODOS DE PAGO N 916990003139
MON. DECLARADO MON. PAGADO DIFERENCIA MON. SALDO MON. VALOR

8546 8017 529
7806 3192 4614
7496 0 7496
7665 2653 5012
8128 6319 1809
7761 0 7761
0 2119
0 819
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
9842 9438,68 403,32
10141 8274,78 1866,22
9877 9566,13 310,87
11471 11233,8 237,2
12981 12368,84 612,16
12493 11109,45 1383,55
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3879 3771 108
3826 3426 400
7469 0 7469
8874 0 8874
10584 5927 4657
7506 0 7506
202 0
4622 0
2544 0
1822 0
1052 0
0 260
0 2119
0 819
0 0
0 0
0 0
0 0
7292 4694 2598
2594 1603 991
9842 9438,68 403,32
10141 8274,78 1866,22
9877 9566,13 310,87
11471 11233,8 237,2
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
8874 0 8874
10584 5927 4657
7506 0 7506
8546 8017 529
7806 3192 4614
7496 0 7496
1822 0
1052 0
0 260
0 2119
0 819
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3826 3426 400
7469 0 7469
8874 0 8874
10584 5927 4657
7506 0 7506
8546 8017 529
4622 0
2544 0
1822 0
1052 0
0 260
0 2119
0 819
0 0
0 0
0 0
0 0
0 0
7506 0 7506
8546 8017 529
7806 3192 4614
7496 0 7496
7665 2653 5012
8128 6319 1809
0 984
0 2119
0 819
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
8128 6319 1809
7761 0 7761
7292 4694 2598
2594 1603 991
9842 9438,68 403,32
10141 8274,78 1866,22
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
7761 0 7761
7292 4694 2598
2594 1603 991
9842 9438,68 403,32
10141 8274,78 1866,22
9877 9566,13 310,87
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10141 8274,78 1866,22
9877 9566,13 310,87
11471 11233,8 237,2
12981 12368,84 612,16
12493 11109,45 1383,55
14126 13082,82 1043,18
2 0
0 0
0 0
0 0
68.38 0
0 0
0 0
9.98 0
0 0
0 0
7469 0 7469
8874 0 8874
10584 5927 4657
7506 0 7506
8546 8017 529
7806 3192 4614
2544 0
1822 0
1052 0
0 260
0 2119
0 819
0 0
0 0
0 0
0 0
0 0
0 0
5780 4640 1140
5866 5356 510
3945 3702 243
3879 3771 108
3826 3426 400
7469 0 7469
0 8874
0 4462
202 0
4622 0
2544 0
1822 0
1052 0
0 260
0 2119
0 819
0 0
3945 3702 243
3879 3771 108
3826 3426 400
7469 0 7469
8874 0 8874
10584 5927 4657
202 0
4622 0
2544 0
1822 0
1052 0
0 260
0 2119
0 819
0 0
0 0
0 0
7496 0 7496
7665 2653 5012
8128 6319 1809
7761 0 7761
7292 4694 2598
2594 1603 991
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5866 5356 510
3945 3702 243
3879 3771 108
3826 3426 400
7469 0 7469
8874 0 8874
0 4462
202 0
4622 0
2544 0
1822 0
1052 0
0 260
0 2119
0 819
0 0
0 0
7806 3192 4614
7496 0 7496
7665 2653 5012
8128 6319 1809
7761 0 7761
7292 4694 2598
0 819
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2594 1603 991
9842 9438,68 403,32
10141 8274,78 1866,22
9877 9566,13 310,87
11471 11233,8 237,2
12981 12368,84 612,16
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10584 5927 4657
7506 0 7506
8546 8017 529
7806 3192 4614
7496 0 7496
7665 2653 5012
1052 0
0 260
0 2119
0 819
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
7665 2653 5012
8128 6319 1809
7761 0 7761
7292 4694 2598
2594 1603 991
9842 9438,68 403,32
0 0
0 0
0 0
0 0
NRO. VALOR ETA BASICA FEC. SALDO FEC. VALOR
1130010153195 03 9/30/2013
1130010153194 03 9/30/2013
3/30/2015
3/30/2015
3/30/2015
3/30/2015
3/30/2015
1130010153196 03 3/30/2015
1130010153195 03 3/30/2015
1130010153194 03 3/30/2015
12/31/2014
12/31/2014
1130010153196 03 12/31/2014
1130010153195 03 12/31/2014
1130010153194 03 12/31/2014
2/28/2015
2/28/2015
2/28/2015
2/28/2015
1130010153196 03 2/28/2015
1130010153195 03 2/28/2015
1130010153194 03 2/28/2015
1130010153196 03 10/30/2014
1130010153195 03 10/30/2014
1130010153194 03 10/30/2014
12/31/2013
12/31/2013
12/31/2013
1/28/2015
1/28/2015
1/28/2015
1130010153196 03 1/28/2015
1130010153195 03 1/28/2015
1130010153194 03 1/28/2015
1130010173745 03 6/30/2015
1130010170732 03 6/30/2015
6/30/2015
6/30/2015
6/30/2015
6/30/2015
6/30/2015
1130010153196 03 6/30/2015
1130010153195 03 6/30/2015
1130010153194 03 6/30/2015
4/30/2015
4/30/2015
4/30/2015
4/30/2015
4/30/2015
1130010153196 03 4/30/2015
1130010153195 03 4/30/2015
1130010153194 03 4/30/2015
1130010170732 03 5/30/2015
5/30/2015
5/30/2015
5/30/2015
5/30/2015
5/30/2015
1130010153196 03 5/30/2015
1130010153195 03 5/30/2015
1130010153194 03 5/30/2015
1130010153194 03 8/30/2014
11/30/2014
1130010153196 03 11/30/2014
1130010153195 03 11/30/2014
1130010153194 03 11/30/2014
ANEXO N I DE


