ICBF - Formato inventario de dotaciones v3

RCNFNNMEEEÚ OOOCGNM MMDHTI E BBAOR AR RRLNO OD IEEA D E ZL AD EU O: IN DE NNN T :IIC DCA IDO AIL OADN: D TY D R AETA D E ST MR EOMIRN I VINSICATICROIAÓ :DNO DREAL D CEO SNETRRVAICTOIO:: MUNICIPIO: SERVICIO:FORM APTROO MINOVCEPINÓR TNO A YC R E IPOSR O DEEV EDNOCTIAÓCNIONES FCCEOUC PDH OIGA SO C R D LECEIGM U LIEA ASN:T UTR DAO SM :IEN VUENNIDTAADR IDOE: SERVICIO: FV3e.Grs1ió0n.P 3P Clasificación de la Información: Pública Pá1g8/i1n2a/ 210 d2e3 1 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111112222222222222222222222222222222222222222222222222N

111111111122222222223333333333444444444455555555556666666666777777777788888888889999999999123456789 00000000001111111111222222222233333333334444444444555555555566666666667777777777888888888899999999990000000000111111111122222222223333333333444444444012345678901234567890123456789012345678901234567890123456789012345678901234567890123456789° 01234567890123456789012345678901234567890123456789012345678901234567890123456789012345678901234567890123456789012345678901234567890123456789012345678AVDIGQEUNIRCIIDAO E NEL L EAL QEUMEE FNUTOE IN 2DS , IF EUQURNMUEETIEN ECA 3SI U1S TD ,I ,R OT E QE ISCR RTLUOBA RR IER FDS OITLI ODDE O OM ERC :E IOO ANN LT O MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMC AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAEEEEEE RRRRRRRRRRA AAAA TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTQQQQQQ EEEEEEEEEENNNNT EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEECCCCCCCCCCUUUUUUE RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRREEEEEEEEEETTTT

MMMMMMMMMMMMMMMMMMMMMMMMMMMMMUUUUUUUUUUIIIIIIG RRRRPPPPPP MMMMMMMMMMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIILLLLLLLLLLL AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAARRRRRRRRRROOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOO EEEEEEEEEEEOOOOOOCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCEEEE EEEEEEEEEE OOOOOOOLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLSSSSSSSSSSAAAAAAAAA BBBBBBBBBBBBBBBBBBBBBBBBBBBBBQQQQ NNNNNNNNNNNOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOR PPPPSSSSSS RRRRRRRRRR TTTTTTTOOOOOOOOOOPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPSSSSSSSSS IIIIIIIIIIIIIIIIIIIIIIIIIIIIIOOOO

CCCCCCCCCCCUUUUÍ CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC

GGGGGGGGGG RRRRRRRLLLLLLLLLLLLLLLLLLLLLLLLLLLLLA DDDDDD EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE SSSSSSSSSSEEEEEEEEEEEIIIIMMMM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII

OOOOOOOEEEEEEEEEEPPPP AAAAAAAAAAAAAAAAAAAAAAAAAAAAAEEEEEENNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDOOOOOOOOOG RRRRRRRRRRR PPPPPPPPPPNNNNNNNNNNEEEE SSSSSSSOOOO RRRRRRRRRRRRRRRRRRRRRRRRRRRRR AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAIIIIIIIIIII AAAAAAAAAAE CCCCCCCCCCTTTT AAAAAAAAAAAIIIIIIIIIIIIIIIIIIIIIIIIIIIII GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGRRRRRRRRRRPPPPPP OOOOOOOOOOOOOOOOOOOOOOOOOOOOON RRRR IIIIIIIIIIAAAAAAAAAAÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓOOOOOO

AAAAAAAAAAE IIIICCCC GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGR

YYYYYY LLLLLLLLLLOOOOA OOOOOO IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIAAAAAAAAAACCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC L OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOCPBBCPSSSCOOOOOOOOPSCCCJEEEECENNBGTLLLPCCJPPRRBBCCEEJJJJSJJMJMPPRTTVVBBITRRSTVLCCCCHTBCCSSBCCCEMMNPSJEEMMMSSCGMLSAECSSSEEBBBCJLMTAJJJBBCCFCSCCJEEGGGJJJKKMMMPPCPJJJRRRSSSTTCCFGGJJMMOPPPPPPRPTTTXXABBCRRRRSSTACCDDDJ JJKKMPPSSSTTTTTTTCCJJJTPBBTJJRNU

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OO O OOOOOOOOOO OOOO O O O OO OOOOO OO OO OOOTON EX(EEICSLnATE N nEMúTNEmITDNeEATr D oDO) EL JU(uENejI:gD UoAn, DSid eDatd,E ,K MDitEo, cDoetIrDnoAas,•) MARCA REFERENCIA SERIAL NINºV DEEN PTALARCIOA I CDBELF (EE nBS UT nA úEmD NO Oer oD )EL E (ELE nM M nAE úLmN OT eO ro)OBSERVALCOIOSN EELSE DMEE NLTAO CSA ENXTIISDTAEDN YTE ESSTADO DE NOTA: Recuerde que este formato debe ser diligenciado por Unidad de Servicio - UDS y mantenerse actualizado. Este formato sirve para entregar los bienes existentes en cada UDS de vigencia a vigencia, garantizando la continuidad de los bienes adquiridos con recursos propios.

OBSERVACIONES GENERALES: FNCIOÉRDMMUBALR RAEE:SS YP OANPSEALLBILDEO USD:S FNCIOÉRDMMUBALR DAEE:SL Y S AUPPEELRLVIIDSOOSR: (A) DE CONTRATO DE APORTE Antes de imprimir este documento… piense en el medio ambiente!

LOS DATOS PROPORCIONADOS SERÁN TRATACDuOalqSu iDerE c AopCiaU EimRpDreOs aA d LeA e sPtOe LdÌoTcIuCmAe nDtEo sTeR cAoTnAsiMdeIrEaN cToOm oD CEO DPAITAO NSO P CEORNSTORNOALLAEDSA DEL ICBF Y A LA LEY 1581 DE 2012