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REPRESENTANTE DE SUPERVISION:

REPRESENTANTE DE CONTRATISTA:
PARTICULARMENTE LOS SIGUIENTES TRABAJOS:
APROBAR RECHAZAR
FIRMA FIRMA
REPRESENTANTE REPRESENTANTE
CONTRATISTA SUPERVISION
NOTA DE CAMPO
REVISARON LOS SIGUIENTES ELEMENTOS:
DE ESTA MANERA SUPERVISION INDICA QUE LA REVISION CONCLUYE
EN:
TJA./___/____ /2013

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