L000507212 11/9/2015 CAP II METROP 7311081RLMAW002
L000507912 11/9/2015 CAP II METROP 9207081FUAAF009
L000507312 11/9/2015 CAP II METROP 7811201PEPCE002
L000507412 11/9/2015 CAP II METROP 7904281AUGLP009
L000507512 11/9/2015 CAP II METROP 8005180SRLNE008
L000506612 11/9/2015 CAP II METROP 5412081LAQCC009
L000506812 11/9/2015 CAP II METROP 6105010MAPCH003
L000506912 11/9/2015 CAP II METROP 6502250CAYRB007
L000507012 11/9/2015 CAP II METROP 6711200HNGZP001
L000507112 11/9/2015 CAP II METROP 7306070BNXXP007
L000230512 11/5/2015 CAP II LUIS PA 7204031CSCVR004
L000507612 11/9/2015 CAP II METROP 8508110AAGLK009
L000507712 11/9/2015 CAP II METROP 8611090MAPAG003
L000507812 11/9/2015 CAP II METROP 8812031QVCUY008
L000258112 11/11/2015 CAP II OSCAR F 8812031QVCUY008
L000584412 11/9/2015 CAP II METROP 7006251LESCE001
L000584712 11/9/2015 CAP II METROP 8106241URMAW00
L000584912 11/9/2015 CAP II METROP 8610080ZIPAJ009
L000585012 11/9/2015 CAP II METROP 8611090MAPAG003
L000257812 11/11/2015 CAP II OSCAR F 7006251LESCE001
L010043812 3/25/2015 HOSPITAL III D 7904281AUGLP009
L000668112 11/9/2015 CAP II METROP 79011O1QSGEJ00O
L000668112 11/9/2015 CAP II METROP 7901101QSGEJ000
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L010042012 3/25/2015 HOSPITAL III D 5704181CCCTS006
L010042112 3/25/2015 HOSPITAL III D 6207101LAQCM001
L010042212 3/25/2015 HOSPITAL III D 6211241PACDD008
L010042312 3/25/2015 HOSPITAL III D 7006251LESCE001
L010042512 3/25/2015 HOSPITAL III D 7007231ROVLJ005
L010042612 3/25/2015 HOSPITAL III D 7306070BNXXP007
L010042712 3/25/2015 HOSPITAL III D 7311081RLMAW002
L010042812 3/25/2015 HOSPITAL III D 7312180FNROE004
L010042912 3/25/2015 HOSPITAL III D 7509061FRYRR002
L010043612 3/25/2015 HOSPITAL III D 8506040LGVCG002
L010043712 3/25/2015 HOSPITAL III D 8812031QVCUY008
L000747812 11/9/2015 CAP II METROP 8510131ARZAD004
L010231312 3/25/2015 HOSPITAL III D 8806280GCMCD000
L010230412 3/25/2015 HOSPITAL III D 5406161QNMAA003
L010230512 3/25/2015 HOSPITAL III D 5912161IULAV09
L010230612 3/25/2015 HOSPITAL III D 7105270CMVGA006
L010230712 3/25/2015 HOSPITAL III D 7306O7DBNXXP007
L010230812 3/25/2015 HOSPITAL III D 7311O81RLMAW002
L010231112 3/25/2015 HOSPITAL III D 8005180SRLNE008
L010231212 3/25/2015 HOSPITAL III D 8005180SRLNE008
L010398412 3/25/2015 HOSPITAL III D 8806280GCMCD0003
L000362912 11/11/2015 CAP II OSCAR F 8012140CMPOJ001
L000835212 11/9/2015 CAP II METROP 6902221BDMLG001
L010398212 3/25/2015 HOSPITAL III D 7901101QSGEJ000
L000924512 11/9/2015 CAP II METROP 5210240MACTA001
L000924712 11/9/2015 CAP II METROP 5704181CCCTS006
L000924812 11/9/2015 CAP II METROP 5912161IULAV009
L000924912 11/9/2015 CAP II METROP 7709170PAMAY007
L000925012 11/9/2015 CAP II METROP 8012140CMPOJ001
T10576012 3/25/2015 HOSPITAL III D 6902221BDMLG001
LO10576112 3/25/2015 HOSPITAL III D 7006251LESCE001
L010576312 3/25/2015 HOSPITAL III D 7101121CARRA003
L010576512 3/25/2015 HOSPITAL III D 7611301CAOOP007
L010576612 3/25/2015 HOSPITAL III D 7709170PAMAY007
L010576912 3/25/2015 HOSPITAL III D 8012140CMPOJ001
L010577012 3/25/2015 HOSPITAL III D 8508030MHBSL007
L010577212 3/25/2015 HOSPITAL III D 6709211ZIJOJ001
L000400612 11/11/2015 CAP II OSCAR F 7611301CAOOP007
L000400312 11/11/2015 CAP II OSCAR F 7509061FRYRR002
L010577312 3/25/2015 HOSPITAL III D 7710161CIMAW002
LO01047112 11/9/2015 CAP II METROP 7006251LESCE001
L010817612 3/25/2015 HOSPITAL III D 6902221BDMLG001
L010818312 3/25/2015 HOSPITAL III D 8510131ARZAD004
L000561412 11/5/2015 CAP II LUIS PA 5210240MACTA001
L000561512 11/5/2015 CAP II LUIS PA 5912161IULAV009
L001047612 11/9/2015 CAP II METROP 8607061VLMAA004
L011067612 3/25/2015 HOSPITAL III D 5210240MACTA001
L011067712 3/25/2015 HOSPITAL III D 5704181CCCTS006
L011067812 3/25/2015 HOSPITAL III D 5801150CTQSD008
311067912 3/25/2015 HOSPITAL III D 6902221BDMLG001
L011068112 3/25/2015 HOSPITAL III D 7204031CSCVR004
L011068512 3/25/2015 HOSPITAL III D 8012140CMPOJ001
L011068612 3/25/2015 HOSPITAL III D 8312191CMSUA001
L011068812 3/25/2015 HOSPITAL III D 8607061VLMAA004
L011313113 3/25/2015 HOSPITAL III D 771120OMRCREO01
L000710613 11/5/2015 CAP II LUIS PA 8103070MAPCS001
L001271213 11/9/2015 CAP II METROP 6006160TLCTR006
L001271213 11/9/2015 CAP II METROP 6006160TLCTR006
L001271413 11/9/2015 CAP II METROP 7105270CMVGA006
L001271613 11/9/2015 CAP II METROP 7711200MRCRE001
L001271713 11/9/2015 CAP II METROP 8103070MAPCS001
L011312813 3/25/2015 HOSPITAL III D 8103070MAPCS001
L011312913 3/25/2015 HOSPITAL III D 8312191CMSUA001
L011313013 3/25/2015 HOSPITAL III D 8607061VLMAA004
L011534613 3/25/2015 HOSPITAL III D 8103070MAPCS001
L000600813 11/11/2015 CAP II OSCAR F 7306101TOHMR001
LO01373113 11/9/2015 CAP II METROP 5912161IULAV009
L011534213 3/25/2015 HOSPITAL III D 7105270CMVGA006
LO01472113 11/9/2015 CAP II METROP 5210240MACTA001
L001472413 11/9/2015 CAP II METROP 7312180FNROE004
L011774913 3/25/2015 HOSPITAL III D 6505241PAPEH002
L012048613 3/25/2015 HOSPITAL III D 6604041CZBRQ002
L012049113 3/25/2015 HOSPITAL III D 7710161CIMAW002
L012049413 3/25/2015 HOSPITAL III D 8012061RORRR002
L001722113 11/9/2015 CAP II METROP 6604041CZBRO002
L001722113 11/9/2015 CAP II METROP 6604041CZBRO002
LO01722413 11/9/2015 CAP II METROP 7904281AUGLP009
L012354413 3/25/2015 HOSPITAL III D 8012061RQRRR002
L012353713 3/25/2015 HOSPITAL III D 6501231FRVTA005
L012611013 3/25/2015 HOSPITAL III D 7602220DZVGY000
L013107913 3/25/2015 HOSPITAL III D 7702011CLCLF009
L013108213 3/25/2015 HOSPITAL III D 8801151PTCUJ000
L013108313 3/25/2015 HOSPITAL III D 7911201CICMB002
L013107113 3/25/2015 HOSPITAL III D 7401071SCMAJ006
L013107513 3/25/2015 HOSPITAL III D 7511290AURZR008
L013107613 3/25/2015 HOSPITAL III D 76O222ODZVGYO0O
L013107713 3/25/2015 HOSPITAL III D 7702(311CLCLF009
LO01303313 11/5/2015 CAP II LUIS PA 7204031CSCVR004
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L002045213 11/9/2015 CAP II METROP 8312191CMSUA001
L002045313 11/9/2015 CAP II METROP 8809090MACAL003
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L013623713 3/25/2015 HOSPITAL III D 7702011OLCLF009
L013624113 3/25/2015 HOSPITAL III D 8012061RORRR002
L013624213 3/25/2015 HOSPITAL III D 7208030GLSSR004
L013624313 3/25/2015 HOSPITAL III D 7208030GLSSR004
L013622913 11/11/2015 CAP II OSCAR F 5912161IULAV009
L002275613 11/9/2015 CAP II METROP 7702011CLCLF009
L001539613 11/5/2015 CAP II LUIS PA 5304191CDMAH004
L001616413 11/5/2015 CAP II LUIS PA 7306101TOHMR001
L001616513 11/5/2015 CAP II LUIS PA 7602220DZVGY000
L001616513 11/5/2015 CAP II LUIS PA 760222ODZVGYO00
L002582213 11/9/2015 CAP II METROP 8312191CMSUA001
L014253213 3/25/2015 HOSPITAL III D 6504141CBLOJ006
L014253713 3/25/2015 HOSPITAL III D 7607221LALA1005
L002696313 11/9/2015 CAP II METROP 8012140CMPOJ001
L002696413 11/9/2015 CAP II METROP 8211140ASOVL007
L014520013 3/25/2015 HOSPITAL III D 7607221LALAI005
L014520313 3/25/2015 HOSPITAL III D 7809140PTMAY005
L014520713 3/25/2015 HOSPITAL III D 9104231ROBIR005
L014520813 3/25/2015 HOSPITAL III D 9104231ROBIR005
L014521113 3/25/2015 HOSPITAL III D 7811201PEPCE002
L001181613 11/11/2015 CAP II OSCAR F 8012140CMPGJ001
L001695813 11/5/2015 CAP II LUIS PA 7602220DZVGY000
L002808413 11/9/2015 CAP II METROP 7910150MEMAF019
L014801313 3/25/2015 HOSPITAL III D 8608191OEHNR001
L014801413 3/25/2015 HOSPITAL III D 7306131RRFNM000
L014801513 3/25/2015 HOSPITAL III D 7306131RRFNM000
L014800613 3/25/2015 HOSPITAL III D 7607221LALAI005
L014800713 3/25/2015 HOSPITAL III D 7810211SRLNO007
L014800813 3/25/2015 HOSPITAL III D 7811201PEPCE002
L001229013 11/11/2015 CAP II OSCAR F 7910150MEMAF019
5
ROS
ULAR

