tag:blogger.com,1999:blog-9868561622289860062024-03-18T22:48:26.512-07:00MODELOS DE CARTAS EN GENERAL PARA CONSEJOS COMUNALES EN VENEZUELACOPIA Y PEGA LUEGO MODIFICAS TEXTO DE CARTAS DE OCUPACIÓN,RESIDENCIA,BUENA CONDUCTA, AVAL, ACTAS, ASAMBLEAS, ESTATUTOS. ASIGNACIÓN DE VIVIENDA , ACTA COOPERATIVA,CARTA A INGENIERO ENTRE OTROSCarlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comBlogger92125tag:blogger.com,1999:blog-986856162228986006.post-81416860054287825392018-06-21T13:14:00.002-07:002018-06-21T13:14:54.880-07:00Postulacion de Consejo Comunal para Trabajo<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://drive.google.com/file/d/1u81keQ05esd8OPxm0sSBCOWlQ58XnQSZ/view?usp=sharing" target="_blank">CLIKEA AQUI Y DESCARGA MODELO DE CARTA POSTULACION CONSEJO COMUNAL</a><br />
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Poder Popular para Las Comunas<o:p></o:p></span></div>
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<span style="font-family: "Arial Black","sans-serif"; font-size: 12.0pt;">POSTULACION<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;">Consejo Comunal: ____________________________________________<o:p></o:p></b></div>
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<b style="mso-bidi-font-weight: normal;">Municipio:______________________
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Reciba un cordial saludo Revolucionario</div>
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Nosotros los abajo firmantes <span style="mso-spacerun: yes;"> </span>miembros activos de la junta directiva del
Consejo Comunal :_______________ Proponemos al Ciudadano(a): <b style="mso-bidi-font-weight: normal;">___________________</b>____Titular de la
Cédula de Identidad<span style="mso-spacerun: yes;"> </span>Nº _____________; quien
es graduado(a) como:__________________________ <span style="mso-spacerun: yes;"> </span>a quien recomendamos para ocupar el cargo de:<span style="mso-spacerun: yes;"> </span><b style="mso-bidi-font-weight: normal;">_______________________________
</b>ya que <span style="mso-spacerun: yes;"> </span>posee una factibilidad moral
ante nuestra comunidad es considerado(a) responsable, colaborador(a) y servidor
de la Comunidad, desde hace __________ años. </div>
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Postulación que se expide en la ciudad de ______________a
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Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-64418692580126785602018-06-19T09:26:00.001-07:002018-06-19T09:26:11.164-07:00POSTULACION DE CARGOS EMITIDO POR LA UBCH - MODELO<div dir="ltr" style="text-align: left;" trbidi="on">
ACCEDE AL LINK PARA MODIFICAR O LLENAR A LÁPIZ TINTA:<br />
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IMAGEN DE LA CARTA:<br />
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Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-67713760468874252882018-06-13T11:41:00.000-07:002018-06-13T11:41:50.171-07:00DESCARGA CODIGOS DE ESCUELA Y LICEO DE ESTADO TRUJILLO, VARGAS Y TACHIRA PARA ESCOLARIZACION PATRIA<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://drive.google.com/file/d/1z4XaIEdp-_m3QT_kqEQgRtdvD7gOwlTD/view?usp=sharing" target="_blank">CLIKEA AQUI Y DESCARGA CÓDIGOS DE ESCUELAS Y LICEO PARA REGISTRAR ESCOLARIZACION PATRIA</a><br />
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ACTIVADA PESTAÑA DE ESCOLARIZACIÓN PARA REGISTRAR ESTUDIANTE DE PAGINA PATRIA </div>
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Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-17306200957763558142018-06-11T14:49:00.003-07:002018-06-11T14:51:17.763-07:00ACTA DE ESCRUTINIOS ELECCION DE VOCERAS Y VOCEROS DEL CONSEJO COMUNAL<div dir="ltr" style="text-align: left;" trbidi="on">
ACCEDE A ESTE LINK<br />
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<a href="https://drive.google.com/file/d/1-J0PzSYw153HjVenB5RhO57isJCdTA6K/view?usp=sharing" target="_blank">CLIKEA AQUI Y DESCARGA EL ACTA DE ESCRUTINIO</a><br />
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EJEMPLO INCOMPLETO:<br />
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<b><span lang="ES-VE" style="color: black; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Acta N° 2</span></b></div>
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<b><span lang="ES-VE" style="color: black; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">ACTA DE ESCRUTINIOS ELECCION DE VOCERAS Y VOCEROS</span></b></div>
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<b><span lang="ES-VE" style="color: black; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">DEL CONSEJO COMUNAL</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre del Consejo Comunal:
_______________________________________ Sector:
___________________________________________________________</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre de la Comunidad: _____________________<span style="mso-spacerun: yes;"> </span>Estado: _____________</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Municipio: __________________________________<span style="mso-spacerun: yes;"> </span>Parroquia: ___________ No SIPP:
__-____-____-_____-______,<span style="mso-spacerun: yes;"> </span>No
RIF:<span style="mso-spacerun: yes;"> </span>_____________________<span style="mso-spacerun: yes;"> </span>No
cuenta____________________________,</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">En fecha_____________, del mes de<span style="mso-spacerun: yes;"> </span>_________________<span style="mso-spacerun: yes;"> </span>del año _______, reunidos en Asamblea de
Ciudadanos y Ciudadanas como máxima Instancia de deliberación y decisión para
el ejercicio del Poder Popular Comunitario, los habitantes de la comunidad
________________________, siendo la hora: ________, mayores de quince (15)
años, con el fin de realizar el proceso de escrutinio de los votos obtenidos
durante el proceso eleccionario, a fin de elegir los nuevos voceros y voceras
de las distintas instancias del Consejo Comunal ___________________________,
atendiendo la convocatoria realizada por la Comisión Electoral Permanente,<span style="mso-spacerun: yes;"> </span>donde se obtuvieron los siguientes
resultados:</span></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b><span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Población Votante: ____ Votantes Asistentes:
______Votos Válidos: ________ Votos Nulos: ____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 11.0pt; line-height: 115%;">De conformidad a lo establecido en la Ley
Orgánica de los Consejos Comunales en sus artículos 2, 3, 43, y lo pautado en
los Capítulos II y III de la misma Ley, a los fines de tratar el siguiente
orden del día:<b style="mso-bidi-font-weight: normal;"> <u><span style="mso-bidi-font-weight: bold;">PRIMER PUNTO:</span></u></b> En vista del
vencimiento del periodo para la cual fueron electos los voceros y voceras del
Consejo Comunal, se procedió a llevar a cabo las<span style="mso-spacerun: yes;"> </span>elecciones, arrojando los resultados que a
continuación se mencionan:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span></span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>VOCEROS DE LA
UNIDAD EJECUTIVA</span></b><span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">:</span></div>
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<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49"><div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104"><div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76"><div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97"><div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
</tbody></table>
<br /></div>
Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-53313555964845346332018-06-11T14:37:00.001-07:002018-06-11T14:37:05.492-07:00ACTA DE ESCRUTINIOS ELECCIÓN DE VOCERAS Y VOCEROS DEL CONSEJO COMUNAL<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Acta N° 2</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">ACTA DE ESCRUTINIOS ELECCION DE VOCERAS Y VOCEROS</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">DEL CONSEJO COMUNAL</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre del Consejo Comunal:
_______________________________________ Sector:
___________________________________________________________</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre de la Comunidad: _____________________<span style="mso-spacerun: yes;"> </span>Estado: _____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Municipio: __________________________________<span style="mso-spacerun: yes;"> </span>Parroquia: ___________ No SIPP:
__-____-____-_____-______,<span style="mso-spacerun: yes;"> </span>No
RIF:<span style="mso-spacerun: yes;"> </span>_____________________<span style="mso-spacerun: yes;"> </span>No
cuenta____________________________,</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">En fecha_____________, del mes de<span style="mso-spacerun: yes;"> </span>_________________<span style="mso-spacerun: yes;"> </span>del año _______, reunidos en Asamblea de
Ciudadanos y Ciudadanas como máxima Instancia de deliberación y decisión para
el ejercicio del Poder Popular Comunitario, los habitantes de la comunidad
________________________, siendo la hora: ________, mayores de quince (15)
años, con el fin de realizar el proceso de escrutinio de los votos obtenidos
durante el proceso eleccionario, a fin de elegir los nuevos voceros y voceras
de las distintas instancias del Consejo Comunal ___________________________,
atendiendo la convocatoria realizada por la Comisión Electoral Permanente,<span style="mso-spacerun: yes;"> </span>donde se obtuvieron los siguientes
resultados:</span></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Población Votante: ____ Votantes Asistentes:
______Votos Válidos: ________ Votos Nulos: ____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">De conformidad a lo establecido en la Ley
Orgánica de los Consejos Comunales en sus artículos 2, 3, 43, y lo pautado en
los Capítulos II y III de la misma Ley, a los fines de tratar el siguiente
orden del día:<b style="mso-bidi-font-weight: normal;"> <u><span style="mso-bidi-font-weight: bold;">PRIMER PUNTO:</span></u></b> En vista del
vencimiento del periodo para la cual fueron electos los voceros y voceras del
Consejo Comunal, se procedió a llevar a cabo las<span style="mso-spacerun: yes;"> </span>elecciones, arrojando los resultados que a
continuación se mencionan:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span></span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>VOCEROS DE LA
UNIDAD EJECUTIVA</span></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">:</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -66.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.05pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.05pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 27;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 28;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 30;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 31;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 32;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 33;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 34;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 35;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 36;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 37;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 38;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 39;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 40;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 41;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 42;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 43;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 44;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 45;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 46;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 47;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 48;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 49;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 50;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 51;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 52;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 53;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 54;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 55;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 56;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 57;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 58;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 59;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 60;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 61;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 62;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 63;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 64;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 65;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 66;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 67;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 68;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 69;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 70;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 71;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 72;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 73;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 74;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 75;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 76;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 77;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 78; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
ADMINISTRATIVA Y FINANCIERA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
PRINCIPALES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -55.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 12.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 12.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
ADMINISTRATIVA Y FINANCIERA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
SUPLENTES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -54.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 15.25pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 17.0pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 17.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
DE CONTRALORIA SOCIAL</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
PRINCIPALE ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -54.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 13.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 13.05pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
DE CONTRALORIA SOCIAL</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
SUPLENTES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -56.3pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 12.9pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 12.9pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%; margin-bottom: 14.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 14.0pt; text-align: justify; text-justify: inter-ideograph;">
<b><u><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-language: ES-VE;">SEGUNDO PUNTO</span></u></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-language: ES-VE;">: <b><span style="color: black;">de acuerdo a la voluntad expresada por los asistentes en el
proceso eleccionario, las personas seleccionadas como cuentadantes del consejo
comunal son los más votados de la unidad financiera, los cuales son los
siguientes:</span></b></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -50.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre y Apellido</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
</tbody></table>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><u><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;">TERCER PUNTO:</span></u></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span><span style="mso-bidi-font-style: italic;">De
conformidad con lo dispuesto en el Artículo 17, numeral 1, de la Ley Orgánica
de los Consejos Comunales, e</span>sta asamblea autoriza, al ciudadano(a) <b style="mso-bidi-font-weight: normal;">_________________</b>, titular de la cedula
de Identidad <b style="mso-bidi-font-weight: normal;">N°__________</b>, en su
carácter de vocero(a) de__________________ del consejo
comunal__________________________, para que solicite el Registro del presente
documento, por ante el Ministerio de Participación Comunal y Protección Social
a través de la <b>Taquilla de Registro del Poder Popular</b>. Se levanta el
acta<span style="mso-spacerun: yes;"> </span>los presentes habitantes de la
comunidad, firman en señal de conformidad y aceptación de su contenido.</span></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">FIRMAS EN AVAL DE LA
ELECCIÓN DE VOCERIAS DEL CONSEJO COMUNAL:
________________________________________________________________________</span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -43.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 23.0pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">NOMBRE
Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">FIRMA</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 23.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">TELEFONO</span></b></div>
</td>
</tr>
<tr style="height: 13.5pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 13.5pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 14.25pt; mso-border-bottom-alt: #00000A; mso-border-left-alt: #000001; mso-border-right-alt: #000001; mso-border-style-alt: solid; mso-border-top-alt: #00000A; mso-border-top-alt: solid #00000A .5pt; mso-border-width-alt: .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.05pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.05pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.0pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 27.0pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<span style="text-align: justify;"><br /> </span></div>
</td></tr>
</tbody></table>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;"><o:p><br /> </o:p></span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">FIRMAS EN AVAL DE LA
ELECCIÓN DE VOCERIAS DEL CONSEJO COMUNAL: ________________________________________________________________________</span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -43.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 52.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">NOMBRE
Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">FIRMA</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 52.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">TELEFONO</span></b></div>
</td>
</tr>
<tr style="height: 15.75pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 13.5pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 13.5pt; mso-border-bottom-alt: #00000A; mso-border-left-alt: #000001; mso-border-right-alt: #000001; mso-border-style-alt: solid; mso-border-top-alt: #00000A; mso-border-top-alt: solid #00000A .5pt; mso-border-width-alt: .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td></tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">PLANILLAS PARA LA FIRMA DE
ACOMPAÑANTES</span></b></div>
<div class="Predeterminado" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -1.0cm; margin-right: -18.8pt; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Se
deja constancia de las personas que asistieron como Promotor(a)
Observador(es)<span style="mso-spacerun: yes;"> </span>y/o<span style="mso-spacerun: yes;"> </span>Veedor(es) a las elecciones de vocerías del
Consejo Comunal<span style="mso-spacerun: yes;">
