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POLICIA NACIONAL DEL PERU

REGPOL-ORIENTE
DIRECCION TERRITORIAL-UCAYALI
DIVICAJ-DEPINCRI

ROTULO DE INDICIOS/EVIDENCIAS/ELEMENTOS RECOGIDOS


EN CADENA DE CUSTODIA

EN CADENA DE CUSTODIA:

Nº. DE HALLAZGO: ____________________________________


CANTIDAD _____________________ DEPENDENCIA, UNIDAD, DIVISIÓN, QUE
INTERVIENE
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LUGAR DE RECOLECCION/DIRECCION
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____________________________, DIA ______ MES _______________ AÑO_____ HORA
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DESCRIPCION Y CONDICION DEL BIEN
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TIPO DE EMBALEJE UTILIZADO: ___________________________________________________

SERVIDOR QUE RECOLECTA EL BIEN

NOMBRE COMPLETO
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DNI Nº __________________ CIP Nº. ________________, CARGO
__________________________
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FECHA DE EMBALAJE: DIA _______MES ____________ AÑO ______ HORA
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EL INSTRUCTOR

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