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Proceso Desarrollo Urbano y Territorial Subproceso Administración de la Movilidad INSPECCION OCULAR POR NOTIFICACION No. DE NIT: _________________________ FECHA: AAAA________/MES_____/______DIA_____/ ASUNTO: ______________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ ______________________________________________________________________________ No. DE RADICADO- SM: _________________________ DIRECCION: ______________________________________________________________________ BARRIO: _________________________________________________________________________ TELEFONO__________________________ GESTION REALIZADA_______________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ NOMBRE DEL AGENTE DE TRANSITO___________________________________________________ PLACA No.________________ NOMBRE DE LA PERSONA QUE NOTIFICAN______________________________________________ 1703-F-MOV-01-V1 Página 1 de 1 Aprobado: 15-12-2015