</span>________________________ el día<span style="mso-spacerun: yes;">
</span>________/___________ de____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -48.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 14.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">NOMBRE Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">ORGANIZACIÒN E INSTITUCIÒN</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">TELEFONO</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">FIRMA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td></tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE">NOTA:<span style="mso-spacerun: yes;"> </span>CORREO ELECTRONICO
DEL CONSEJO COMUNAL: _____________</span></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE">_________________________________________________</span></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<br /></div>
Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-52605011378197633432018-06-11T14:36:00.001-07:002018-06-11T14:36:20.339-07:00ACTA DE ESCRUTINIOS ELECCIÓN DE VOCERAS Y VOCEROS DEL CONSEJO COMUNAL<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Acta N° 2</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">ACTA DE ESCRUTINIOS ELECCION DE VOCERAS Y VOCEROS</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">DEL CONSEJO COMUNAL</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre del Consejo Comunal:
_______________________________________ Sector:
___________________________________________________________</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre de la Comunidad: _____________________<span style="mso-spacerun: yes;"> </span>Estado: _____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Municipio: __________________________________<span style="mso-spacerun: yes;"> </span>Parroquia: ___________ No SIPP:
__-____-____-_____-______,<span style="mso-spacerun: yes;"> </span>No
RIF:<span style="mso-spacerun: yes;"> </span>_____________________<span style="mso-spacerun: yes;"> </span>No
cuenta____________________________,</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">En fecha_____________, del mes de<span style="mso-spacerun: yes;"> </span>_________________<span style="mso-spacerun: yes;"> </span>del año _______, reunidos en Asamblea de
Ciudadanos y Ciudadanas como máxima Instancia de deliberación y decisión para
el ejercicio del Poder Popular Comunitario, los habitantes de la comunidad
________________________, siendo la hora: ________, mayores de quince (15)
años, con el fin de realizar el proceso de escrutinio de los votos obtenidos
durante el proceso eleccionario, a fin de elegir los nuevos voceros y voceras
de las distintas instancias del Consejo Comunal ___________________________,
atendiendo la convocatoria realizada por la Comisión Electoral Permanente,<span style="mso-spacerun: yes;"> </span>donde se obtuvieron los siguientes
resultados:</span></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Población Votante: ____ Votantes Asistentes:
______Votos Válidos: ________ Votos Nulos: ____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">De conformidad a lo establecido en la Ley
Orgánica de los Consejos Comunales en sus artículos 2, 3, 43, y lo pautado en
los Capítulos II y III de la misma Ley, a los fines de tratar el siguiente
orden del día:<b style="mso-bidi-font-weight: normal;"> <u><span style="mso-bidi-font-weight: bold;">PRIMER PUNTO:</span></u></b> En vista del
vencimiento del periodo para la cual fueron electos los voceros y voceras del
Consejo Comunal, se procedió a llevar a cabo las<span style="mso-spacerun: yes;"> </span>elecciones, arrojando los resultados que a
continuación se mencionan:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span></span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>VOCEROS DE LA
UNIDAD EJECUTIVA</span></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">:</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -66.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
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<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
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<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
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<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
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<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
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<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
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<td style="border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
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<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
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<tr style="mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
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</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
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</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
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</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
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<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
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<tr style="mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
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<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.05pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.05pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 27;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 28;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 30;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 31;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 32;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 33;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 34;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 35;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 36;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 37;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 38;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 39;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 40;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 41;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 42;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 43;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 44;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 45;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 46;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 47;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 48;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 49;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 50;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 51;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 52;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 53;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 54;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 55;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 56;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 57;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 58;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 59;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 60;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 61;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 62;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 63;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 64;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 65;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 66;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 67;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 68;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 69;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 70;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 71;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 72;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 73;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 74;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 75;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 76;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 77;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 78; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
ADMINISTRATIVA Y FINANCIERA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
PRINCIPALES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -55.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 12.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 12.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
ADMINISTRATIVA Y FINANCIERA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
SUPLENTES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -54.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 15.25pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 17.0pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 17.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
DE CONTRALORIA SOCIAL</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
PRINCIPALE ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -54.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 13.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 13.05pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
DE CONTRALORIA SOCIAL</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
SUPLENTES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -56.3pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 12.9pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 12.9pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%; margin-bottom: 14.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 14.0pt; text-align: justify; text-justify: inter-ideograph;">
<b><u><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-language: ES-VE;">SEGUNDO PUNTO</span></u></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-language: ES-VE;">: <b><span style="color: black;">de acuerdo a la voluntad expresada por los asistentes en el
proceso eleccionario, las personas seleccionadas como cuentadantes del consejo
comunal son los más votados de la unidad financiera, los cuales son los
siguientes:</span></b></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -50.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre y Apellido</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
</tbody></table>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><u><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;">TERCER PUNTO:</span></u></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span><span style="mso-bidi-font-style: italic;">De
conformidad con lo dispuesto en el Artículo 17, numeral 1, de la Ley Orgánica
de los Consejos Comunales, e</span>sta asamblea autoriza, al ciudadano(a) <b style="mso-bidi-font-weight: normal;">_________________</b>, titular de la cedula
de Identidad <b style="mso-bidi-font-weight: normal;">N°__________</b>, en su
carácter de vocero(a) de__________________ del consejo
comunal__________________________, para que solicite el Registro del presente
documento, por ante el Ministerio de Participación Comunal y Protección Social
a través de la <b>Taquilla de Registro del Poder Popular</b>. Se levanta el
acta<span style="mso-spacerun: yes;"> </span>los presentes habitantes de la
comunidad, firman en señal de conformidad y aceptación de su contenido.</span></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">FIRMAS EN AVAL DE LA
ELECCIÓN DE VOCERIAS DEL CONSEJO COMUNAL:
________________________________________________________________________</span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<tbody>
<tr style="height: 23.0pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">NOMBRE
Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">FIRMA</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 23.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">TELEFONO</span></b></div>
</td>
</tr>
<tr style="height: 13.5pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 13.5pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 14.25pt; mso-border-bottom-alt: #00000A; mso-border-left-alt: #000001; mso-border-right-alt: #000001; mso-border-style-alt: solid; mso-border-top-alt: #00000A; mso-border-top-alt: solid #00000A .5pt; mso-border-width-alt: .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.05pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.05pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.0pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 27.0pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<span style="text-align: justify;"><br /> </span></div>
</td></tr>
</tbody></table>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;"><o:p><br /> </o:p></span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">FIRMAS EN AVAL DE LA
ELECCIÓN DE VOCERIAS DEL CONSEJO COMUNAL: ________________________________________________________________________</span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -43.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 52.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">NOMBRE
Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">FIRMA</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 52.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">TELEFONO</span></b></div>
</td>
</tr>
<tr style="height: 15.75pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 13.5pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 13.5pt; mso-border-bottom-alt: #00000A; mso-border-left-alt: #000001; mso-border-right-alt: #000001; mso-border-style-alt: solid; mso-border-top-alt: #00000A; mso-border-top-alt: solid #00000A .5pt; mso-border-width-alt: .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td></tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">PLANILLAS PARA LA FIRMA DE
ACOMPAÑANTES</span></b></div>
<div class="Predeterminado" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -1.0cm; margin-right: -18.8pt; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Se
deja constancia de las personas que asistieron como Promotor(a)
Observador(es)<span style="mso-spacerun: yes;"> </span>y/o<span style="mso-spacerun: yes;"> </span>Veedor(es) a las elecciones de vocerías del
Consejo Comunal<span style="mso-spacerun: yes;">
</span>________________________ el día<span style="mso-spacerun: yes;">
</span>________/___________ de____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -48.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 14.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">NOMBRE Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">ORGANIZACIÒN E INSTITUCIÒN</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">TELEFONO</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">FIRMA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td></tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE">NOTA:<span style="mso-spacerun: yes;"> </span>CORREO ELECTRONICO
DEL CONSEJO COMUNAL: _____________</span></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE">_________________________________________________</span></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<br /></div>
Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-83369785267985530322018-06-11T14:35:00.003-07:002018-06-11T14:35:23.206-07:00ACTA DE ESCRUTINIOS ELECCIÓN DE VOCERAS Y VOCEROS DEL CONSEJO COMUNAL<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Acta N° 2</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">ACTA DE ESCRUTINIOS ELECCION DE VOCERAS Y VOCEROS</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">DEL CONSEJO COMUNAL</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre del Consejo Comunal:
_______________________________________ Sector:
___________________________________________________________</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre de la Comunidad: _____________________<span style="mso-spacerun: yes;"> </span>Estado: _____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Municipio: __________________________________<span style="mso-spacerun: yes;"> </span>Parroquia: ___________ No SIPP:
__-____-____-_____-______,<span style="mso-spacerun: yes;"> </span>No
RIF:<span style="mso-spacerun: yes;"> </span>_____________________<span style="mso-spacerun: yes;"> </span>No
cuenta____________________________,</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">En fecha_____________, del mes de<span style="mso-spacerun: yes;"> </span>_________________<span style="mso-spacerun: yes;"> </span>del año _______, reunidos en Asamblea de
Ciudadanos y Ciudadanas como máxima Instancia de deliberación y decisión para
el ejercicio del Poder Popular Comunitario, los habitantes de la comunidad
________________________, siendo la hora: ________, mayores de quince (15)
años, con el fin de realizar el proceso de escrutinio de los votos obtenidos
durante el proceso eleccionario, a fin de elegir los nuevos voceros y voceras
de las distintas instancias del Consejo Comunal ___________________________,
atendiendo la convocatoria realizada por la Comisión Electoral Permanente,<span style="mso-spacerun: yes;"> </span>donde se obtuvieron los siguientes
resultados:</span></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Población Votante: ____ Votantes Asistentes:
______Votos Válidos: ________ Votos Nulos: ____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">De conformidad a lo establecido en la Ley
Orgánica de los Consejos Comunales en sus artículos 2, 3, 43, y lo pautado en
los Capítulos II y III de la misma Ley, a los fines de tratar el siguiente
orden del día:<b style="mso-bidi-font-weight: normal;"> <u><span style="mso-bidi-font-weight: bold;">PRIMER PUNTO:</span></u></b> En vista del
vencimiento del periodo para la cual fueron electos los voceros y voceras del
Consejo Comunal, se procedió a llevar a cabo las<span style="mso-spacerun: yes;"> </span>elecciones, arrojando los resultados que a
continuación se mencionan:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span></span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>VOCEROS DE LA