FIGUEROA AYRAMPO FREDD ALDHAIR ASEG
SERRANO LLANOS ELDA CONC
LIMACHIQUECANA CRISTOBAL ASEG
LIMACHI QUECANA CRISTOBAL ASEG
LIMACHI QUECANA CRISTOBAL CONY
LIMACHI QUECANA CRISTOBAL CONY
MAMANI PILCO HERMINIA ASEG
COPA YUFRA DE CUTIP BERTHA ASEG
HUANCA GONZALO PASTORA ASEG
CAUSA CERVANTES RICARDO HIJO
CAUSA CERVANTES RICARDO CONC
ARIAS GUILLERMO ARLA LUZMILA ASEG
MAMANI PIZARRO GIANIRA URIELY ASEG
QUEVEDO CAHUANA YESSITH CONC
QUEVEDO CAHUANA YESSITH HIJO
URURI MAMANI WILLIAMS MAX ASEG
ARIAS GUILLERMO ARLA LUZMILA ASEG
ARIAS GUILLERMO KARLA LUZMILA ASEG
ZU-IGA PIZARRO JESSICA GEOVANA ASEG
MAMANI PIZARRO GIANIRA URELY ASEG
LOPEZ SANCHEZ EDGARD MIGUEL HUO
QUISPE GOMEZ JOSE LUIS ASEG
AYHUASI GIL PEDRO EFRAIN,, ASEG
AYHUASI GIL PEDRO EFRAJN ASEG
URURI MAMAN! WILLIAMS MAX ASEG
MARROQUIN CABRERA ELIZABETH YOVA HIJO
CHACON CASTRO SALVADOR CONY
LIMACHI QUICAO MARCIAL ASEG
PIZARRO CALDERON DELFIO FORTUNA CONY
RAMOS VILLALBA JULIO CESAR ASEG
FLORES YUFRA RICHAR JULIO HIJO
FLORES YUFRA RICHAR JULIO ASEG
FLORES YUFRA RICHAR JULIO CONC
MARROQUIN CABRERA ELIZABETH YOU HIJO
MARROQUIN CABRERA ELIZABETH YOVX ASEG
MARROQUIN CABRERA ELIZABETH YOVM HIJO
LENGUA VASCONES GINA VIVIANA ASEG
HANCA GONZALO PASTORA ASEG
SERRANO LLANOS ELDA HIJO
SERRANO LLANOS ELDA ASEG
ALARICO ZEBALLOS DANIEL ALBERTO ASEG
GARCIA MELCHOR DAYSI ASEG
QUl-ONEZ MAMANI AURELIANO JULIO ASEG
FLORES YUFRARICHAR JULIO HIJO
MARROQUIN CABRERA ELIZABETH YOV5C ASEG
GARCIA MELCHOR DAYSI ASEG
BENDEZU MILLA GLEN WILLIAMS CONC
BENDEZU MILLA GLEN WILLIAMS HIJO
BENDEZU MILLA GLEN WILLIAMS HIJO
LENGUA VASCONES GINA VIVIANA HIJO
CHACON CASTRO SALVADOR ASEG
BENDEZU MILLA GLEN WILLIAMS ASEG
COHAILA RODRIGUEZ ANTONIO HUMBER HIJO
DE LA CUBA ORDOEZ PEDROANTON ASEG
MARROQUIN CABRERA ELIZABETH YOW ASEG
MACHICADO BLAS LISETH HIJO
MACHICADO BLAS LISETH ASEG
ZU-IGA JIRON JURGEN NOE CONC
DE LA CUBA ORDOEZ PEDROANTON CONC
CAI MAMANI WALTER ASEG
FLORES YUFRA RICHAR JUUO CONC
PIZARRO MAMANIYUDITH ROSARIO HIJO
MARROQUIN CABRERA ELIZABETH YOVA ASEG
MACHICADO BLAS LISETH HIJO
ALARICOZEBALLOS DANIEL ALBERTO ASEG
MARROQUIN CABRERA ELIZABETH YOVA HIJO
QUEVEDO CAHUANA YESSITH. HIJO
CAUSA CERVANTES RICARDO ASEG
SERRANO LLANOS ELDA ASEG
VILLALBA MAMANI ALEX EDUARDO ASEG
LOPEZ! SANCHEZ EDGARD MIGUEL HIJO
MEZA CASTILLO ANGELA MARIA CONC
MEZA CASTILLO ANGELA MARIA- ASEG
MARRQQUIN CABRERA ELIZABETH YOV ASEG
FLORES YUFRA RICHAR JUO HIJO
QUEVEDO CAHUANA YESSlTH HIJO
LENGUA VASCONES GINA VIVIANA HIJO
VILLALBA MAMANIALEX EDUARDO ASEG
MARROQUIN CABRERA ELIZABETH YOVM1 HIJO
MARROQUIN CABRERA ELIZABETH YO ASEG
MAMANI PAUCAR SONIA YOLANDA ASEG
TELLO DE CONTRERAS ROSA SILVIA ASEG
TELL0 DE CONTRERAS ROSA SILVIA ASEG
MARRQQUIN CABRERA ELIZABETH YOV ASEG
DE LA CUBA ORDOEZ PEDROANTON HIJO
MAMANI PAUCAR SONIA YO ASEG
CHAMBILLA SEGURA ALFREDO SAMEfi! ASEG
VILLALBA MAMANIALEX EDUARDO ASEG
TICONA HUAMAN RICHARD REY ASEG
COHAILA RODRIGUEZ ANTONIO HUMBES HIJO
AYHUASI GIL PEDRO EFRAIN HUO
QUEVEDO C AH UANA YESSITH HIJO
DE LA CRUZ BERRIOS OMAR TEODORC HIJO
CAI MAMANI WALTER ASEG
RAMOS RODRIGO RENE ADALBERTO ASEG
DE LA CRUZ BERRIOS OMAR TEODORC ASEG
DE LA CRUZ BERRIOS OMAR TEODORC ASEG
QUEVEDO CAH UANA YESSITH HIJO
DIAZ VARGAS YAQUELYN PAOLA ASEG
LOPEZ SANCHEZ EDGARD HIJO
AYHUASI GIL PEDRO EFRA1N CONC
CALLE CALLE FAUSTINO CONY
PLATERO CUNURANA JOSE ANTONIO ASEG
CAPIA CHAMBILLA BENIGNO CONY
COHAILA RODRIGUEZ ANTONIO HUMBES ASEG
SANCHEZ MAMANI JOSE ANTONIO ASEG
SANCHEZ MAMANI JOSE ANTONIO HIJO
ANQUIS RUIZ RUBY LIVIA ASEG
DIAZ VARGAS YAQUELYN PAOLA ASEG
CALLE CALLE FAUSTINO HIJO
MAMANI CALANI LILY ELIZABETH ASEG
VARGAS YAQUELYN PAOLA HIJO
VARGAS YAQUELYN PAOLA ASEG
CALLE CALLE FAUSTINO ASEG
GALLARDO DE SUCSO ROSARIO JANET HJO
GALLARDO DE SUCSO ROSARIO JANET HJO
SANCHEZ MAMANI JOSE ANTONIO ASEG
CAUSA CERVANTES RICARDO HUO
CONDORI MAMANI HERMOGENES VICEN ASEG
CONDORI MAMANI HERMOGENES VICEWB ASEG
CAUSA CERVANTES RICARDO HUO
TICONA HUAMAN RICHARD REY HIJO
DIAZ VARGAS Y AQUEL YN PAOLA HIJO
DIAZ VARGAS YAQUELYN PAOLA HIJO
PIZARRO MAMANIYUDITH ROSARIO ASEG
PIZARRO CALDERON DELFIO FORTUNATO CONY
CARBONEL LUYO JESUS SABINO ASEG
COHAILA RODRIGUEZ ANTONIO HUMBBBD CONC
CQHAILA RODRIGUEZ ANTONIO HUMBBf HIJO
COHA1LA RODRIGUEZ ANTONIO HUMBER HIJO
CALLE.CALLE FAUSTINO HIJO
PORTUGAL MAMANI YVONNE JUDITH ASEG
RAMOS BENITES RONALD FERNANDO HIJO
RAMOS BENITES RONALD FERNANDO CONC
COHAILA RODRIGUEZ ANTONIO HUMBEfS SEG
COHAILA RODRIGUEZ ANTONIO HUMBBBD CONC
LOPEZ SANCJpgpGARD MIGUEL CONY
CONDORI MAMANI HERMOGENES VICENTE ASEG
DIAZ VARGAS YAQUELYN PAOLA HIJO
INQUILLA LUNA VICTOR HUO
MELENDREZ MAMANI FLAVIA ASEG
ORTEGAL HUANCA RONALD HUMBERTO. ASEG
RODRIGUEZ FERNANDEZ MIGUEL TRINQ ASEG
RODRIGUEZ FERNANDEZ MIGUEL TRINO CONY
SERRANO LLANOS ORLANDO ASEG
LOPEZ SANCHEZ EDGARD MIGUEL HUO
MELENDREZ MAMANI FLAVIA ASEG
ACIONES OTORGADAS N 916990003826

