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ACTA DE SITUACIN DE VEHICULO AUTOMOTOR MENOR

En el Distrito de____________________, siendo las ___________ horas del ________________


se procedi a hacer entrega del vehculo automotor menor al seor:
___________________________________________________________, conforme al detalle
siguiente:
DETALLE
PLACA: ____________ CLASE: _____________ MARCA: ___________________ COLOR
______________________ MOTOR N _____________________________________ SERIE No.
_____________________________________ Estado de Carrocera: _____________________

Velocimetro.___________________________________________________________________
Tacometro. ___________________________________________________________________
Palanca de Freno Delantero.______________________________________________________
Empuadura de Acelerador.______________________________________________________
Interruptor control de Faro._______________________________________________________
Interruptor control de arranque.___________________________________________________
Pedal de Freno Trasero. ____________________________________________________
Pedal de arranque.______________________________________________________________
Comunicador de Seales._________________________________________________________
Pulsador de Bocina._____________________________________________________________
Tapa de Depsito de Combustible.__________________________________________________
Pedal de cambios.______________________________________________________________
Cajita de CDI._________________________________________________________________
Faro Delantero._________________________________________________________________
Luces de peligro._______________________________________________________________
Direccional Derecho.____________________________________________________________
Direccional Izquierdo.___________________________________________________________
Direccionales posteriores.________________________________________________________
Espejo Retrovisor.______________________________________________________________
Asientos.__________________________ Tapas Laterales. _____________________________
Chupn de Buja.______________________________________________________________
Llantas. ____________________________Toldo. ____________________________________
Tapa de Aceite._____________________ Buja. ______________________________________
Carburador:________________________ Batera. ____________________________________
cadenas.______________________________Radio.___________________________________
Tapabarro.________________________ Delantero: _____________ Posterior: ____________
OTROS________________________________________________________________________
____________________________________________________________________________
OBSERVACIONES: ____________________________________________________________

ENTREGUE CONFORME RECIBI CONFORME

_______________________ _________________________

CONDUCTOR O PROPIETARIO

________________________

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