UNIDAD EJECUTIVA</span></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">:</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -66.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.05pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.05pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 27;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 28;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 30;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 31;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 32;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 33;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 34;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 35;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 36;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 37;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 38;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 39;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 40;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 41;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 42;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 43;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 44;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 45;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 46;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 47;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 48;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 49;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 50;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 51;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 52;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 53;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 54;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 55;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 56;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 57;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 58;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 59;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 60;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 61;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 62;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 63;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 64;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 65;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 66;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 67;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 68;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 69;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 70;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 71;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 72;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 73;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 74;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 75;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 76;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 77;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 78; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
ADMINISTRATIVA Y FINANCIERA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
PRINCIPALES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -55.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 12.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 12.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
ADMINISTRATIVA Y FINANCIERA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
SUPLENTES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -54.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 15.25pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 17.0pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 17.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
DE CONTRALORIA SOCIAL</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
PRINCIPALE ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -54.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 13.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 13.05pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
DE CONTRALORIA SOCIAL</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
SUPLENTES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -56.3pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 12.9pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 12.9pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%; margin-bottom: 14.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 14.0pt; text-align: justify; text-justify: inter-ideograph;">
<b><u><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-language: ES-VE;">SEGUNDO PUNTO</span></u></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-language: ES-VE;">: <b><span style="color: black;">de acuerdo a la voluntad expresada por los asistentes en el
proceso eleccionario, las personas seleccionadas como cuentadantes del consejo
comunal son los más votados de la unidad financiera, los cuales son los
siguientes:</span></b></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -50.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre y Apellido</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
</tbody></table>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><u><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;">TERCER PUNTO:</span></u></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span><span style="mso-bidi-font-style: italic;">De
conformidad con lo dispuesto en el Artículo 17, numeral 1, de la Ley Orgánica
de los Consejos Comunales, e</span>sta asamblea autoriza, al ciudadano(a) <b style="mso-bidi-font-weight: normal;">_________________</b>, titular de la cedula
de Identidad <b style="mso-bidi-font-weight: normal;">N°__________</b>, en su
carácter de vocero(a) de__________________ del consejo
comunal__________________________, para que solicite el Registro del presente
documento, por ante el Ministerio de Participación Comunal y Protección Social
a través de la <b>Taquilla de Registro del Poder Popular</b>. Se levanta el
acta<span style="mso-spacerun: yes;"> </span>los presentes habitantes de la
comunidad, firman en señal de conformidad y aceptación de su contenido.</span></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">FIRMAS EN AVAL DE LA
ELECCIÓN DE VOCERIAS DEL CONSEJO COMUNAL:
________________________________________________________________________</span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -43.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 23.0pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">NOMBRE
Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">FIRMA</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 23.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">TELEFONO</span></b></div>
</td>
</tr>
<tr style="height: 13.5pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 13.5pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 14.25pt; mso-border-bottom-alt: #00000A; mso-border-left-alt: #000001; mso-border-right-alt: #000001; mso-border-style-alt: solid; mso-border-top-alt: #00000A; mso-border-top-alt: solid #00000A .5pt; mso-border-width-alt: .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.05pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.05pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.0pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 27.0pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.95pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 24.95pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 23.45pt; mso-yfti-irow: 6;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 23.45pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 28.5pt; mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 28.5pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 25.55pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 25.55pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 30.0pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 30.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.0pt; mso-yfti-irow: 10;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 27.0pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.95pt; mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 24.95pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 23.3pt; mso-yfti-irow: 12;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 23.3pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 32.25pt; mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 32.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 14;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 19; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
</tbody></table>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">FIRMAS EN AVAL DE LA
ELECCIÓN DE VOCERIAS DEL CONSEJO COMUNAL: ________________________________________________________________________</span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<tbody>
<tr style="height: 52.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">NOMBRE
Y APELLIDO</span></b></div>
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<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">C.I.</span></b></div>
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<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">FIRMA</span></b></div>
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<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">TELEFONO</span></b></div>
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<br /></div>
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<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
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<br /></div>
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<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
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<br /></div>
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<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
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<br /></div>
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<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
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<br /></div>
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<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
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<br /></div>
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<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
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<br /></div>
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<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 13.5pt; mso-border-bottom-alt: #00000A; mso-border-left-alt: #000001; mso-border-right-alt: #000001; mso-border-style-alt: solid; mso-border-top-alt: #00000A; mso-border-top-alt: solid #00000A .5pt; mso-border-width-alt: .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
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<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
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<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
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<br /></div>
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<td style="border-top: none; border: solid #000001 1.0pt; height: 25.55pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
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<br /></div>
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<br /></div>
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<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
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<br /></div>
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<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
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<br /></div>
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<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
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<br /></div>
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<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 24.2pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
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<br /></div>
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<tr style="height: 27.75pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
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<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
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<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
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<br /></div>
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<br /></div>
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<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
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<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
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<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
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<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 24.2pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
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<br /></div>
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<tr style="height: 27.75pt; mso-yfti-irow: 7;">
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<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
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<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 24.05pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 31.5pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 31.5pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 25.7pt; mso-yfti-irow: 10;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 25.7pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 26.25pt; mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 26.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 22.55pt; mso-yfti-irow: 12;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 22.55pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 33.0pt; mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 33.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 26.25pt; mso-yfti-irow: 14;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 26.25pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 25.7pt; mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 25.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 19;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 20; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">PLANILLAS PARA LA FIRMA DE
ACOMPAÑANTES</span></b></div>
<div class="Predeterminado" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -1.0cm; margin-right: -18.8pt; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Se
deja constancia de las personas que asistieron como Promotor(a)
Observador(es)<span style="mso-spacerun: yes;"> </span>y/o<span style="mso-spacerun: yes;"> </span>Veedor(es) a las elecciones de vocerías del
Consejo Comunal<span style="mso-spacerun: yes;">
</span>________________________ el día<span style="mso-spacerun: yes;">
</span>________/___________ de____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -48.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 14.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">NOMBRE Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">ORGANIZACIÒN E INSTITUCIÒN</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">TELEFONO</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">FIRMA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 6;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 10;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 12;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
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<tr style="height: 15.25pt; mso-yfti-irow: 13;">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
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<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
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<tr style="height: 14.7pt; mso-yfti-irow: 14;">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
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<tr style="height: 14.7pt; mso-yfti-irow: 15;">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
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<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
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<tr style="height: 14.7pt; mso-yfti-irow: 16; mso-yfti-lastrow: yes;">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
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<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE">NOTA:<span style="mso-spacerun: yes;"> </span>CORREO ELECTRONICO
DEL CONSEJO COMUNAL: _____________</span></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE">_________________________________________________</span></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<br /></div>
Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-43720268682694017602018-06-11T14:35:00.001-07:002018-06-11T14:35:03.800-07:00ACTA DE ESCRUTINIOS ELECCIÓN DE VOCERAS Y VOCEROS DEL CONSEJO COMUNAL<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Acta N° 2</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">ACTA DE ESCRUTINIOS ELECCION DE VOCERAS Y VOCEROS</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">DEL CONSEJO COMUNAL</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre del Consejo Comunal:
_______________________________________ Sector:
___________________________________________________________</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre de la Comunidad: _____________________<span style="mso-spacerun: yes;"> </span>Estado: _____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Municipio: __________________________________<span style="mso-spacerun: yes;"> </span>Parroquia: ___________ No SIPP:
__-____-____-_____-______,<span style="mso-spacerun: yes;"> </span>No
RIF:<span style="mso-spacerun: yes;"> </span>_____________________<span style="mso-spacerun: yes;"> </span>No
cuenta____________________________,</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">En fecha_____________, del mes de<span style="mso-spacerun: yes;"> </span>_________________<span style="mso-spacerun: yes;"> </span>del año _______, reunidos en Asamblea de
Ciudadanos y Ciudadanas como máxima Instancia de deliberación y decisión para
el ejercicio del Poder Popular Comunitario, los habitantes de la comunidad
________________________, siendo la hora: ________, mayores de quince (15)
años, con el fin de realizar el proceso de escrutinio de los votos obtenidos
durante el proceso eleccionario, a fin de elegir los nuevos voceros y voceras
de las distintas instancias del Consejo Comunal ___________________________,
atendiendo la convocatoria realizada por la Comisión Electoral Permanente,<span style="mso-spacerun: yes;"> </span>donde se obtuvieron los siguientes
resultados:</span></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Población Votante: ____ Votantes Asistentes:
______Votos Válidos: ________ Votos Nulos: ____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">De conformidad a lo establecido en la Ley
Orgánica de los Consejos Comunales en sus artículos 2, 3, 43, y lo pautado en
los Capítulos II y III de la misma Ley, a los fines de tratar el siguiente
orden del día:<b style="mso-bidi-font-weight: normal;"> <u><span style="mso-bidi-font-weight: bold;">PRIMER PUNTO:</span></u></b> En vista del
vencimiento del periodo para la cual fueron electos los voceros y voceras del
Consejo Comunal, se procedió a llevar a cabo las<span style="mso-spacerun: yes;"> </span>elecciones, arrojando los resultados que a
continuación se mencionan:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span></span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>VOCEROS DE LA