RUELAS MAMANIWILLY RICARDO 01 201205 5/30/2012
FIGUEROA AYRAMPO FREDD ALDHAIR 01 201205 5/17/2012
AYHUASI GONGORAYAMILETMITAYS 01 201205 5/25/2012
RAMIREZ MAMANI FELIX WILSON 03 201205 5/30/2012
UMACHI QUECANA CRISTOBAL 03 201205 5/14/2012
LIMACHI QUECANA CRISTOBAL 01 201205 5/14/2012
CORI LIMACHI DE LIM CRISCENCIA 03 201205 5/18/2012
CORI LIMACHI DE LIM CRISCENCIA 01 201205 5/18/2012
MAMANI PILCO HERMINIA 01 201205 5/25/2012
COPA YUFRA DE CUTIP BERTHA 01 201205 5/31/2012
HUANCA GONZALO PASTORA 01 201205 5/23/2012
CAUSA PACO JHON ALEXANDER 01 201205 5/10/2012
PACO TAPIA DOMITILA LATINAM 01 201205 5/5/2012
ARIAS GUILLERMO KARLA LUZMILA 01 201205 5/30/2012
MAMANI PIZARRO GIANIRA URIELY 01 201205 5/25/2012
CHURA HUIZA FLOIDY GLORIA 01 201205 5/24/2012
QUEVEDO CHURA JEAN PIERO YESSI 03 201206 6/26/2012
URURI MAMANI WILLIAMS MAX 01 201206 6/13/2012
ZU-IGA PIZARRO JESSICA GEOVANA 01 201206 6/7/2012
MAMANI PIZARRO GIANIRA URIELY 01 201206 6/26/2012
LOPEZ PEREZ MEUSSA ADRIANA 01 201206 6/26/2012
PEREZ VELA ANA YSABEL 03 201206 2770872012
QUISPE GOMEZ JOSE LUIS 01 201207 7/11/2012
QUISPE GMEZ JOSE LUIS 03 201207 7/11/2012
LOPEZ PEREZ MESSA ADRIANA 01 201207 7/12/2012
GONGORA SAAVEDRA KARLA JHULIZA01 01 201207 7/23/2012
ROSALES MARROQUIN CECILIA ROCI 01 201207 7/20/2012
QUI-ONEZ MAMANI AURELIANO JULI 01 201207 7/9/2012
MENENDEZ DE CHACON EDDA ZOILA 01 201207 7/9/2012
LIMACHI QUICA-O MARCIAL 01 201207 7/4/2012
MAMANI VEGA V1LMA ESTHER 01 201207 7/31/2012
RAMOS VILLALBA JULIO CESAR 01 201207 7/17/2012
FLORES VEGA JULIO RICARDO 01 201207 7/25/2012
FLORES YUFRA RICHAR JULIO 01 201207 7/10/2012
VEGA FLORES LOURDES ADELAIDA 01 201207 7/12/2012
ROSALES MARROQUIN TAMARA LOREB1 01 201207 7/30/2012
MARROQUIN CABRERA ELIZABETH YO01 01 201207 7/13/2012
ROSALES MARROQUIN TIARA ROSSAND1 01 201207 7/21/2012
RAMIREZ SERRANO WILIAMS KEVIN 01 201208 8/14/2012
RAMIREZMAMANI FELIX WILSON 01 201208 8/15/2012
SERRANO LLANOS ELDA 01 201208 8/13/2012
ALARICO ZEBALLOS DANIEL ALBERT 01 01 201208 8/9/2012
GARCIA MELCHOR DAYSI 01 201208 8/23/2012
QUI-ONEZ MAMANI AURELIANO JULI 01 201208 8/7/2012
MARROQUIN CABRERA ELIZABETH YO 01 201208 8/24/2012
CHOQUECOTA SERRANO SANDRO RODY 01 201208 8/10/2012
GARCIA MELCHOR DAYSI 01 201209 9/18/2012
MAMANI VEGA VILMA ESTHER 01 201209 9/25/2012
CALDERON URRIOLA MERCEDES DEL 03 201209 9/26/2012
BENDEZU CALDERON GLEN WILLIAMS 02 201209 9/21/2012
BENDEZU CALDERON GLEN WILLIAMS 01 201209 9/21/2012
RAMIREZ MAMANI FELIX W1LSON 01 201209 9/24/2012
RAMOS LENGUA BRUNO FERNANDO 01 201209 9/25/2012
UMACHI QUECANA CRISTOBAL 01 201210 10/11/2012
CHACON CASTRO SALVADOR 03 201210 10/25/2012
BENDEZU MILLA GLEN WILLIAMS 01 201210 10/17/2012
COHAILA FLORES ALEXANDER ANTONIO 01 201210 10/4/2012
DE LA CUBA ORDO-EZ PEDROANTON 01 201210 10/31/2012
CARHUATANTA MACHICADO MARGIORI 01 201210 10/11/2012
MACHICADO BLAS LISETH 01 201210 10/11/2012
ROQUE GODOY YASNA GOANNA 01 201210 10/30/2012
GIRON QUENTA ISABEL DEL CARMEN 01 201210 10/20/2012
FLORES YUFRA RICHARD JULIO 03 201210 10/25/2012
FLORES YUFRA RICHARD JULIO 01 201210 10/25/2012
CAI MAMANI WALTER 01 201210 10/7/2012
LOPEZ PEREZ MESSA ADRIANA 03 201211 11/24/2012
JALIRI PIZARRO ANDREZ LENNIN J 01 201211 11/20/2012
DE LA CUBA ORDO-EZ PEDROANTON 01 201211 11/5/2012
CARHUATANTA MACHICADO MARGIORY 01 201211 11/14/2012
ALARICO ZEBALLOS DANIEL ALBERT 01 201211 11/9/2012
ROSALES MARROQUIN TIARA ROSSAN 01 201211 11/13/2012
CAUSA CERVANTES RICARDO 01 201211 11/29/2012
SERRANO LLANOS ELDA 01 201211 11/16/2012
VILLALBA MAMANI ALEX EDUARDO 01 201211 11/26/2012
FLORES YUFRA RICHAR JUUO 01 201211 11/12/2012
FLORES YUFRA RICHAR JULIO 03 201211 11/12/2012
ASEG MEZA CASTILLO ANGELA MARIA 02 201211 11/30/2012
FLORES VEGA JUUO RICARDO 01 201212 12/3/2012
FLORES VEGA JUO RICARDO 03 201212 12/3/2012
VILLALBA MAMANIALEX EDUARDO 01 201212 12/27/2012
ROSALES MARROQUIN TAMARA LOREH 01 201212 12/4/2012
MAMANI PAUCAR SONIA YOLANDA 02 201301 1/11/2013
TELLO DE CONTRERAS ROSA SILVIA 03 201301 1/2/2013
TELLO DE CONTRERAS ROSA SILVIA 01 201301 1/2/2013
DE LA CUBA GIRON SEBASTIAN ANT 01 201301 1/22/2013
DE LA CUBA ORDO-EZ PEDRO ANTO 01 201301 1/23/2013
TICONA HUAMAN RICHARD REY 03 201302 2/20/2013
COHAILA FLORES ALEXANDER ANTONIO 01 201302 2/28/2013
GONGORASAAVEDRA KARLA JHULIZA 03 201303 3/22/2013
GONGORA SAAVEDRA KARLA JHULIZAD 01 201303 3/22/2013
JAURI PIZARRO ANDREZ LENNIN J 01 201303 3/5/2013
DE LA CRUZ MANCILLA TAMARHA YA 01 201304 4/30/2013
CA-I MAMANI WALTER 01 201304 4/13/2013
RAMOS RODRIGO RENE ADALBERTO 01 201304 4/25/2013
DE LA CRUZ BERRIOS OMAR TEODOR 01 201305 5/15/2013
DE LA CRUZ BERRIOS OMAR TEODOR 03 201305 5/15/2013
INQUILLA FLORES R.N. 01 201305 5/24/2013
DIAZ VARGAS YAQUELYN PAOLA 01 203306 6/27/2013
INQUILLA FLORES R.N. .agsC.-v. 01 203306 6/3/2013
AYHUASI GONGORA YAMILETMITAYS 01 201306 6/15/2013
CAMARGO MELCHOR GLADYS 01 201307 7/5/2013
PLATERO CUNURANA JOSE ANTONIO 01 201307 7/30/2013
POLLOYQUER HUICHI NILLY EDITH 01 201307 7/31/2013
COHAILA RODRIGUEZ ANTONIO HUMB 01 201307 7/8/2013
SANCHEZ MAMANI JOSE ANTONIO 01 201307 7/9/2013
SANCHEZ FARFAN XIMENA ALEXANDR 01 201307 7/19/2013
SANCHEZ FARFAN STEPHANIE DANIA 01 201307 7/5/2013
SANCHEZ FARFAN ALEXIS MARTIN 01 201307 7/2/2013
ANQUIS RUIZ RUBY LIVIA 01 201307 7/22/2013
CALLE CAMARGO EL1ZA 01 201307 7/15/2013
CALLE CAMARGO MATEO QUINTIN. 01 201307 7/12/2013
INQUILLA FLORES ROUSS [RENE 03 201307 7/12/2013
SANCHEZ FARFAN ALEXIS MARTIN 03 201307 7/3/2013
CHAMBILLA SEGURA ALFREDO JAVIE 02 201307 7/15/2013
CHAMBILLA SEGURA ALFREDO JAVE 01 201307 7/15/2013
MAMANI CALANI LILY ELIZABETH 01 201307 7/22/2013
FERNANDEZ DIAZ SONIA PAOLA 01 201308 8/1/2013
