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[]
["CAMPAÑA A ____________________________________",{"$nulls":4},"COMPROBANTE DE EGRESO"]
["IDENTIFICACION __________________"]
["Direccion: ___________________",{"$nulls":4},"No.  "]
["Telefono: _____________________"]
["Municipio ________________  Departamento _______________"]
[]
["Beneficiario",{"$nulls":5},"Fecha Comprobante"]
["NIT",null,null,"Teléfono"]
["Dirección",null,null,"Ciudad",null,null,"Cheque N°"]
["Entidad Bancaria"]
["Por valor de ",{"$nulls":5},"Efectivo"]
[]
["Por concepto de:"]
[]
[]
["VALOR EN LETRAS"]
[]
[]
[]
["OBSERVACIONES"]
[]
[]
[{"$nulls":5},"Firma y sello beneficiario"]
["Elaborado por",null,"Revisado por",null,"Aprobado por"]
[]
[{"$nulls":5},"CC /NIT:"]