UNIDAD EJECUTIVA</span></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">:</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -66.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.05pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.05pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 27;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 28;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 30;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 31;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 32;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 33;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 34;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 35;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 36;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 37;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 38;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 39;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 40;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 41;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 42;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 43;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 44;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 45;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 46;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 47;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 48;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 49;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 50;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 51;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 52;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 53;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 54;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 55;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 56;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 57;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 58;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 59;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 60;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 61;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 62;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 63;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 64;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 65;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 66;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 67;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 68;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 69;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 70;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 71;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 72;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 73;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 74;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 75;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 76;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 77;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 78; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
ADMINISTRATIVA Y FINANCIERA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
PRINCIPALES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -55.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 12.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 12.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
ADMINISTRATIVA Y FINANCIERA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
SUPLENTES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -54.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 15.25pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 17.0pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 17.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
DE CONTRALORIA SOCIAL</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
PRINCIPALE ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -54.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 13.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 13.05pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
DE CONTRALORIA SOCIAL</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
SUPLENTES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -56.3pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 12.9pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 12.9pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%; margin-bottom: 14.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 14.0pt; text-align: justify; text-justify: inter-ideograph;">
<b><u><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-language: ES-VE;">SEGUNDO PUNTO</span></u></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-language: ES-VE;">: <b><span style="color: black;">de acuerdo a la voluntad expresada por los asistentes en el
proceso eleccionario, las personas seleccionadas como cuentadantes del consejo
comunal son los más votados de la unidad financiera, los cuales son los
siguientes:</span></b></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -50.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre y Apellido</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
</tbody></table>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><u><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;">TERCER PUNTO:</span></u></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span><span style="mso-bidi-font-style: italic;">De
conformidad con lo dispuesto en el Artículo 17, numeral 1, de la Ley Orgánica
de los Consejos Comunales, e</span>sta asamblea autoriza, al ciudadano(a) <b style="mso-bidi-font-weight: normal;">_________________</b>, titular de la cedula
de Identidad <b style="mso-bidi-font-weight: normal;">N°__________</b>, en su
carácter de vocero(a) de__________________ del consejo
comunal__________________________, para que solicite el Registro del presente
documento, por ante el Ministerio de Participación Comunal y Protección Social
a través de la <b>Taquilla de Registro del Poder Popular</b>. Se levanta el
acta<span style="mso-spacerun: yes;"> </span>los presentes habitantes de la
comunidad, firman en señal de conformidad y aceptación de su contenido.</span></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">FIRMAS EN AVAL DE LA
ELECCIÓN DE VOCERIAS DEL CONSEJO COMUNAL:
________________________________________________________________________</span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -43.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 23.0pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">NOMBRE
Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">FIRMA</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 23.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">TELEFONO</span></b></div>
</td>
</tr>
<tr style="height: 13.5pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 13.5pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 14.25pt; mso-border-bottom-alt: #00000A; mso-border-left-alt: #000001; mso-border-right-alt: #000001; mso-border-style-alt: solid; mso-border-top-alt: #00000A; mso-border-top-alt: solid #00000A .5pt; mso-border-width-alt: .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.05pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.05pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.0pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 27.0pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.95pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 24.95pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 23.45pt; mso-yfti-irow: 6;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 23.45pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 28.5pt; mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 28.5pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 25.55pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 25.55pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 30.0pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 30.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.0pt; mso-yfti-irow: 10;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 27.0pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.95pt; mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 24.95pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 23.3pt; mso-yfti-irow: 12;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 23.3pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 32.25pt; mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 32.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 14;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 19; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
</tbody></table>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">FIRMAS EN AVAL DE LA
ELECCIÓN DE VOCERIAS DEL CONSEJO COMUNAL: ________________________________________________________________________</span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -43.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 52.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">NOMBRE
Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">FIRMA</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 52.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">TELEFONO</span></b></div>
</td>
</tr>
<tr style="height: 15.75pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 13.5pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 13.5pt; mso-border-bottom-alt: #00000A; mso-border-left-alt: #000001; mso-border-right-alt: #000001; mso-border-style-alt: solid; mso-border-top-alt: #00000A; mso-border-top-alt: solid #00000A .5pt; mso-border-width-alt: .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 25.55pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 25.55pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 24.2pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 24.2pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.2pt; mso-yfti-irow: 6;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 24.2pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.05pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 24.05pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 31.5pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 31.5pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 25.7pt; mso-yfti-irow: 10;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 25.7pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 26.25pt; mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 26.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 22.55pt; mso-yfti-irow: 12;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 22.55pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 33.0pt; mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 33.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 26.25pt; mso-yfti-irow: 14;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 26.25pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 25.7pt; mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 25.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 19;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 20; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">PLANILLAS PARA LA FIRMA DE
ACOMPAÑANTES</span></b></div>
<div class="Predeterminado" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -1.0cm; margin-right: -18.8pt; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Se
deja constancia de las personas que asistieron como Promotor(a)
Observador(es)<span style="mso-spacerun: yes;"> </span>y/o<span style="mso-spacerun: yes;"> </span>Veedor(es) a las elecciones de vocerías del
Consejo Comunal<span style="mso-spacerun: yes;">
</span>________________________ el día<span style="mso-spacerun: yes;">
</span>________/___________ de____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -48.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 14.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">NOMBRE Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">ORGANIZACIÒN E INSTITUCIÒN</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">TELEFONO</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">FIRMA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 6;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
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<br /></div>
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<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
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<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
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<br /></div>
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<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
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<br /></div>
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<tr style="height: 14.7pt; mso-yfti-irow: 12;">
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<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
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<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
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<tr style="height: 15.25pt; mso-yfti-irow: 13;">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
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</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
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</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 14;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
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<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
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<tr style="height: 14.7pt; mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
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<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
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</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 16; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
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</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE">NOTA:<span style="mso-spacerun: yes;"> </span>CORREO ELECTRONICO
DEL CONSEJO COMUNAL: _____________</span></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE">_________________________________________________</span></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<br /></div>
Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-80237036513539404462018-06-11T14:34:00.003-07:002018-06-11T14:34:21.733-07:00ACTA DE ESCRUTINIOS ELECCIÓN DE VOCERAS Y VOCEROS DEL CONSEJO COMUNAL<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Acta N° 2</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">ACTA DE ESCRUTINIOS ELECCION DE VOCERAS Y VOCEROS</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">DEL CONSEJO COMUNAL</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre del Consejo Comunal:
_______________________________________ Sector:
___________________________________________________________</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre de la Comunidad: _____________________<span style="mso-spacerun: yes;"> </span>Estado: _____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Municipio: __________________________________<span style="mso-spacerun: yes;"> </span>Parroquia: ___________ No SIPP:
__-____-____-_____-______,<span style="mso-spacerun: yes;"> </span>No
RIF:<span style="mso-spacerun: yes;"> </span>_____________________<span style="mso-spacerun: yes;"> </span>No
cuenta____________________________,</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">En fecha_____________, del mes de<span style="mso-spacerun: yes;"> </span>_________________<span style="mso-spacerun: yes;"> </span>del año _______, reunidos en Asamblea de
Ciudadanos y Ciudadanas como máxima Instancia de deliberación y decisión para
el ejercicio del Poder Popular Comunitario, los habitantes de la comunidad
________________________, siendo la hora: ________, mayores de quince (15)
años, con el fin de realizar el proceso de escrutinio de los votos obtenidos
durante el proceso eleccionario, a fin de elegir los nuevos voceros y voceras
de las distintas instancias del Consejo Comunal ___________________________,
atendiendo la convocatoria realizada por la Comisión Electoral Permanente,<span style="mso-spacerun: yes;"> </span>donde se obtuvieron los siguientes
resultados:</span></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Población Votante: ____ Votantes Asistentes:
______Votos Válidos: ________ Votos Nulos: ____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">De conformidad a lo establecido en la Ley
Orgánica de los Consejos Comunales en sus artículos 2, 3, 43, y lo pautado en
los Capítulos II y III de la misma Ley, a los fines de tratar el siguiente
orden del día:<b style="mso-bidi-font-weight: normal;"> <u><span style="mso-bidi-font-weight: bold;">PRIMER PUNTO:</span></u></b> En vista del
vencimiento del periodo para la cual fueron electos los voceros y voceras del
Consejo Comunal, se procedió a llevar a cabo las<span style="mso-spacerun: yes;"> </span>elecciones, arrojando los resultados que a
continuación se mencionan:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span></span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>VOCEROS DE LA
UNIDAD EJECUTIVA</span></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">:</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -66.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.05pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.05pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 27;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 28;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 30;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 31;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 32;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 33;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 34;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 35;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 36;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 37;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 38;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 39;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 40;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 41;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 42;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 43;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 44;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 45;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 46;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 47;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 48;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 49;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 50;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 51;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 52;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 53;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 54;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 55;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 56;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 57;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 58;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 59;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 60;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 61;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 62;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 63;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 64;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 65;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 66;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 67;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 68;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 69;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 70;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 71;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 72;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 73;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 74;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 75;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 76;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 77;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 78; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
ADMINISTRATIVA Y FINANCIERA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
PRINCIPALES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -55.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 12.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 12.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
ADMINISTRATIVA Y FINANCIERA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
