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[{"$nulls":4},"JUSTIFICACIÓN DE GASTOS PERSONALES VINCULADOS A UNA ACTIVIDAD DE INTERRPENDE SL / BOSQUESCUELA"]
[]
[]
[]
[]
[null,"FECHA:",{"$nulls":5},"Nº Nota Suplidos"]
[]
[null,"1. DATOS DEL TRABAJADOR / AUTÓNOMO / COLABORADOR"]
["1º Apellido"]
["2º Apellido"]
["Nombre"]
["DNI"]
["Dirección"]
["Nº Cuenta Bancaria"]
[]
[null,"2. DATOS GENERALES DE LA INTERVENCIÓN"]
["Entidad organizadora",null,null,"INTERPRENDE, S.L. "]
["Título de la actividad"]
["Entidad colaboradora"]
[]
[null,"3.DETALLE"]
["3.1 ACTIVIDAD A REALIZAR "]
["DESGLOSE DE GASTOS",{"$nulls":8},"TOTAL MONEDA","OBSERVACIONES"]
[{"$nulls":5},"Día Salida Hora","Día Regreso Hora","€/hora trabajada","Total Euros"]
["a) Remuneración horas trabajadas              "]
["3.2 LOCOMOCIÓN. Especificar el medio de transporte utilizado, taxi, avión, etc. Reseñando si procede, clase, matrícula, conductor, "]
[]
[]
[{"$nulls":5},"Día Salida Hora","Día Regreso Hora","Total kilómetros","Euros Kilómetros"]
["b) Kilometros (Indicar itinerario )"]
[]
[]
[]
[]
["c) Billetes (Tickets, facturas…)",{"$nulls":4},"Fecha","Hora","Importe           (sin IVA)","IVA","TOTAL"]
[]
[]
[]
["d) Otros conceptos (Taxis, visas, alquiler vehiculo…)"]
[]
[]
[{"$nulls":7},"TOTAL LOCOMOCIÓN",null,{"v":0,"d":"0.00"}]
[]
[null,"3.3 OTROS GASTOS",{"$nulls":6},"IMPORTE","TOTAL MONEDA"]
[]
[]
[]
[]
[{"$nulls":7},"TOTAL OTROS GASTOS",null,{"v":0,"d":"0.00"}]
[]
[null,"3.4 GASTOS DE ALOJAMIENTO (1)",{"$nulls":3},"Nº","Territorio Nacional","Territorio N. Madrid","Territorio Extranjero","TOTAL MONEDA"]
[]
[{"$nulls":7},"TOTAL ALOJAMIENTO",null,{"v":0,"d":"0.00"}]
[]
[null,"3.5 GASTOS DE MANUTENCIÓN (1)",{"$nulls":3},"Nº","Territorio Nacional","Territorio N. Madrid","Territorio Extranjero","TOTAL MONEDA"]
[]
[{"$nulls":7},"TOTAL DIETAS",null,{"v":0,"d":"0.00"}]
["5. RESUMEN LIQUIDACIÓN",{"$nulls":4},"TOTAL"]
["REMUNERACIÓN TRABAJO",{"$nulls":4},{"v":0,"d":"0.00"}]
["TOTAL GASTOS LOCOMOCIÓN",{"$nulls":4},{"v":0,"d":"0.00"}]
["TOTAL GASTOS MANUTENCIÓN",{"$nulls":4},{"v":0,"d":"0.00"}]
["TOTAL GASTOS ALOJAMIENTO",{"$nulls":4},{"v":0,"d":"0.00"}]
["OTROS GASTOS",{"$nulls":4},{"v":0,"d":"0.00"}]
["TOTAL EUROS/MONEDA A PAGAR",{"$nulls":4},{"v":0,"d":"0.00"}]
[]
["6. DECLARACIÓN",{"$nulls":7},"8. LIQUIDACIÓN"]
["Declaro bajo mi responsabilidad, que he rehalizado los servicios a los que corresponde la presente cuenta.",{"$nulls":7},"Recibí la cantidad TOTAL indicada\ncomo importe de esta liquidación."]
[]
[" ","Lugar y fecha",{"$nulls":6},"Lugar y fecha"]
["El/la Interesado/a",{"$nulls":7},"El/la Interesado/a"]
[]
[]
[]
[]
["Fdo.: ",{"$nulls":7},"Fdo.: "]
[]
["NOTA:.- Si utiliza como medio de locomoción otro que no sea el coche propio CONSERVE EL BILLETE para posterior justificación."]

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["JUSTIFICACIÓN GASTOS VINCULADOS A LA INTERVENCIÓN, \nMODELO DE RECIBO"]
[]
["1. DATOS GENERALES DE LA INTERVENCIÓN"]
[]
[]
[]
[]
[]
["2. DATOS DE LA PERSONA INTERESADA"]
[]
[]
[]
[]
[]
[]
["Por la presente declaro que he recibido la cantidad de ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"]
["En concepto de ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"]
[",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"]
[",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"]
[{"$nulls":6},"Total importe recibido: "]
[]
["Recibí:"]
[]
[]
[]
[]
["En ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,  a  ,,,,,,,,,,,,,,,,,,,,,,,,, de,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,  de  20"]
[]
["Nombre :,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"]
["Número de identificación fiscal : ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"]