POLICIA NACIONAL DEL PERU

DIRNOP-REGPOL-UCAYALI
DIVICAJ-DEPINCRI

ROTULO DE INDICIOS/EVIDENCIAS/ELEMENTOS RECOGIDOS EN CADENA DE CUSTODIA

EN CADENA DE CUSTODIA:
Nº. DE HALLAZGO: _________________________________________________________________________________
CANTIDAD_____________________UNIDAD QUE INTERVIENE _____________________________________________
LUGAR DE RECOLECCION/DIRECCION _________________________________________________________________
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DESCRIPCION Y CONDICION DEL BIEN _________________________________________________________________
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_TIPO DE EMBALAJE UTILIZADO:
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SERVIDOR QUE RECOLECTA EL BIEN
NOMBRE COMPLETO ______________________________________________________________________________________
DNI Nº __________________ CIP Nº. ________________, CARGO _________________________________________________
FECHA DE EMBALAJE: DIA _______MES ____________ AÑO ______ HORA __________________________________

EL INSTRUCTOR