SUPLENTES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -54.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 15.25pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 17.0pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 17.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
DE CONTRALORIA SOCIAL</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
PRINCIPALE ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -54.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 13.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 13.05pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
DE CONTRALORIA SOCIAL</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
SUPLENTES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -56.3pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 12.9pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 12.9pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%; margin-bottom: 14.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 14.0pt; text-align: justify; text-justify: inter-ideograph;">
<b><u><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-language: ES-VE;">SEGUNDO PUNTO</span></u></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-language: ES-VE;">: <b><span style="color: black;">de acuerdo a la voluntad expresada por los asistentes en el
proceso eleccionario, las personas seleccionadas como cuentadantes del consejo
comunal son los más votados de la unidad financiera, los cuales son los
siguientes:</span></b></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -50.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre y Apellido</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
</tbody></table>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><u><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;">TERCER PUNTO:</span></u></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span><span style="mso-bidi-font-style: italic;">De
conformidad con lo dispuesto en el Artículo 17, numeral 1, de la Ley Orgánica
de los Consejos Comunales, e</span>sta asamblea autoriza, al ciudadano(a) <b style="mso-bidi-font-weight: normal;">_________________</b>, titular de la cedula
de Identidad <b style="mso-bidi-font-weight: normal;">N°__________</b>, en su
carácter de vocero(a) de__________________ del consejo
comunal__________________________, para que solicite el Registro del presente
documento, por ante el Ministerio de Participación Comunal y Protección Social
a través de la <b>Taquilla de Registro del Poder Popular</b>. Se levanta el
acta<span style="mso-spacerun: yes;"> </span>los presentes habitantes de la
comunidad, firman en señal de conformidad y aceptación de su contenido.</span></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">FIRMAS EN AVAL DE LA
ELECCIÓN DE VOCERIAS DEL CONSEJO COMUNAL:
________________________________________________________________________</span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -43.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 23.0pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">NOMBRE
Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">FIRMA</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 23.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">TELEFONO</span></b></div>
</td>
</tr>
<tr style="height: 13.5pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 13.5pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 14.25pt; mso-border-bottom-alt: #00000A; mso-border-left-alt: #000001; mso-border-right-alt: #000001; mso-border-style-alt: solid; mso-border-top-alt: #00000A; mso-border-top-alt: solid #00000A .5pt; mso-border-width-alt: .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.05pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.05pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.0pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 27.0pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.95pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 24.95pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 23.45pt; mso-yfti-irow: 6;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 23.45pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 28.5pt; mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 28.5pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 25.55pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 25.55pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 30.0pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 30.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.0pt; mso-yfti-irow: 10;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 27.0pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.95pt; mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 24.95pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 23.3pt; mso-yfti-irow: 12;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 23.3pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 32.25pt; mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 32.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 14;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 19; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
</tbody></table>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">FIRMAS EN AVAL DE LA
ELECCIÓN DE VOCERIAS DEL CONSEJO COMUNAL: ________________________________________________________________________</span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -43.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 52.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">NOMBRE
Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">FIRMA</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 52.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">TELEFONO</span></b></div>
</td>
</tr>
<tr style="height: 15.75pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 13.5pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 13.5pt; mso-border-bottom-alt: #00000A; mso-border-left-alt: #000001; mso-border-right-alt: #000001; mso-border-style-alt: solid; mso-border-top-alt: #00000A; mso-border-top-alt: solid #00000A .5pt; mso-border-width-alt: .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 25.55pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 25.55pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 24.2pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 24.2pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.2pt; mso-yfti-irow: 6;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 24.2pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.05pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 24.05pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 31.5pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 31.5pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 25.7pt; mso-yfti-irow: 10;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 25.7pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 26.25pt; mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 26.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 22.55pt; mso-yfti-irow: 12;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 22.55pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 33.0pt; mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 33.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 26.25pt; mso-yfti-irow: 14;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 26.25pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 25.7pt; mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 25.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 19;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 20; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">PLANILLAS PARA LA FIRMA DE
ACOMPAÑANTES</span></b></div>
<div class="Predeterminado" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -1.0cm; margin-right: -18.8pt; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Se
deja constancia de las personas que asistieron como Promotor(a)
Observador(es)<span style="mso-spacerun: yes;"> </span>y/o<span style="mso-spacerun: yes;"> </span>Veedor(es) a las elecciones de vocerías del
Consejo Comunal<span style="mso-spacerun: yes;">
</span>________________________ el día<span style="mso-spacerun: yes;">
</span>________/___________ de____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -48.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 14.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">NOMBRE Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">ORGANIZACIÒN E INSTITUCIÒN</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">TELEFONO</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">FIRMA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 6;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 10;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 12;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 14;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 16; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE">NOTA:<span style="mso-spacerun: yes;"> </span>CORREO ELECTRONICO
DEL CONSEJO COMUNAL: _____________</span></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE">_________________________________________________</span></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<br /></div>
Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-6475772321318296372018-06-11T14:34:00.001-07:002018-06-11T14:34:08.364-07:00ACTA DE ESCRUTINIOS ELECCIÓN DE VOCERAS Y VOCEROS DEL CONSEJO COMUNAL<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Acta N° 2</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">ACTA DE ESCRUTINIOS ELECCION DE VOCERAS Y VOCEROS</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">DEL CONSEJO COMUNAL</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre del Consejo Comunal:
_______________________________________ Sector:
___________________________________________________________</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre de la Comunidad: _____________________<span style="mso-spacerun: yes;"> </span>Estado: _____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Municipio: __________________________________<span style="mso-spacerun: yes;"> </span>Parroquia: ___________ No SIPP:
__-____-____-_____-______,<span style="mso-spacerun: yes;"> </span>No
RIF:<span style="mso-spacerun: yes;"> </span>_____________________<span style="mso-spacerun: yes;"> </span>No
cuenta____________________________,</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">En fecha_____________, del mes de<span style="mso-spacerun: yes;"> </span>_________________<span style="mso-spacerun: yes;"> </span>del año _______, reunidos en Asamblea de
Ciudadanos y Ciudadanas como máxima Instancia de deliberación y decisión para
el ejercicio del Poder Popular Comunitario, los habitantes de la comunidad
________________________, siendo la hora: ________, mayores de quince (15)
años, con el fin de realizar el proceso de escrutinio de los votos obtenidos
durante el proceso eleccionario, a fin de elegir los nuevos voceros y voceras
de las distintas instancias del Consejo Comunal ___________________________,
atendiendo la convocatoria realizada por la Comisión Electoral Permanente,<span style="mso-spacerun: yes;"> </span>donde se obtuvieron los siguientes
resultados:</span></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Población Votante: ____ Votantes Asistentes:
______Votos Válidos: ________ Votos Nulos: ____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">De conformidad a lo establecido en la Ley
Orgánica de los Consejos Comunales en sus artículos 2, 3, 43, y lo pautado en
los Capítulos II y III de la misma Ley, a los fines de tratar el siguiente
orden del día:<b style="mso-bidi-font-weight: normal;"> <u><span style="mso-bidi-font-weight: bold;">PRIMER PUNTO:</span></u></b> En vista del
vencimiento del periodo para la cual fueron electos los voceros y voceras del
Consejo Comunal, se procedió a llevar a cabo las<span style="mso-spacerun: yes;"> </span>elecciones, arrojando los resultados que a
continuación se mencionan:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span></span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>VOCEROS DE LA
UNIDAD EJECUTIVA</span></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">:</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -66.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.05pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.05pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 27;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 28;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 30;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 31;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 32;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 33;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 34;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 35;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 36;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 37;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 38;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 39;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 40;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 41;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 42;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 43;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 44;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 45;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 46;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 47;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 48;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 49;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 50;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 51;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 52;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 53;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 54;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 55;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 56;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 57;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 58;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 59;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 60;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 61;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 62;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 63;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 64;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 65;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 66;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 67;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 68;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 69;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 70;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 71;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 72;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 73;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 74;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 75;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 76;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 77;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 78; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
ADMINISTRATIVA Y FINANCIERA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
PRINCIPALES ELECTOS</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
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<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
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<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
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<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
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<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
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<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
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<tr style="height: 15.25pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
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<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
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<tr style="height: 15.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
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<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
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<tr style="height: 15.25pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
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<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
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<tr style="height: 15.25pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
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</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
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</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
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</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
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</td>
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<tr style="height: 15.25pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
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</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
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</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
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<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
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<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
ADMINISTRATIVA Y FINANCIERA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
SUPLENTES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -54.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 15.25pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 17.0pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 17.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
DE CONTRALORIA SOCIAL</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
PRINCIPALE ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -54.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 13.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 13.05pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
DE CONTRALORIA SOCIAL</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
SUPLENTES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -56.3pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 12.9pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 12.9pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%; margin-bottom: 14.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 14.0pt; text-align: justify; text-justify: inter-ideograph;">
<b><u><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-language: ES-VE;">SEGUNDO PUNTO</span></u></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-language: ES-VE;">: <b><span style="color: black;">de acuerdo a la voluntad expresada por los asistentes en el
proceso eleccionario, las personas seleccionadas como cuentadantes del consejo
comunal son los más votados de la unidad financiera, los cuales son los
siguientes:</span></b></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -50.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre y Apellido</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
</tbody></table>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><u><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;">TERCER PUNTO:</span></u></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span><span style="mso-bidi-font-style: italic;">De
conformidad con lo dispuesto en el Artículo 17, numeral 1, de la Ley Orgánica