CALLE CAMARGO MATEO QUINTIN 01 201308 8/14/2013
CALLE CALLE FAUSTINO 01 201308 8/16/2013
POLLOYQUERIHUICHI NILLY EDITH 01 201308 8/14/2013
SUCSO GALLARDO ENRIQUE JESUS 01 201308 8/16/2013
SUCSO GALLARDO ROSSMERIE MILAG 01 201308 8/21/2013
SANCHEZ MAMANI JOSE ANTONIO 01 201308 8/9/2013
CONDORI MAMANI HERMOGENES VICEM 01 201309 9/26/2013
CONDORI MAMANI HERMOGENES VIC5 03 201309 9/26/2013
TICONA MAMANI ANDREA DEL ROSAR 01 201310 10/9/2013
FERNANDEZ DIAZ SONI PAOLA 02 201310 10/25/2013
POLLOYQUERI HUICHI NILLY EDITH 01 201310 10/15/2013
CARBONEL LUYO JESUS SABINO 01 201310 10/24/2013
COHAILA FLORES ALEXANDER ANTON 01 201310 10/29/2013
ACOSTA OLIVEIRA LARIZA DEL PIL 03 201311 11/20/2013
ACOSTA OLIVEIRA LARIZA DEL PIL 01 201311 11/20/2013
COHAILA FLORES ALEXANDER ANTON 01 201311 11/26/2013
CALLE CAMARGO EUZA 01 201311 11/29/2013
CALLE CAMARGO MATEO QUINTIN 01 201311 11/28/2013
PORTUGAL MAMANI YVONNE JUDITH 01 201311 11/7/2013
POLLOYQUERI HUICHI NILLY EDITH 01 201311 11/26/2013
VILLARROEL CUTIPA MARIBEL GEOF 01 201311 11/20/2013
AYHUASI GONGORA JHUCIELY DARLY 01 201311 11/21/2013
COHAILA RODRIGUEZ ANTONIO HUMB 01 201311 11/26/2013
PEREZ VELA ANA Y&ABEL 01 201311 11/19/2013
CONDORI MAMANI HERMOGENES VICENTE 02 201311 11/14/2013
AYHUASI GONGORA JHUCIELY DARLY 01 201312 12/16/2013
MELENDREZ MAMANI FLAVIA 02 201312 12/24/2013
ORTEGAL HUANCA RONALD HUMBERTO 01 201312 12/30/2013
RODRIGUEZ FERNANDEZ MIGUEL TRI 01 201312 12/17/2013
AYHUASI GONGORA JHUCIELY DARL 01 201312 12/30/2013
FEUOO MENDO JOSE ANTONIO 01 201312 12/5/2013
SERRANO LLANOS ORLANDO 01 201312 12/20/2013
VILLARROEL CUTIPA MARI BEL GEOR 01 201312 12/18/2013
POLLOYQUERI HUICHI NILLY EDTH 01 201312 12/31/2013
MELENDREZ MAMANI FLAVIA 01 201312 12/14/2013
TOTAL
IMPORTE
56.00
22.00
9.82
13.00
8.12
13.00
13.02
13.00
3.64
41.00
22.00
26.00
54.24
46.00
10.50
22.00
15.68
49.00
4.43
22.00
22.00
104.00
27.00
148.00
13.00
0.84
332.00
92.00
60.00
235.00
13.00
22.00
2.64
22.00
206.00
22.00
22.00
27.00
4.68
103.00
45.91
51.00
2.00
23.00
33.00
12.18
141.00
97.01
8.40
44.00
27.00
18.72
22.00
16.37
37.00
22.00
13.00
14.72
15.67
22.00
29.95
35.00
22.00
2.25
24.69
77.00
55.00
21.06
63.00
7.42
33.00
4.06
3.42
14.00
3.08
0.00
35.00
1.65
3.68
22.00
138.00
35.00
191.22
122.00
147.00
118.24
52.90
43.08
21.80
68.00
137.40
203.00
32.00
1.11
62.67
21.20
45.50
32.00
44.48
7.00
13.00
12.60
18.72
13.00
7.84
13.00
14.00
22.00
28.00
6.45
41.00
5.78
12.00
910.15
112.00
2294.72
75.88
11.00
62.00
32.00
21.20
46.91
47.12
12.00
17.00
12.00
22.00
105.46
233.00
13.00
11.76
6.51
44.00
336.00
113.00
22.00
13.00
8.40
43.56
39.40
137.43
87.87
54.60
32.31
2.00
48.16
13.00
13.86
4.20
40.00
50.00
14.00
4.20
145.00
213.00
43.00
90.40
33.04
35.62
33.07
4.20
48.40
121.34
166.03
22.60
62.00
46.92
33.86
146.80
11.00
11.00
10.00
30.00
4.20
33.00
1.92
22.00
7.40
18.00
12.00
45.18
110.00
76.00
21.65
18.28
4.20
197.00
14.00
132.00
50.00
2.55
27.00
22.00
6.51
163.00
27.00
13.00
75.00
58.81
41.80
45.00
143.23
22.60
74.96
32.00
43.65
44.48
34.68
13.20
46.00
0.78
43.00
32.00
32.00
22.00
13.00
11.76
46.00
6.16
23.60
44.00
36.00
2.87
48.00
287.00
49.00
919.57
25.00
27.00
9.30
54.00
9.25
121.00
20.43
22.00
66.00
4.20
6.10
69.00
22.00
55.00
11.28
5.00
44.00
11.00
4.64
42.00
22.00
19.07
4.20
18.00
10.08
59.00
77.00
2.51
29.00
49.00
47.75
8.40
24.00
229.28
45.32
32.00
33.40
14.10
15.36
47.26
32.00
43.68
65.74
22.00
142.72
54.00
4.11
27.00
32.00
12.00
84.00
51.00
4.20
7.21
22.00
18.89
27.00
13.44
13.00
22.00
6.04
52.00
13.00
26.00
45.00
10.56
126.00
49.15
56.00
40.40
395.32
45.20
121.09
126.72
56.00
71.50
103.68
4.92
22.00
131.00
7.53
44.00
2.00
12.00
5.25
18.00
11.00
3.36
27.00
5.31
22.00
22.00
28.00
27.00
48.16
13.00
13.44
22.00
148.00
44.00
165.00
56.00
128.88
73.22
50.93
80.20
42.56
2.68
18.00
122.00
11.00
44.00
0.30
50.00
12.00
64.00
37.80
44.00
82.00
13.00
4.20
14.00
29.10
373.22
32.28
129.00
53.82
589.02
101.25
54.60
45.30
4.52
35.00
76.00
42.00
11.00
11.00
11.00
34.00
8.40
1.32
22.00
201.00
22.00
7.49
507.18
52.02
46.00
138.67
36.98
116.40
117.02
16.37
108.68
15.78
27.00
44.00
13.00
35.00
57.72
34.00
2.17
44.00
13.00
50.00
4.20
51.00
2.85
44.00
5.86
25.02
30.00
11.00
22.00
6.84
8.71
65.00
100.00
88.99
16.37
79.00
54.63
207.00
40.74
160.00
75.48
1233.80
31.00
161.70
149.00
11.00
32.00
390.00
278.00
32.00
4.23
22.00
15.32
64.00
18.00
14.00
39.00
1.86
14.00
13.00
2.73
22.00
22.00
60.00
46.13
3.61
27.00
38.34
67.10
84.00
48.37
0.78
0.88
1966.00
32.72
112.21
108.08
43.09
51.80
34.77
168.76
46.75
35.24
30.00
5.94
4.77
27.00
30.00
3.50
22.00
22.00
0.87
92.00
2.00
81.00
22.00
14.09
5.31
27.00
9.72
220.00
22.00
92.00
35.10
14.00
75.00
970.51
47.19
623.05
12.00
12.00
79.87
75.00
5.28
44.89
128.57
15.36
88.45
61.27
48.21
12.00
2.00
18.00
20.80
74.00
7.00
22.00
13.00
55.00
22.00
2.43
13.00
54.00
6.49
78.00
40.00
2.05
27.00
22.00
1.40
2.10
11.00
194.00
7.56
39.00
63.00
4.55
39.00
7.84
22.00
53.00
1.68
27.00
1.11
13.00
36.00
2.82
11.00
33.00
36.00
53.00
37.02
65.00
34.00
0.60
73.00
5.00
96.00
12.00
34.00
115.00
70.00
5.06
44.00
36.96
27.00
13.00
27.00
10.00
22.00
2.80
22.00
67.00
40.00
68.87
32.00
55.78
32.42
56.85
75.72
48.62
575.00
886.00
57.00
817.18
22.00
6.52
30.90
22.00
38.00
4.90
36.00
22.00
2.52
167.00
33.00
22.00
10.89
20.94
27.00
172.00
3.33
57.00
0.96
849.18
45.95
51.89
186.37
46.23
2135.33
180.52
32.00
158.00
56.00
60.00
396.10
53.00
24.00
520.00
2.00
12.00
18.00
7.50
16.00
22.00
5.54
22.00
22.00
18.00
40.00
9.81
22.00
20.94
13.00
13.00
14.00
27.00
2.00
212.00
22.00
96.00
43.40
28.00
28.00
43.11
48.96
52.45
214.20
1045.68
184.65
88.00
67.87
444.43
32.00
182.51
22.00
5.67
22.00
12.14
18.00
4.45
30.00
38.98
19.46
46,447.39
ANEXO N II EVALUACION DE LOS PERIODOS DE PAGO

