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Ayente A: DECLARACI N JURADA DE CONTRAYENTE A VOLUMEN DECLARACI N JURADA Y CERTIFICADO DE MATRIMONIO 152 Sexo: F M 6. Natural de: a) Municipio: b) Estado o Pa s: 2. Edad: 3. Color o Raza: Blanca Negra Otra 4. Fecha de Nacimiento: Mes D a A o 7. Residencia Habitual: a) Municipio: b) Calle y N m. o Barrio: c) Estado o Pa s: Tipo de Negocio o Industria: 10. Natural de: a) Municipio: b) Estado o Pa s: 11. Nombre y Apellidos de la Madre/Padre: 12.

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