de los Consejos Comunales, e</span>sta asamblea autoriza, al ciudadano(a) <b style="mso-bidi-font-weight: normal;">_________________</b>, titular de la cedula
de Identidad <b style="mso-bidi-font-weight: normal;">N°__________</b>, en su
carácter de vocero(a) de__________________ del consejo
comunal__________________________, para que solicite el Registro del presente
documento, por ante el Ministerio de Participación Comunal y Protección Social
a través de la <b>Taquilla de Registro del Poder Popular</b>. Se levanta el
acta<span style="mso-spacerun: yes;"> </span>los presentes habitantes de la
comunidad, firman en señal de conformidad y aceptación de su contenido.</span></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">FIRMAS EN AVAL DE LA
ELECCIÓN DE VOCERIAS DEL CONSEJO COMUNAL:
________________________________________________________________________</span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -43.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 23.0pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">NOMBRE
Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">FIRMA</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 23.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">TELEFONO</span></b></div>
</td>
</tr>
<tr style="height: 13.5pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 13.5pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 14.25pt; mso-border-bottom-alt: #00000A; mso-border-left-alt: #000001; mso-border-right-alt: #000001; mso-border-style-alt: solid; mso-border-top-alt: #00000A; mso-border-top-alt: solid #00000A .5pt; mso-border-width-alt: .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.05pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.05pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.0pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 27.0pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.95pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 24.95pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 23.45pt; mso-yfti-irow: 6;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 23.45pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 28.5pt; mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 28.5pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 25.55pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 25.55pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 30.0pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 30.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.0pt; mso-yfti-irow: 10;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 27.0pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.95pt; mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 24.95pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 23.3pt; mso-yfti-irow: 12;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 23.3pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 32.25pt; mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 32.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 14;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 19; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
</tbody></table>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">FIRMAS EN AVAL DE LA
ELECCIÓN DE VOCERIAS DEL CONSEJO COMUNAL: ________________________________________________________________________</span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -43.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 52.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">NOMBRE
Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">FIRMA</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 52.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">TELEFONO</span></b></div>
</td>
</tr>
<tr style="height: 15.75pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 13.5pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 13.5pt; mso-border-bottom-alt: #00000A; mso-border-left-alt: #000001; mso-border-right-alt: #000001; mso-border-style-alt: solid; mso-border-top-alt: #00000A; mso-border-top-alt: solid #00000A .5pt; mso-border-width-alt: .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 25.55pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 25.55pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 24.2pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 24.2pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.2pt; mso-yfti-irow: 6;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 24.2pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.05pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 24.05pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 31.5pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 31.5pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 25.7pt; mso-yfti-irow: 10;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 25.7pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 26.25pt; mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 26.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 22.55pt; mso-yfti-irow: 12;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 22.55pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 33.0pt; mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 33.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 26.25pt; mso-yfti-irow: 14;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 26.25pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 25.7pt; mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 25.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 19;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 20; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">PLANILLAS PARA LA FIRMA DE
ACOMPAÑANTES</span></b></div>
<div class="Predeterminado" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -1.0cm; margin-right: -18.8pt; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Se
deja constancia de las personas que asistieron como Promotor(a)
Observador(es)<span style="mso-spacerun: yes;"> </span>y/o<span style="mso-spacerun: yes;"> </span>Veedor(es) a las elecciones de vocerías del
Consejo Comunal<span style="mso-spacerun: yes;">
</span>________________________ el día<span style="mso-spacerun: yes;">
</span>________/___________ de____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -48.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 14.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">NOMBRE Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">ORGANIZACIÒN E INSTITUCIÒN</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">TELEFONO</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">FIRMA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 6;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 10;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 12;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
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<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
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<br /></div>
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<tr style="height: 14.7pt; mso-yfti-irow: 14;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
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<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<tr style="height: 14.7pt; mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
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<br /></div>
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<tr style="height: 14.7pt; mso-yfti-irow: 16; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE">NOTA:<span style="mso-spacerun: yes;"> </span>CORREO ELECTRONICO
DEL CONSEJO COMUNAL: _____________</span></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE">_________________________________________________</span></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<br /></div>
Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-2027765705161926402018-06-11T14:33:00.003-07:002018-06-11T14:33:47.253-07:00ACTA DE ESCRUTINIOS ELECCIÓN DE VOCERAS Y VOCEROS DEL CONSEJO COMUNAL<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Acta N° 2</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">ACTA DE ESCRUTINIOS ELECCION DE VOCERAS Y VOCEROS</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">DEL CONSEJO COMUNAL</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre del Consejo Comunal:
_______________________________________ Sector:
___________________________________________________________</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre de la Comunidad: _____________________<span style="mso-spacerun: yes;"> </span>Estado: _____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Municipio: __________________________________<span style="mso-spacerun: yes;"> </span>Parroquia: ___________ No SIPP:
__-____-____-_____-______,<span style="mso-spacerun: yes;"> </span>No
RIF:<span style="mso-spacerun: yes;"> </span>_____________________<span style="mso-spacerun: yes;"> </span>No
cuenta____________________________,</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">En fecha_____________, del mes de<span style="mso-spacerun: yes;"> </span>_________________<span style="mso-spacerun: yes;"> </span>del año _______, reunidos en Asamblea de
Ciudadanos y Ciudadanas como máxima Instancia de deliberación y decisión para
el ejercicio del Poder Popular Comunitario, los habitantes de la comunidad
________________________, siendo la hora: ________, mayores de quince (15)
años, con el fin de realizar el proceso de escrutinio de los votos obtenidos
durante el proceso eleccionario, a fin de elegir los nuevos voceros y voceras
de las distintas instancias del Consejo Comunal ___________________________,
atendiendo la convocatoria realizada por la Comisión Electoral Permanente,<span style="mso-spacerun: yes;"> </span>donde se obtuvieron los siguientes
resultados:</span></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Población Votante: ____ Votantes Asistentes:
______Votos Válidos: ________ Votos Nulos: ____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">De conformidad a lo establecido en la Ley
Orgánica de los Consejos Comunales en sus artículos 2, 3, 43, y lo pautado en
los Capítulos II y III de la misma Ley, a los fines de tratar el siguiente
orden del día:<b style="mso-bidi-font-weight: normal;"> <u><span style="mso-bidi-font-weight: bold;">PRIMER PUNTO:</span></u></b> En vista del
vencimiento del periodo para la cual fueron electos los voceros y voceras del
Consejo Comunal, se procedió a llevar a cabo las<span style="mso-spacerun: yes;"> </span>elecciones, arrojando los resultados que a
continuación se mencionan:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span></span></b></div>
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>VOCEROS DE LA
UNIDAD EJECUTIVA</span></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">:</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -66.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.05pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.05pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 27;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 28;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 30;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 31;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 32;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 33;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 34;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 35;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 36;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 37;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 38;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 39;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 40;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 41;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 42;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 43;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 44;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 45;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 46;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 47;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 48;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 49;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 50;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 51;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 52;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 53;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 54;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 55;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 56;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 57;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 58;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 59;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 60;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 61;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 62;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 63;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 64;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 65;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 66;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 67;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 68;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 69;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="3" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 70;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 71;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 72;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Comité</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre
y Apellido</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Ocupación</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Votos</span></b></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Firma</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 73;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">PRINCIPAL</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 1.15pt; mso-yfti-irow: 74;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">SUPLENTE</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 1.15pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 1.15pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.9pt; mso-yfti-irow: 75;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td rowspan="4" style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 64.65pt;" valign="top" width="86">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.9pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 76;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 77;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 78; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 36.75pt;" valign="top" width="49">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 117.75pt;" valign="top" width="157">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 70.8pt;" valign="top" width="94">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 77.9pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 56.65pt;" valign="top" width="76">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 72.65pt;" valign="top" width="97">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
ADMINISTRATIVA Y FINANCIERA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
PRINCIPALES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -55.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 12.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 12.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.15pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.15pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.6pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.4pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.15pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.3pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
ADMINISTRATIVA Y FINANCIERA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
SUPLENTES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -54.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 15.25pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.2pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 17.0pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.25pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.45pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.75pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.6pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.55pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 17.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.35pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 17.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.45pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
DE CONTRALORIA SOCIAL</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
PRINCIPALE ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -54.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 13.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 13.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 13.05pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 16.75pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.2pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.05pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 81.5pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.35pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.3pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 16.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.1pt;" valign="top" width="81">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 16.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.25pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">UNIDAD
DE CONTRALORIA SOCIAL</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">VOCEROS
SUPLENTES ELECTOS</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -56.3pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 12.9pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Nº</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">APELLIDOS
Y NOMBRES</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">CÉDULA</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">TELEFONO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">OCUPACION</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 12.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">VOTOS</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 12.9pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">FIRMA</span></b></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">4</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 15.45pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 27.3pt;" valign="top" width="36">
<div class="Predeterminado" style="line-height: 115%;">
<span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">5</span></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 129.85pt;" valign="top" width="173">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 82.05pt;" valign="top" width="109">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 88.8pt;" valign="top" width="118">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.45pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 61.5pt;" valign="top" width="82">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.45pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.9pt;" valign="top" width="103">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%; margin-bottom: 14.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 14.0pt; text-align: justify; text-justify: inter-ideograph;">