N MES CONT MES EVAL FORMUL COD. PAGO FEC. DECLARADA

1 201205 201203 0601 052100 18/04/12
2 201205 201202 0601 052100 14/03/12
3 201205 201201 0601 052100 14/02/12
4 201205 201112 0601 052100 12/01/12
5 201205 201111 0601 052100 13/12/11
6 201205 201110 0601 052100 10/11/11
7 201205 201109 052100
8 201205 201108 052100
9 201205 201107 052100
10 201205 201106 052100
11 201205 201105 052100
12 201205 201104 052100
13 201205 201103 052100
14 201205 201102 052100
15 201205 201101 052100
16 201205 201012 052100
17 201205 201011 052100
18 201205 201010 052100
1 201206 201204 0601 052100 18/05/12
2 201206 201203 0601 052100 18/04/12
3 201206 201202 0601 052100 14/03/12
4 201206 201201 0601 052100 14/02/12
5 201206 201112 0601 052100 12/01/12
6 201206 201111 0601 052100 13/12/11
7 201206 201110 601 052100
8 201206 201109 052100
9 201206 201108 052100
10 201206 201107 052100
11 201206 201106 052100
12 201206 201105 052100
13 201206 201104 052100
14 201206 201103 052100
15 201206 201102 052100
16 201206 201101 052100
17 201206 201012 052100
18 201206 201011 052100
1 201207 201205 0601 052100 20/06/12
2 201207 201204 0601 052100 18/05/12
3 201207 201203 0601 052100 18/04/12
4 201207 201202 0601 052100 14/03/12
5 201207 201201 0601 052100 14/02/12
6 201207 201112 0601 052100 12/01/12
7 201207 201111 052100
8 201207 201110 601 052100
9 201207 201109 052100
10 201207 201108 052100
11 201207 201107 052100
12 201207 201106 052100
13 201207 201105 052100
14 201207 201104 052100
15 201207 201103 052100
16 201207 201102 052100
17 201207 201101 052100
18 201207 201012 052100
1 201208 201206 0601 052100 20/07/12
2 201208 201205 0601 052100 20/06/12
3 201208 201204 0601 052100 18/05/12
4 201208 201203 0601 052100 18/04/12
5 201208 201202 0601 052100 14/03/12
6 201208 201201 0601 052100 14/02/12
7 201208 201112 052100
8 201208 201111 052100
9 201208 201110 601 052100
10 201208 201109 052100
11 201208 201108 052100
12 201208 201107 052100
13 201208 201106 052100
14 201208 201105 052100
15 201208 201104 052100
16 201208 201103 052100
17 201208 201102 052100
18 201208 201101 052100
1 201209 201207 0601 052100 22/08/12
2 201209 201206 0601 052100 20/07/12
3 201209 201205 0601 052100 20/06/12
4 201209 201204 0601 052100 18/05/12
5 201209 201203 0601 052100 18/04/12
6 201209 201202 0601 052100 14/03/12
7 201209 201201 052100
8 201209 201112 052100
9 201209 201111 052100
10 201209 201110 601 052100
11 201209 201109 052100
12 201209 201108 052100
13 201209 201107 052100
14 201209 201106 052100
15 201209 201105 052100
16 201209 201104 052100
17 201209 201103 052100
18 201209 201102 052100
1 201210 201208 0601 052100 11/09/12
2 201210 201207 0601 052100 22/08/12
3 201210 201206 0601 052100 20/07/12
4 201210 201205 0601 052100 20/06/12
5 201210 201204 0601 052100 18/05/12
6 201210 201203 0601 052100 18/04/12
7 201210 201202 052100
8 201210 201201 052100
9 201210 201112 052100
10 201210 201111 052100
11 201210 201110 601 052100
12 201210 201109 052100
13 201210 201108 052100
14 201210 201107 052100
15 201210 201106 052100
16 201210 201105 052100
17 201210 201104 052100
18 201210 201103 052100
1 201211 201209 0601 052100 11/10/12
2 201211 201208 0601 052100 11/09/12
3 201211 201207 0601 052100 22/08/12
4 201211 201206 0601 052100 20/07/12
5 201211 201205 0601 052100 20/06/12
6 201211 201204 0601 052100 18/05/12
7 201211 201203 052100
8 201211 201202 052100
9 201211 201201 052100
10 201211 201112 052100
11 201211 201111 052100
12 201211 201110 601 052100
13 201211 201109 052100
14 201211 201108 052100
15 201211 201107 052100
16 201211 201106 052100
17 201211 201105 052100
18 201211 201104 052100
1 201212 201210 0601 052100 14/11/12
2 201212 201209 0601 052100 11/10/12
3 201212 201208 0601 052100 11/09/12
4 201212 201207 0601 052100 22/08/12
5 201212 201206 0601 052100 20/07/12
6 201212 201205 0601 052100 20/06/12
7 201212 201204 052100
8 201212 201203 052100
9 201212 201202 052100
10 201212 201201 052100
11 201212 201112 052100
12 201212 201111 052100
13 201212 201110 601 052100
14 201212 201109 052100
15 201212 201108 052100
16 201212 201107 052100
17 201212 201106 052100
18 201212 201105 052100
1 201301 201211 0601 052100 12/13/2012
2 201301 201210 0601 052100 11/14/2012
3 201301 201209 0601 052100 10/11/2012
4 201301 201208 0601 052100 9/11/2012
5 201301 201207 0601 052100 8/22/2012
6 201301 201206 0601 052100 7/20/2012
7 201301 201205 052100
8 201301 201204 052100
9 201301 201203 052100
10 201301 201202 052100
11 201301 201201 052100
12 201301 201112 052100
13 201301 201111 052100
14 201301 201110 601 052100
15 201301 201109 052100
16 201301 201108 052100
17 201301 201107 052100
18 201301 201106 052100
1 201302 201212 0601 052100 1/16/2013
2 201302 201211 0601 052100 12/13/2012
3 201302 201210 0601 052100 11/14/2012
4 201302 201209 0601 052100 9/11/2012
5 201302 201208 0601 052100 9/11/2012
6 201302 201207 0601 052100 8/22/2012
7 201302 201206 052100
8 201302 201205 052100
9 201302 201204 052100
10 201302 201203 052100
11 201302 201202 052100
12 201302 201201 052100
13 201302 201112 052100
14 201302 201111 052100
15 201302 201110 601 052100
16 201302 201109 052100
17 201302 201108 052100
18 201302 201107 052100
1 201303 201301 0601 052100 2/19/2013
2 201303 201212 0601 052100 1/16/2013
3 201303 201211 0601 052100 12/13/2012
4 201303 201210 0601 052100 11/14/2012
5 201303 201209 0601 052100 10/11/2012
6 201303 201208 0601 052100 9/11/2012
7 201303 201207 052100
8 201303 201206 052100
9 201303 201205 052100
10 201303 201204 052100
11 201303 201203 052100
12 201303 201202 052100
13 201303 201201 052100
14 201303 201112 052100
15 201303 201111 052100
16 201303 201110 601 052100
17 201303 201109 052100
18 201303 201108 052100
1 201304 201302 0601 052100 3/19/2013
2 201304 201301 0601 052100 2/19/2013
3 201304 201212 0601 052100 1/16/2013
4 201304 201211 0601 052100 12/13/2012
5 201304 201210 0601 052100 11/14/2012
6 201304 201209 0601 052100 10/11/2012
7 201304 201208 601 052100
8 201304 201207 052100
9 201304 201206 052100
10 201304 201205 052100
11 201304 201204 052100
12 201304 201203 052100
13 201304 201202 052100
14 201304 201201 052100
15 201304 201112 052100
16 201304 201111 052100
17 201304 201110 601 052100
18 201304 201109 052100
1 201305 201303 0601 052100 17/04/13
2 201305 201302 0601 052100 19/03/13
3 201305 201301 0601 052100 19/02/13
4 201305 201212 0601 052100 16/01/13
5 201305 201211 0601 052100 13/12/12
6 201305 201210 0601 052100 14/11/12
7 201305 201209 052100
8 201305 201208 601 052100
9 201305 201207 052100
10 201305 201206 052100
11 201305 201205 052100
12 201305 201204 052100
13 201305 201203 052100
14 201305 201202 052100
15 201305 201201 052100
16 201305 201112 052100
17 201305 201111 052100
18 201305 201110 601 052100
1 201306 201304 0601 052100 20/05/13
2 201306 201303 0601 052100 17/04/13
3 201306 201302 0601 052100 19/03/13
4 201306 201301 0601 052100 19/02/13
5 201306 201212 0601 052100 16/01/13
6 201306 201211 0601 052100 13/12/12
7 201306 201210 052100
8 201306 201209 052100
9 201306 201208 601 052100
10 201306 201207 052100
11 201306 201206 052100
12 201306 201205 052100
13 201306 201204 052100
14 201306 201203 052100
15 201306 201202 052100
16 201306 201201 052100
17 201306 201112 052100
18 201306 201111 052100
1 201307 201305 0601 052100 19/06/13
2 201307 201304 0601 052100 20/05/13
3 201307 201303 0601 052100 17/04/13
4 201307 201302 0601 052100 19/03/13
5 201307 201301 0601 052100 19/02/13
6 201307 201212 0601 052100 16/01/13
7 201307 201211 052100
8 201307 201210 052100
9 201307 201209 052100
10 201307 201208 601 052100
11 201307 201207 052100
12 201307 201206 052100
13 201307 201205 052100
14 201307 201204 052100
15 201307 201203 052100
16 201307 201202 052100
17 201307 201201 052100
18 201307 201112 052100
1 201308 201306 0601 052100 17/07/13
2 201308 201305 0601 052100 19/06/13
3 201308 201304 0601 052100 20/05/13
4 201308 201303 0601 052100 17/04/13
5 201308 201302 0601 052100 19/03/13
6 201308 201301 0601 052100 19/02/13
7 201308 201212 052100
8 201308 201211 601 052100
9 201308 201210 052100
10 201308 201209 052100
11 201308 201208 601 052100
12 201308 201207 052100
13 201308 201206 052100
14 201308 201205 052100
15 201308 201204 052100
16 201308 201203 052100
17 201308 201202 052100
18 201308 201201 052100
1 201309 201307 0601 052100 8/19/2013
2 201309 201306 0601 052100 7/17/2013
3 201309 201305 0601 052100 6/19/2013
4 201309 201304 0601 052100 5/20/2013
5 201309 201303 0601 052100 4/17/2013
6 201309 201302 0601 052100 3/19/2013
7 201309 201301 052100
8 201309 201212 052100
9 201309 201211 601 052100
10 201309 201210 052100
11 201309 201209 052100
12 201309 201208 601 052100
13 201309 201207 052100
14 201309 201206 052100
15 201309 201205 052100
16 201309 201204 052100
17 201309 201203 052100
18 201309 201202 052100
1 201310 201308 0601 052100 9/18/2013
2 201310 201307 0601 052100 8/19/2013
3 201310 201306 0601 052100 7/17/2013
4 201310 201305 0601 052100 6/19/2013
5 201310 201304 0601 052100 5/20/2013
6 201310 201303 0601 052100 4/17/2013
7 201310 201302 052100
8 201310 201301 052100
9 201310 201212 052100
10 201310 201211 601 052100
11 201310 201210 052100
12 201310 201209 052100
13 201310 201208 601 052100
14 201310 201207 052100
15 201310 201206 052100
16 201310 201205 052100
17 201310 201204 052100
18 201310 201203 052100
1 201311 201309 0601 052100 10/18/2013
2 201311 201308 0601 052100 9/18/2013
3 201311 201307 0601 052100 8/19/2013
4 201311 201306 0601 052100 7/17/2013
5 201311 201305 0601 052100 6/19/2013
6 201311 201304 0601 052100 5/20/2013
7 201311 201303 052100
8 201311 201302 052100
9 201311 201301 052100
10 201311 201212 052100
11 201311 201211 601 052100
12 201311 201210 052100
13 201311 201209 052100
14 201311 201208 601 052100
15 201311 201207 052100
16 201311 201206 052100
17 201311 201205 052100
18 201311 201204 052100
1 201312 201310 0601 052100 11/20/2013
2 201312 201309 0601 052100 10/18/2013
3 201312 201308 0601 052100 9/18/2013
4 201312 201307 0601 052100 8/19/2013
5 201312 201306 0601 052100 7/17/2013
6 201312 201305 0601 052100 6/19/2013
7 201312 201304 052100
8 201312 201303 601 052100
9 201312 201302 052100
10 201312 201301 052100
11 201312 201212 052100
12 201312 201211 601 052100
13 201312 201210 052100
14 201312 201209 052100
15 201312 201208 052100
16 201312 201207 052100
17 201312 201206 052100
18 201312 201205 052100
DE LOS PERIODOS DE PAGO N 916990003826
MON. DECLARADO MON. PAGADO DIFERENCIA SALDO FEC. SALDO

