ACTA DE CADENA DE CUSTODIA

DEPARTAMENTO ANTIDROGAS POLICIA NACIONAL DEL PERU -

TIPO DE MUESTRA: __________________________________________

DESCRIPCION DE LA MUESTRA:
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NOMBRE DE QUIEN EMBALA Y LACRA EL BIEN INCAUTADO:

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DNI _____________ CIP ______________________CARGO _______________________

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ENTREGUE CONFORME RECIBI CONFORME

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RECIBIDO POR : __________________________________________________________

DNI, CIP Y CARGO : __________________________________________________________

FECHA Y HORA : __________________________________________________________

MOTIVO TRASLADO : __________________________________________________________

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ENTREGUE CONFORME RECIBI CONFORME

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MOTIVO TRASLADO : __________________________________________________________

OBSERVACIONES : ___________________________________________________________
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ENTREGUE CONFORME RECIBI CONFORME

ENTREGADO POR : __________________________________________________________

DNI, CIP Y CARGO : __________________________________________________________

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DNI, CIP Y CARGO : __________________________________________________________

FECHA Y HORA : __________________________________________________________

MOTIVO TRASLADO : __________________________________________________________

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 ACTA DE CADENA DE CUSTODIA
DEPARTAMENTO ANTIDROGAS POLICIA NACIONAL DEL PERU - SULLANA

TIPO DE MUESTRA: __ARMA DE FUEGO___________________________

DESCRIPCION DE LA MUESTRA: UN(01) sobre manila color amarillo, UNA (01)

pistola PIETRO BERETTA, modelo 92FS, serie F44978Z, color negro, calibre
9mm PARABELLUM, UNA (01) cacerina con TRES (03) municiones PNP 9mm-
98. --------------------------------------------------------------------------------------

NOMBRE DE QUIEN EMBALA Y LACRA EL BIEN INCAUTADO:

S3 PNP ERIKA JANETH CABRERA GUEVARA ----------------------------------------------------------------

DNI _76298699__ CIP _32068721 CARGO LOGIATICA

FECHA Y HORA DEL EMBALAJE Y LACRADO: 07ENE18 / 14:51

NOMBRE DE QUIEN TRASPORTA EL BIEN INCAUTADO:

S3 PNP ERIKA JANETH CABRERA GUEVARA ----------------------------------------------------------------

DNI _76298699__ CIP _32068721 CARGO LOGIATICA

FECHA Y HORA : 07ENE18 / 14:51________________________________________

MOTIVO DEL TRASLAD : PERICIA BALISTICA

OBSERVACIONES : ______________________________________________________
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ENTREGUE CONFORME RECIBI CONFORME

ENTREGADO POR : __________________________________________________________

DNI, CIP Y CARGO : __________________________________________________________

RECIBIDO POR : __________________________________________________________

DNI, CIP Y CARGO : __________________________________________________________

FECHA Y HORA : __________________________________________________________

MOTIVO TRASLADO : __________________________________________________________

OBSERVACIONES : ___________________________________________________________
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ENTREGUE CONFORME RECIBI CONFORME

ENTREGADO POR : __________________________________________________________

DNI, CIP Y CARGO : __________________________________________________________

RECIBIDO POR : __________________________________________________________

DNI, CIP Y CARGO : __________________________________________________________

FECHA Y HORA : __________________________________________________________

MOTIVO TRASLADO : __________________________________________________________

OBSERVACIONES : ___________________________________________________________
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ENTREGUE CONFORME RECIBI CONFORME

ENTREGADO POR : __________________________________________________________

DNI, CIP Y CARGO : __________________________________________________________

RECIBIDO POR : __________________________________________________________

DNI, CIP Y CARGO : __________________________________________________________

FECHA Y HORA : __________________________________________________________

MOTIVO TRASLADO : __________________________________________________________

OBSERVACIONES : ___________________________________________________________
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ENTREGUE CONFORME RECIBI CONFORME

ENTREGADO POR : __________________________________________________________

DNI, CIP Y CARGO : __________________________________________________________

RECIBIDO POR : __________________________________________________________

DNI, CIP Y CARGO : __________________________________________________________

FECHA Y HORA : __________________________________________________________

MOTIVO TRASLADO : __________________________________________________________

OBSERVACIONES : ___________________________________________________________
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ENTREGUE CONFORME RECIBI CONFORME