<b><u><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-language: ES-VE;">SEGUNDO PUNTO</span></u></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-language: ES-VE;">: <b><span style="color: black;">de acuerdo a la voluntad expresada por los asistentes en el
proceso eleccionario, las personas seleccionadas como cuentadantes del consejo
comunal son los más votados de la unidad financiera, los cuales son los
siguientes:</span></b></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -50.9pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Nombre y Apellido</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">C.I.</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Teléfono</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 28.3pt;" valign="top" width="38">
<div class="Predeterminado" style="line-height: 115%;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3</span></b></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 8.0cm;" valign="top" width="302">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 164.55pt;" valign="top" width="219">
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
</td>
</tr>
</tbody></table>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><u><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;">TERCER PUNTO:</span></u></b><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span><span style="mso-bidi-font-style: italic;">De
conformidad con lo dispuesto en el Artículo 17, numeral 1, de la Ley Orgánica
de los Consejos Comunales, e</span>sta asamblea autoriza, al ciudadano(a) <b style="mso-bidi-font-weight: normal;">_________________</b>, titular de la cedula
de Identidad <b style="mso-bidi-font-weight: normal;">N°__________</b>, en su
carácter de vocero(a) de__________________ del consejo
comunal__________________________, para que solicite el Registro del presente
documento, por ante el Ministerio de Participación Comunal y Protección Social
a través de la <b>Taquilla de Registro del Poder Popular</b>. Se levanta el
acta<span style="mso-spacerun: yes;"> </span>los presentes habitantes de la
comunidad, firman en señal de conformidad y aceptación de su contenido.</span></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">FIRMAS EN AVAL DE LA
ELECCIÓN DE VOCERIAS DEL CONSEJO COMUNAL:
________________________________________________________________________</span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -43.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 23.0pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">NOMBRE
Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 23.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">FIRMA</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 23.0pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">TELEFONO</span></b></div>
</td>
</tr>
<tr style="height: 13.5pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 13.5pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 14.25pt; mso-border-bottom-alt: #00000A; mso-border-left-alt: #000001; mso-border-right-alt: #000001; mso-border-style-alt: solid; mso-border-top-alt: #00000A; mso-border-top-alt: solid #00000A .5pt; mso-border-width-alt: .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.05pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.05pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.05pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.0pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 27.0pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.95pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 24.95pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 23.45pt; mso-yfti-irow: 6;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.45pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 23.45pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 28.5pt; mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 28.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 28.5pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 25.55pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 25.55pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 30.0pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 30.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 30.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.0pt; mso-yfti-irow: 10;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.0pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 27.0pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.95pt; mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.95pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 24.95pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 23.3pt; mso-yfti-irow: 12;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 23.3pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 23.3pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 32.25pt; mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 32.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 32.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 14;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 21.2pt; mso-yfti-irow: 19; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 33.6pt;" valign="top" width="45">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 176.55pt;" valign="top" width="235">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 84.75pt;" valign="top" width="113">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 21.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 105.95pt;" valign="top" width="141">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 21.2pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 128.75pt;" valign="top" width="172">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
</tbody></table>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 115%;">FIRMAS EN AVAL DE LA
ELECCIÓN DE VOCERIAS DEL CONSEJO COMUNAL: ________________________________________________________________________</span></b></div>
<div style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -43.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 52.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">No</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">NOMBRE
Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 52.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">FIRMA</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 52.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">TELEFONO</span></b></div>
</td>
</tr>
<tr style="height: 15.75pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.75pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 15.75pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 13.5pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 13.5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 13.5pt; mso-border-bottom-alt: #00000A; mso-border-left-alt: #000001; mso-border-right-alt: #000001; mso-border-style-alt: solid; mso-border-top-alt: #00000A; mso-border-top-alt: solid #00000A .5pt; mso-border-width-alt: .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 25.55pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.55pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 25.55pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 24.2pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 24.2pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.2pt; mso-yfti-irow: 6;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.2pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 24.2pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 24.05pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 24.05pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 24.05pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 31.5pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 31.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 31.5pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 25.7pt; mso-yfti-irow: 10;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 25.7pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 26.25pt; mso-yfti-irow: 11;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 26.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="Predeterminado" style="line-height: 200%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 22.55pt; mso-yfti-irow: 12;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 22.55pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 22.55pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 33.0pt; mso-yfti-irow: 13;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 33.0pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 33.0pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 26.25pt; mso-yfti-irow: 14;">
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 26.25pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: solid #000001 1.0pt; border-right: solid #000001 1.0pt; border-top: none; height: 26.25pt; mso-border-alt: solid #000001 .5pt; mso-border-bottom-alt: solid #00000A .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 25.7pt; mso-yfti-irow: 15;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 25.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 25.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 16;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 17;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 18;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 19;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 27.75pt; mso-yfti-irow: 20; mso-yfti-lastrow: yes;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 31.35pt;" valign="top" width="42">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 161.35pt;" valign="top" width="215">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 76.15pt;" valign="top" width="102">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 27.75pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 97.1pt;" valign="top" width="129">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 27.75pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 120.5pt;" valign="top" width="161">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="Predeterminado" style="line-height: 115%;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">PLANILLAS PARA LA FIRMA DE
ACOMPAÑANTES</span></b></div>
<div class="Predeterminado" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -1.0cm; margin-right: -18.8pt; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Se
deja constancia de las personas que asistieron como Promotor(a)
Observador(es)<span style="mso-spacerun: yes;"> </span>y/o<span style="mso-spacerun: yes;"> </span>Veedor(es) a las elecciones de vocerías del
Consejo Comunal<span style="mso-spacerun: yes;">
</span>________________________ el día<span style="mso-spacerun: yes;">
</span>________/___________ de____________</span></b></div>
<div class="Predeterminado" style="line-height: 115%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -48.5pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 14.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">NOMBRE Y APELLIDO</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">C.I.</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">ORGANIZACIÒN E INSTITUCIÒN</span></b></div>
</td>
<td style="border-right: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">TELEFONO</span></b></div>
</td>
<td style="border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-VE" style="font-family: "Arial","sans-serif";">FIRMA</span></b></div>
<div align="center" class="Predeterminado" style="line-height: 115%; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 2;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 3;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 4;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 5;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 6;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 7;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 8;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 15.25pt; mso-yfti-irow: 9;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 15.25pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 15.25pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 10;">
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 148.5pt;" valign="top" width="198">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 83.3pt;" valign="top" width="111">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 138.9pt;" valign="top" width="185">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid #000001 1.0pt; border-left: solid #000001 1.0pt; border-right: none; border-top: none; height: 14.7pt; mso-border-bottom-alt: solid #000001 .5pt; mso-border-left-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 90.3pt;" valign="top" width="120">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-top: none; border: solid #000001 1.0pt; height: 14.7pt; mso-border-alt: solid #000001 .5pt; mso-border-top-alt: solid #000001 .5pt; padding: 0cm .5pt 0cm .5pt; width: 78.1pt;" valign="top" width="104">
<div class="Predeterminado" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr style="height: 14.7pt; mso-yfti-irow: 11;">
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<span lang="ES-VE">NOTA:<span style="mso-spacerun: yes;"> </span>CORREO ELECTRONICO
DEL CONSEJO COMUNAL: _____________</span></div>
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<span lang="ES-VE">_________________________________________________</span></div>
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Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-6838483071078264382018-02-15T21:21:00.000-08:002018-02-15T21:21:07.397-08:00LEY DE LOS CLAP DESCARGA PDF 2018<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://drive.google.com/file/d/13G1JdECPu59uor1LBGOs5s4XLvFaJ2h6/view?usp=sharing" target="_blank">LEY DE LOS CLAP CLIKEA AQUI Y DESCARGA </a></div>
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<br /></div>
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En Gaceta Oficial N° 41.330 de fecha 29 de enero de 2018,
fue publicada la Ley<o:p></o:p></div>
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Constitucional del Comité Local de Abastecimiento y
Producción, sancionada por la<o:p></o:p></div>
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Asamblea Nacional Constituyente.<o:p></o:p></div>
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LEY CONSTITUCIONAL DEL COMITÉ LOCAL DE ABASTECIMIENTO Y
PRODUCCIÓN<o:p></o:p></div>
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Capítulo I<o:p></o:p></div>
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Disposiciones Generales<o:p></o:p></div>
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Objeto<o:p></o:p></div>
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Artículo 1. Esta Ley Constitucional tiene por objeto regular
la constitución, organización y<o:p></o:p></div>
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funcionamiento del Comité Local de Abastecimiento y
Producción (CLAP), así como el<o:p></o:p></div>
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reconocimiento de la organización de las instancias de
agregación y participación y<o:p></o:p></div>
<div class="MsoNormal">
organizaciones de base del Poder Popular, para asegurar la
producción, abastecimiento y<o:p></o:p></div>
<div class="MsoNormal">
distribución de los alimentos y productos, a fines de
garantizar, la independencia, el<o:p></o:p></div>
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bienestar social del Pueblo, la seguridad alimentaria y el
desarrollo integral de la Nación.<o:p></o:p></div>
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Ámbito de aplicación<o:p></o:p></div>
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Artículo 2. Las disposiciones de esta Ley Constitucional son
aplicables a los procesos de<o:p></o:p></div>
<div class="MsoNormal">
constitución, organización y funcionamiento del Comité Local
de Abastecimiento y<o:p></o:p></div>
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Producción en todo el territorio nacional.<o:p></o:p></div>
<div class="MsoNormal">
Valores y principios<o:p></o:p></div>
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1/7<o:p></o:p></div>
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Artículo 3. La constitución, organización y funcionamiento
del Comité Local de<o:p></o:p></div>
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Abastecimiento y Producción se regirá por los siguientes
valores y principios:<o:p></o:p></div>
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1. Participación protagónica.<o:p></o:p></div>
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2. Corresponsabilidad.<o:p></o:p></div>
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3. Solidaridad.<o:p></o:p></div>
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4. Justicia.<o:p></o:p></div>
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5. Igualdad social.<o:p></o:p></div>
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6. Preeminencia de los derechos humanos.<o:p></o:p></div>
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7. Seguridad y soberanía alimentaria.<o:p></o:p></div>
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8. Primacía de los intereses colectivos.<o:p></o:p></div>
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9. Transparencia.<o:p></o:p></div>
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10. Contraloría social.<o:p></o:p></div>
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11. Eficacia.<o:p></o:p></div>
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Finalidades<o:p></o:p></div>
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Artículo 4. Esta Ley Constitucional tiene las siguientes
finalidades:<o:p></o:p></div>
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1. Regular la constitución, organización y funcionamiento
del Comité Local de<o:p></o:p></div>
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Abastecimiento y Producción, para garantizar el derecho a la
alimentación, la<o:p></o:p></div>
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soberanía alimentaria del Pueblo venezolano.<o:p></o:p></div>
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2. romover las actividades socioproductivas de las
instancias de agregación y<o:p></o:p></div>
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organizaciones de base del Poder Popular, en aras de
garantizar la producción y la<o:p></o:p></div>
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constitución de formas de autogobierno y autogestión de las
comunidades.<o:p></o:p></div>
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3. Coadyuvar en la construcción del nuevo sistema de
producción, abastecimiento y<o:p></o:p></div>
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distribución de alimentos y productos para el consumo,
enmarcado en una economía<o:p></o:p></div>
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productiva y diversificada, particularmente del Sistema de
Economía Comunal.<o:p></o:p></div>
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4. Desarrollar acciones para combatir y superar la
especulación, el acaparamiento, el<o:p></o:p></div>
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contrabando y la usura mediante la participación protagónica
y la organización del<o:p></o:p></div>
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Poder Popular.<o:p></o:p></div>
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5. Asegurar el ejercicio de la contraloría social para
garantizar que el funcionamiento<o:p></o:p></div>
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del Comité Local de Abastecimiento y Producción sea
transparente, eficaz, eficiente<o:p></o:p></div>
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y efectivo.<o:p></o:p></div>