7625 1245.51 6379.49
7237 7334.48 0.00
6731 6481.55 249.45
5902 5902.00 0.00
8117 8117.00 0.00
7898 7851.00 47.00
0
0
0
0
0
0
0
0
0
7101 4581.53 2519.47
7625 1245.51 6379.49
7237 7334.48 0.00
6731 6481.55 249.45
5902 5902.00 0.00
8117 8117.00 0.00
47 5/30/2012
0
0
0
0
0
0
0
0
0
7756 6716.27 1039.73
7101 4581.53 2519.47
7625 1245.51 6379.49
7237 7334.48 0.00
6731 6481.55 249.45
5902 5902.00 0.00
47 6/30/2012
0
0
0
0
0
0
0
0
0
7788 7419.33 368.67
7756 6716.27 1039.73
7101 4581.53 2519.47
7625 1245.51 6379.49
7237 7334.48 0.00
6731 6481.55 249.45
47 7/31/2012
0
0
0
0
0
0
0
0
0
8175 7932.96 242.04
7788 7419.33 368.67
7756 6716.27 1039.73
7101 4581.53 2519.47
7625 1245.51 6379.49
7237 7334.48 0.00
47 8/30/2012
0
0
0
0
0
0
0
0
8204 7609.47 594.53
8175 7932.96 242.04
7788 7419.33 368.67
7756 6716.27 1039.73
7101 4581.53 2519.47
7625 1245.51 6379.49
0
47 9/30/2012
0
0
0
0
0
0
0
7965 7405.43 559.57
8204 7609.47 594.53
8175 7932.96 242.04
7788 7419.33 368.67
7756 6716.27 2039.73
7101 4581.53 2519.47
0
0
47 10/30/2012
0
0
0
0
0
0
5192 4059,45 1132,55
7965 7405,43 559,57
8204 7609,47 594,53
8175 7932,96 242,04
7788 7419,33 368,67
7756 6716,27 1039,73
0
0
0
47 11/30/2012
0
0
0
0
0
6536 5711.26 824.74
5192 4059.45 1132.55
7965 7405.43 559.57
8204 7609.47 594.53
8175 7932.96 242.04
7788 7419.33 268.67
0
0
0
0
0
47 12/31/2012
0
0
0
0
8612 8171.59 440.41
6536 5711.26 824.74
5192 4059.45 1132.55
7965 7405.43 559.57
8204 7609.47 594.53
8175 7932.96 242.04
0
0
0
0
0
47 1/28/2013
0
0
0
5645 5237.31 407.69
8612 8171.59 440.41
6536 5711.26 824.74
5192 4059.45 1132.55
7965 7405.43 559.57
8204 7609.47 594.53
0
0
0
0
0
0
47 2/28/2013
0
0
7756 7496.15 259.85
5645 5237.31 407.69
8612 8171.59 440.41
6536 5711.26 824.74
5192 4059.45 1132.55
7965 7405.43 559.57
9.98 3/30/2013
0
0
0
0
0
0
0
47 3/30/2013
0
9100 8829,8 270,2
7756 7496,15 259,85
5645 5237,31 407,69
8612 8171,59 440,41
6536 5711,26 824,74
5192 4059,45 1132,55
9.98 4/30/2013
0
0
0
0
0
0
0
0
47 4/30/2013
10893 10478,31 414,69
9100 8829,8 270,2
7756 7496,15 259,85
5645 5237,31 407,69
8612 8171,59 440,41
6536 5711,26 824,74
9.98 5/30/2013
0
0
0
0
0
0
0
0
0
11857 11596,56 260,44
10893 10478,31 414,69
9100 8829,8 270,2
7756 7496,15 259,85
5645 5237,31 407,69
8612 8171,59 440,41
68.38 6/30/2013
9.98 6/30/2013
0
0
0
0
0
0
0
0
14126 13082,82 1043,18
11857 11596,56 260,44
10893 10478,31 414,69
9100 8829,8 270,2
7756 7496,15 259,85
5645 5237,31 407,69
68.38 7/31/2013
0
9.98 7/31/2013
0
0
0
0
0
0
0
12493 11109.45 1383.55
14126 13082.82 1043.18
11857 11596.56 260.44
10893 10478.31 414.69
9100 8829.80 270.20
7756 7496.15 259.85
68.38 8/30/2013
0
0
9.98 8/30/2013
0
0
0
0
0
0
12981 12368.84 612.16
12493 11109.45 1383.55
14126 13082.82 1043.18
11857 11596.56 260.44
10893 10478.31 414.69
9100 8829.80 270.20
68.38 9/30/2013
0
0
9.98 9/30/2013
0
0
0
0
0
0
11471 11233.80 237.20
12981 12368.84 612.16
12493 11109.45 1383.55
14126 13082.82 1043.18
11857 11596.56 260.44
10893 10478.31 414.69
2 10/31/2013
0
68.38 10/30/2013
0
0
9.98 10/30/2013
0
0
0
0
9877 9566.13 310.87
11471 11233.80 237.20
12981 12368.84 612.16
12493 11109.45 1383.55
14126 13082.82 1043.18
11857 11596.56 260.44
2 11/30/2013
0
0
68.38 10/30/2013
0
0
9.98 10/30/2013
0
0
0
NRO. VAL MON. VAL FEC. VAL ETA VAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1110010034668 12 12/31/2012 03
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
ANEXO N I DETALLE DE LAS


