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sa-mc-06-2012-hostin.. - Copnia

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Atentamente,<br />

Nombre o Razón Social del Proponente: ________________________________<br />

NIT: ______________________________________________________________<br />

Nombre del Representante Legal: _____________________________________<br />

C.C. Nº. ______________________de__________________________________<br />

Dirección Comercial del Proponente____________________________________<br />

Teléfonos _____________________FAX ________________________________<br />

Ciudad ___________________________________________________________<br />

FIRMA __________________________<br />

REPRESETANTE LEGAL<br />

26

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