L000073315 10/13/2015 HOSPITAL NACIO 7006251LESCE001
L000555015 10/13/2015 HOSPITAL NACIO 5406161QNMAA003

L000555015 10/13/2015 HOSPITAL NACIO 5406161QNMAA003
5
ROS
ULAR


OTORGADAS N 901990021828

QUIONEZ MAMANI AURELIANO JULIO 03 201503 3/13/2015

QUIONEZ MAMANI AURELIANO JULIO 01 201503 3/13/2015
TOTAL
ANEXO N II EVALUACION

RAZON SOCIAL MUNICIPALIDAD DISTRITAL DE P
IMPORTE N MES CONT MES EVAL FORMUL COD. PAGO

579.00 1 201501 201411 0601 052100
753.00 2 201501 201410 0601 052100
38.70 3 201501 201409 0601 052100
557.00 4 201501 201408 0601 052100
503.60 5 201501 201407 0601 052100
764.28 6 201501 201406 0601 052100
983.41 7 201501 201405 601 052100
497.43 8 201501 201404 601 052100
1,008.00 9 201501 201403 052100
10 201501 201402 052100
12.15 11 201501 201401 052100
42.00 12 201501 201312 052100
5,738.57 13 201501 201311 052100
14 201501 201310 052100
15 201501 201309 052100
16 201501 201308 052100
17 201501 201307 052100
18 201501 201306 052100
1 201502 201412 0601 052100
2 201502 201411 0601 052100
3 201502 201410 0601 052100
4 201502 201409 0601 052100
5 201502 201408 0601 052100
6 201502 201407 0601 052100
7 201502 201406 601 052100
8 201502 201405 601 052100
9 201502 201404 601 052100
10 201502 201403 052100
11 201502 201402 052100
12 201502 201401 052100
13 201502 201312 052100
14 201502 201311 052100
15 201502 201310 052100
16 201502 201309 052100
17 201502 201308 052100
18 201502 201307 052100
1 201503 201501 0601 052100
2 201503 201412 0601 052100
3 201503 201411 0601 052100
4 201503 201410 0601 052100
5 201503 201409 0601 052100
6 201503 201408 0601 052100
7 201503 201407 601 052100
8 201503 201406 601 052100
9 201503 201405 601 052100
10 201503 201404 601 052100
11 201503 201403 052100
12 201503 201402 052100
13 201503 201401 052100
14 201503 201312 052100
15 201503 201311 052100
16 201503 201310 052100
17 201503 201309 052100
18 201503 201308 052100
XO N II EVALUACION DE LOS PERIODOS DE PAGO N 916990003826
DAD DISTRITAL DE PACHIA
FEC. DECLARADA MON. DECLARADO MON. PAGADO DIFERENCIA

12/19/2014 8874 0 8874
11/20/2014 10584 5927 4657
10/21/2014 7506 0 7506
9/18/2014 8546 8017 529
8/20/2014 7806 3192 4614
7/18/2014 7496 0 7496
1/21/2015 7469 0 7469

12/19/2014 8874 0 8874
11/20/2014 10584 5927 4657
10/21/2014 7506 0 7506
9/18/2014 8546 8017 529
8/20/2014 7806 3192 4614
2/20/2015 3826 3426 400

1/21/2015 7469 0 7469
12/19/2014 8874 0 8874
11/20/2014 10584 5927 4657
10/21/2014 7506 0 7506
9/18/2014 8546 8017 529
SALDO FEC. SALDO NRO. VAL MON. VAL FEC. VAL
1822 12/31/2014 0
1052 12/31/2014 0
0 1130010153196 260 12/31/2014
0 1130010153195 2119 12/31/2014
0 1130010153194 819 12/31/2014
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2544 1/28/2015 0
1822 1/28/2015 0
1052 1/28/2015 0
0 1130010153196 260 1/28/2015
0 1130010153195 2119 1/28/2015
0 1130010153194 819 1/28/2015
0 0
0 0
0 0
0 0
0 0
0 0
4622 2/28/2015 0
2544 2/28/2015 0
1822 2/28/2015 0
1052 2/28/2015 0
0 1130010153196 260 2/28/2015
0 1130010153195 2119 2/28/2015
0 1130010153194 819 2/28/2015
0 0
0 0
0 0
0 0
0 0
ETA VAL
03
03
03
03
03
03
03
03
03

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ANEXO N I DET

RUC DEL EMPLEADOR 20142438365

LIQUIDAC FEC. LIQUID. CEN DNI TIT

ASEGURADO TITULAR TIP

PACIENTE/BENEFICIARIO AT PERIODO FEC. PREST.

RUC DEL EMPLEADOR 20142438365

N PERIODO MES FORMUL TRIBUTO FEC. DECLARADA

MON. DECLARADO MON. PAGADO DIFERENCIA MON. SALDO MON. VALOR

RUC DEL EMPLEADOR 20142438365

LIQUIDAC FEC. LIQUID. CEN DNI TIT

ASEGURADO TITULAR TIP

PACIENTE/BENEFICIARIO AT PERIODO FEC. PREST.

RUC DEL EMPLEADOR 20142438365

N MES CONT MES EVAL FORMUL COD. PAGO FEC. DECLARADA

MON. DECLARADO MON. PAGADO DIFERENCIA SALDO FEC. SALDO

RUC DEL EMPLEADOR 20142438365

LIQUIDAC FEC. LIQUID. CEN DNI TIT

L000555015 10/13/2015 HOSPITAL NACIO 5406161QNMAA003

ASEGURADO TITULAR TIP

QUIONEZ MAMANI AURELIANO JULIO ASEG

PACIENTE/BENEFICIARIO AT PERIODO FEC. PREST.

QUIONEZ MAMANI AURELIANO JULIO 03 201503 3/13/2015

RUC DEL EMPLEADOR 20142438365

IMPORTE N MES CONT MES EVAL FORMUL COD. PAGO

DAD DISTRITAL DE PACHIA

FEC. DECLARADA MON. DECLARADO MON. PAGADO DIFERENCIA

1/21/2015 7469 0 7469

2/20/2015 3826 3426 400

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