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6. Profundizar la corresponsabilidad y la autogestión en las
comunas, los consejos<o:p></o:p></div>
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comunales y demás instancias de agregación del Poder
Popular.<o:p></o:p></div>
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Definiciones<o:p></o:p></div>
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Artículo 5. A los efectos de esta Ley Constitucional se
entiende por:<o:p></o:p></div>
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1. Comité Local de Abastecimiento y Producción: Organización
del Poder Popular,<o:p></o:p></div>
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de carácter político, social, económico, ético y
territorial, conformado a escala local o<o:p></o:p></div>
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sectorial para la producción, el abastecimiento y la
distribución de alimentos y<o:p></o:p></div>
<div class="MsoNormal">
productos, a fines de garantizar, la independencia, el
bienestar social del Pueblo, la<o:p></o:p></div>
<div class="MsoNormal">
seguridad y soberanía alimentaria y el desarrollo y defensa
integral de la Nación, en<o:p></o:p></div>
<div class="MsoNormal">
corresponsabilidad con el Estado.<o:p></o:p></div>
<div class="MsoNormal">
2. Responsable de Comunidad: Persona encargada de coordinar
el censo de las<o:p></o:p></div>
<div class="MsoNormal">
familias, las rutas de abastecimiento, los puntos de
distribución y las demás acciones<o:p></o:p></div>
<div class="MsoNormal">
2/7<o:p></o:p></div>
<div class="MsoNormal">
que conforman el sistema popular de distribución de alimentos.<o:p></o:p></div>
<div class="MsoNormal">
3. Responsable de Calle o Vereda: Persona que tendrá a cargo
la relación directa<o:p></o:p></div>
<div class="MsoNormal">
con las familias en función de un mayor acercamiento entre
las comunidades y el<o:p></o:p></div>
<div class="MsoNormal">
Comité Local de Abastecimiento y Producción.<o:p></o:p></div>
<div class="MsoNormal">
4. Fiscal: Es la vocera o vocero designada por el Comité
Local de Abastecimiento y<o:p></o:p></div>
<div class="MsoNormal">
Producción que realizará el seguimiento y control,
supervisión y fiscalización para<o:p></o:p></div>
<div class="MsoNormal">
garantizar la transparencia y eficiencia en los procesos
productivos, comercialización<o:p></o:p></div>
<div class="MsoNormal">
y abastecimiento de alimentos, de artículos de aseo personal
y fármacos, en el<o:p></o:p></div>
<div class="MsoNormal">
sector público y privado, para promover adecuadamente la
comercialización de los<o:p></o:p></div>
<div class="MsoNormal">
artículos a precios fijados por el órgano del Estado que
regula la materia.<o:p></o:p></div>
<div class="MsoNormal">
Capítulo II<o:p></o:p></div>
<div class="MsoNormal">
De la Organización y Funcionamiento del Comité Local de
Abastecimiento y<o:p></o:p></div>
<div class="MsoNormal">
Producción<o:p></o:p></div>
<div class="MsoNormal">
Constitución<o:p></o:p></div>
<div class="MsoNormal">
Artículo 6. El Comité Local de Abastecimiento y Producción
se conformará a escala local<o:p></o:p></div>
<div class="MsoNormal">
en cada una de las comunas, comunidades y sectores sociales
del territorio nacional, de<o:p></o:p></div>
<div class="MsoNormal">
forma flexible y en atención a las circunstancias de la
realidad cultural, económica, política<o:p></o:p></div>
<div class="MsoNormal">
y social.<o:p></o:p></div>
<div class="MsoNormal">
Estructura<o:p></o:p></div>
<div class="MsoNormal">
Artículo 7. El Comité Local de Abastecimiento y Producción
estará integrado por los<o:p></o:p></div>
<div class="MsoNormal">
siguientes voceras o voceros:<o:p></o:p></div>
<div class="MsoNormal">
1. Una lideresa o un líder territorial.<o:p></o:p></div>
<div class="MsoNormal">
2. Una o un fiscal popular.<o:p></o:p></div>
<div class="MsoNormal">
3. Una activadora o un activador productivo.<o:p></o:p></div>
<div class="MsoNormal">
4. Una comunicadora o un comunicador.<o:p></o:p></div>
<div class="MsoNormal">
5. Una vocera o un vocero de la Milicia Bolivariana.<o:p></o:p></div>
<div class="MsoNormal">
6. Una vocera o un vocero de la organización UNAMUJER.<o:p></o:p></div>
<div class="MsoNormal">
7. Una vocera o vocero de las comunas.<o:p></o:p></div>
<div class="MsoNormal">
8. Una vocera o vocero del Frente Francisco de Miranda.<o:p></o:p></div>
<div class="MsoNormal">
9. Una vocera o vocero de la Unidad de Batalla Bolívar
Chávez.<o:p></o:p></div>
<div class="MsoNormal">
10. Las demás voceras o los demás voceros que determine la
normativa que regule el<o:p></o:p></div>
<div class="MsoNormal">
funcionamiento de los Comités Locales de Abastecimiento y
Producción.<o:p></o:p></div>
<div class="MsoNormal">
Los mecanismos de designación, el período de ejercicio de
los voceros y voceras del<o:p></o:p></div>
<div class="MsoNormal">
Comité Local de Abastecimiento y Producción, así como las
funciones y organización<o:p></o:p></div>
<div class="MsoNormal">
territorial se determinará y desarrollará en el Reglamento
de esta Ley Constitucional.<o:p></o:p></div>
<div class="MsoNormal">
Perfil de la o del Fiscal Popular<o:p></o:p></div>
<div class="MsoNormal">
Artículo 8. La o el Fiscal Popular tendrá las siguientes
cualidades concurrentes:<o:p></o:p></div>
<div class="MsoNormal">
1. Ser participante, activa o activo en las organizaciones
del Poder Popular.<o:p></o:p></div>
<div class="MsoNormal">
2. Difundir y promover los lineamientos del Plan de la
Patria y apegar su conducta a los<o:p></o:p></div>
<div class="MsoNormal">
3/7<o:p></o:p></div>
<div class="MsoNormal">
mismos.<o:p></o:p></div>
<div class="MsoNormal">
3. Poseer una actitud justa y de corresponsabilidad en el
ejercicio del Fiscal Popular.<o:p></o:p></div>
<div class="MsoNormal">
4. Poseer vocación de servicio.<o:p></o:p></div>
<div class="MsoNormal">
5. er reconocida o reconocido por la comunidad y tener
solvencia moral y ética.<o:p></o:p></div>
<div class="MsoNormal">
6. No haber sido condenada o condenado por delitos contra la
cosa pública, la<o:p></o:p></div>
<div class="MsoNormal">
propiedad o la vida de las personas.<o:p></o:p></div>
<div class="MsoNormal">
7. No estar inhabilitada o inhabilitado políticamente.<o:p></o:p></div>
<div class="MsoNormal">
Requisitos de la o del fiscal popular<o:p></o:p></div>
<div class="MsoNormal">
Artículo 9. La o el Fiscal Popular del Comité Local de
Abastecimiento y Producción,<o:p></o:p></div>
<div class="MsoNormal">
deberá cumplir con los siguientes requisitos:<o:p></o:p></div>
<div class="MsoNormal">
1. Ser de nacionalidad venezolana.<o:p></o:p></div>
<div class="MsoNormal">
2. Mayor de dieciséis (16) años de edad.<o:p></o:p></div>
<div class="MsoNormal">
3. Residenciada o residenciado en el ámbito geográfico o
territorio del Comité Local de<o:p></o:p></div>
<div class="MsoNormal">
Abastecimiento y Producción, con al menos un (1) año.<o:p></o:p></div>
<div class="MsoNormal">
4. No poseer parentesco hasta el cuarto grado de
consanguinidad y segundo de<o:p></o:p></div>
<div class="MsoNormal">
afinidad con los demás voceras y voceros que conforman la
estructura del Comité<o:p></o:p></div>
<div class="MsoNormal">
Local de Abastecimiento y Producción.<o:p></o:p></div>
<div class="MsoNormal">
5. Aprobar el programa de formación en las materias conexas
con esta Ley<o:p></o:p></div>
<div class="MsoNormal">
Constitucional.<o:p></o:p></div>
<div class="MsoNormal">
6. Cumplir con el perfil establecido en esta Ley
Constitucional.<o:p></o:p></div>
<div class="MsoNormal">
Funciones<o:p></o:p></div>
<div class="MsoNormal">
Artículo 10. El Comité Local de Abastecimiento y Producción
tiene, entre otras, las<o:p></o:p></div>
<div class="MsoNormal">
siguientes funciones:<o:p></o:p></div>
<div class="MsoNormal">
1. Crear, desarrollar y supervisar mecanismos para el
abastecimiento y distribución de<o:p></o:p></div>
<div class="MsoNormal">
alimentos y productos entre las familias que los conforman.<o:p></o:p></div>
<div class="MsoNormal">
2. Promover una nueva cultura alimentaria y patrones de
consumo familiar que se<o:p></o:p></div>
<div class="MsoNormal">
ajusten a las realidades nacionales, regionales, locales y
comunales.<o:p></o:p></div>
<div class="MsoNormal">
3. Impulsar nuevas formas de organización socioproductiva en
las comunas, los<o:p></o:p></div>
<div class="MsoNormal">
consejos comunales y comunidades para el abastecimiento,
producción y<o:p></o:p></div>
<div class="MsoNormal">
distribución de alimentos y productos.<o:p></o:p></div>
<div class="MsoNormal">
4. Impulsar la producción agrícola, pecuaria, cunícula,
acuícola, caprina, ovina y<o:p></o:p></div>
<div class="MsoNormal">
cualesquiera otras formas que impulsen o promuevan el
abastecimiento soberano.<o:p></o:p></div>
<div class="MsoNormal">
5. Evaluar, controlar y fiscalizar los mecanismos para el
abastecimiento y distribución<o:p></o:p></div>
<div class="MsoNormal">
de alimentos y productos a los fines de garantizar que sean
transparentes, eficaces,<o:p></o:p></div>
<div class="MsoNormal">
eficientes y efectivos.<o:p></o:p></div>
<div class="MsoNormal">
6. Velar y coadyuvar al cumplimiento de la Ley
Constitucional de Precios Acordados en<o:p></o:p></div>
<div class="MsoNormal">
coordinación con las autoridades competentes en la materia.<o:p></o:p></div>
<div class="MsoNormal">
7. Desarrollar sus políticas y programas de formación.<o:p></o:p></div>
<div class="MsoNormal">
8. Promover la articulación entre las instancias y
organizaciones de base del Poder<o:p></o:p></div>
<div class="MsoNormal">
Popular, así como las comunas, los consejos comunales y las
comunidades<o:p></o:p></div>
<div class="MsoNormal">
organizadas en todo el territorio nacional para el
abastecimiento, producción y<o:p></o:p></div>
<div class="MsoNormal">
distribución de los alimentos y productos. 4/7<o:p></o:p></div>
<div class="MsoNormal">
9. Las demás establecidas mediantes leyes, reglamentos y
resoluciones.<o:p></o:p></div>
<div class="MsoNormal">
Atención prioritaria<o:p></o:p></div>
<div class="MsoNormal">
Artículo 11. El Comité Local de Abastecimiento y Producción
garantizará la atención<o:p></o:p></div>
<div class="MsoNormal">
prioritaria a las familias que posean integrantes con
condiciones especiales derivadas de<o:p></o:p></div>
<div class="MsoNormal">
discapacidades, salud, niñas, niños y adolescentes,
ancianas, ancianos y mujeres en<o:p></o:p></div>
<div class="MsoNormal">
estado de gravidez.<o:p></o:p></div>
<div class="MsoNormal">
Capítulo III<o:p></o:p></div>
<div class="MsoNormal">
De la Producción y la Distribución<o:p></o:p></div>
<div class="MsoNormal">
Producción<o:p></o:p></div>
<div class="MsoNormal">
Artículo 12. El Comité Local de Abastecimiento y Producción
podrá desarrollar actividades<o:p></o:p></div>
<div class="MsoNormal">
socioproductivas para generar alimentos y productos de
consumo directo, entre ellas en el<o:p></o:p></div>
<div class="MsoNormal">
área agrícola, pecuaria, cunícula, acuícola, caprina, ovina
y cualesquiera otras formas de<o:p></o:p></div>
<div class="MsoNormal">
especies menores, así como actividades para la producción de
artículos de vestido,<o:p></o:p></div>
<div class="MsoNormal">
higiene personal y del hogar.<o:p></o:p></div>
<div class="MsoNormal">
Las actividades socioproductivas del11omité Local de
Abastecimiento y Producción serán<o:p></o:p></div>
<div class="MsoNormal">
desarrolladas en función las necesidades de las familias, en
absoluta vinculación con el<o:p></o:p></div>
<div class="MsoNormal">
territorio y activación productiva eficiente y sostenida con
base en las necesidades de la<o:p></o:p></div>
<div class="MsoNormal">
población y el Sistema Popular de Distribución de Alimentos.<o:p></o:p></div>
<div class="MsoNormal">
Integración al Sistema Económico Comunal<o:p></o:p></div>
<div class="MsoNormal">
Artículo 13. El Comité Local de Abastecimiento y Producción
que desarrolle actividades<o:p></o:p></div>
<div class="MsoNormal">
socioproductivas formará parte del Sistema Económico
Comunal. A tal efecto deberán<o:p></o:p></div>
<div class="MsoNormal">
inscribirse ante el Ministerio del Poder Popular con
competencia en materia de economía<o:p></o:p></div>
<div class="MsoNormal">
comunal. El órgano del Ejecutivo Nacional responsable del
Comité Local de<o:p></o:p></div>
<div class="MsoNormal">
Abastecimiento y Producción establecerá las normas relativas
a su organización y<o:p></o:p></div>
<div class="MsoNormal">
funcionamiento cuando desarrollen actividades
socioproductivas.<o:p></o:p></div>
<div class="MsoNormal">
El Comité Local de Abastecimiento y Producción que desarrolle
actividades<o:p></o:p></div>
<div class="MsoNormal">
socioproductivas se rige por lo previsto en esta Ley
Constitucional y en la Ley Orgánica del<o:p></o:p></div>
<div class="MsoNormal">
Sistema Económico Comunal, salvo en lo referido a su
organización y funcionamiento.<o:p></o:p></div>
<div class="MsoNormal">
Financiamiento<o:p></o:p></div>
<div class="MsoNormal">
Artículo 14. El Comité Local de Abastecimiento y Producción
podrá valerse de servicios<o:p></o:p></div>
<div class="MsoNormal">
desconcentrados y entes descentralizados para la captación
de recursos que permitan el<o:p></o:p></div>
<div class="MsoNormal">
cumplimiento de sus fines y cualquier otra actividad
económica que permita la Constitución<o:p></o:p></div>
<div class="MsoNormal">
de la República Bolivariana de Venezuela y las leyes.<o:p></o:p></div>
<div class="MsoNormal">
Distribución<o:p></o:p></div>
<div class="MsoNormal">
Artículo 15. El Comité Local de Abastecimiento y Producción
tiene la obligación de<o:p></o:p></div>
<div class="MsoNormal">
participar en la distribución y abastecimiento de los
alimentos y otros productos requeridos<o:p></o:p></div>
<div class="MsoNormal">
por las familias que los integran, en coordinación con los
ministerios del Poder Popular con<o:p></o:p></div>
<div class="MsoNormal">
5/7<o:p></o:p></div>
<div class="MsoNormal">
competencia en tales materias. A tal efecto, deberá
suministrar oportunamente la<o:p></o:p></div>
<div class="MsoNormal">
información solicitada y realizar todas las acciones que les
sean asignadas.<o:p></o:p></div>
<div class="MsoNormal">
Así mismo, podrá organizar y desarrollar otras iniciativas
dirigidas a garantizar el acceso<o:p></o:p></div>
<div class="MsoNormal">
de las familias que los integran a bienes y servicios
necesarios que conlleven al bienestar<o:p></o:p></div>
<div class="MsoNormal">
social del Pueblo y el desarrollo integral de la Nación.<o:p></o:p></div>
<div class="MsoNormal">
Distribución de los alimentos<o:p></o:p></div>
<div class="MsoNormal">
Artículo 16. La distribución y abastecimiento de los
alimentos y otros productos a través<o:p></o:p></div>
<div class="MsoNormal">
del Comité Local de Abastecimiento y Producción, se
realizará mediante el desarrollo de<o:p></o:p></div>
<div class="MsoNormal">
jornadas en el sector, las visitas casa por casa o mediante
las formas que determinen en<o:p></o:p></div>
<div class="MsoNormal">
coordinación con las y los Responsables de Comunidad, Calle
o Vereda. A tal efecto, será<o:p></o:p></div>
<div class="MsoNormal">
imprescindible contar con el censo de las familias, la
fijación de las rutas, los puntos de<o:p></o:p></div>
<div class="MsoNormal">
distribución y las demás acciones que sean requeridas para
tales fines. El Estado<o:p></o:p></div>
<div class="MsoNormal">
garantizará el suministro oportuno y continuo de los
alimentos y productos al Comité Local<o:p></o:p></div>
<div class="MsoNormal">
de Abastecimiento y Producción para su oportuna
distribución.<o:p></o:p></div>
<div class="MsoNormal">
El órgano del Ejecutivo Nacional responsable del Comité
Local de Abastecimiento y<o:p></o:p></div>
<div class="MsoNormal">
Producción determinará las distintas modalidades y niveles
de organización, participación<o:p></o:p></div>
<div class="MsoNormal">
e integración del Comité Local de Abastecimiento y
Producción en las actividades de<o:p></o:p></div>
<div class="MsoNormal">
distribución y abastecimiento.<o:p></o:p></div>
<div class="MsoNormal">
Evaluación, control y fiscalización para el abastecimiento y
distribución de<o:p></o:p></div>
<div class="MsoNormal">
alimentos y productos<o:p></o:p></div>
<div class="MsoNormal">
Artículo 17. El Comité Local de Abastecimiento y Producción
podrá desarrollar actividades<o:p></o:p></div>
<div class="MsoNormal">
dirigidas a evaluar, controlar y fiscalizar los mecanismos
que desarrolle el Comité Local de<o:p></o:p></div>
<div class="MsoNormal">
Abastecimiento y Producción para el abastecimiento y
distribución de alimentos y<o:p></o:p></div>
<div class="MsoNormal">
productos a los fines de garantizar que sean transparentes,
eficaces, eficientes y efectivos.<o:p></o:p></div>
<div class="MsoNormal">
Así mismo, podrán ejercer funciones para velar y coadyuvar
al cumplimiento de la Ley<o:p></o:p></div>
<div class="MsoNormal">
Constitucional de Precios Acordados en coordinación con las
autoridades competentes en<o:p></o:p></div>
<div class="MsoNormal">
la materia.<o:p></o:p></div>
<div class="MsoNormal">
El órgano del Ejecutivo Nacional responsable del Comité
Local de Abastecimiento y<o:p></o:p></div>
<div class="MsoNormal">
Producción, en coordinación con las autoridades competentes
en materia de precios<o:p></o:p></div>
<div class="MsoNormal">
acordados determinará las distintas modalidades y niveles de
organización, participación e<o:p></o:p></div>
<div class="MsoNormal">
integración del Comité Local de Abastecimiento y Producción
en las actividades de<o:p></o:p></div>
<div class="MsoNormal">
evaluación, control y fiscalización de los mecanismos para
el abastecimiento y distribución<o:p></o:p></div>
<div class="MsoNormal">
de alimentos y productos.<o:p></o:p></div>
<div class="MsoNormal">
Disposición Finales<o:p></o:p></div>
<div class="MsoNormal">
Primera. La presente Ley Constitucional prevalece sobre las
leyes orgánicas y especiales.<o:p></o:p></div>
<div class="MsoNormal">
Segunda. La presente Ley Constitucional entrará en vigencia
a partir de su publicación en<o:p></o:p></div>
<div class="MsoNormal">
Gaceta Oficial de la República Bolivariana de Venezuela.<o:p></o:p></div>
<br />
<div class="MsoNormal">
</div>
<br />
<div class="MsoNormal">
Descargar Ley Constitucional del Comité Local de
Abastecimiento y Producción<o:p></o:p></div>
</div>
Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-62822816456111631582017-11-15T11:46:00.000-08:002017-11-15T11:46:19.067-08:00 VERIFICA AQUÍ PASO A PASO EL BONO NAVIDEÑO <div dir="ltr" style="text-align: left;" trbidi="on">
<div style="text-align: justify;">
SI PERDISTE TU TELÉFONO MÓVIL PARA RECIBIR EL AVISO DE BENEFICIO DEL ULTIMO BONO NAVIDEÑO;O ASIGNADO POR EL PRESIDENTE NICOLAS MADURO.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
INGRESA A EL HIPERVINCULO AL FINAL DEL TEXTO COLOR AZUL Y REGISTRA A UN NUMERO NUEVO DE MOVIL , POSTERIORMENTE VERIFICAS SI ERES BENEFICIARIO.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
NOTA: SI NO ERES BENEFICIARIO VERIFICA CONSTANTEMENTE EN DIAS DE SEMANA</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
SI LA PAGINA NO CARGA , ESTA LENTA, O NO LLEGA A TIEMPO EL CÓDIGO SUGERIMOS REALIZAR ESTE PROCESO EN EL BUSCADOR FIREFOX MOZILLA</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
EL CÓDIGO TARDA EN ALGUNOS HORARIO DEBIDO A LAS VISITAS MASIVA A NIVEL NACIONAL Y EN CONSECUENCIA EL CODIGO LLEGA RETARDADO EN EL TRANSCURSO DEL DÍA </div>
<div style="text-align: justify;">
<br /></div>
NO CONFUNDIR EL BONO NAVIDEÑO CON LOS AGUINALDOS DE LOS PENSIONADOS SON DISTINTO LOS BENEFICIOS<br />
<br />
<a href="https://www.patria.org.ve/registro/" rel="nofollow" target="_blank">CLIKEA AQUI Y REGISTRATE EN EL NUEVO BONO BOLIVARIANO DEL CARNET DE LA PATRIA/</a><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjn-jnclID_zbXBvjnMbQnuSnqEp8fgycXn-1mCZoEsLczYQuo43Dtcx7LvYzmedQ9UtaB_SNKM4PUUn4_x6rnIVxBjMPmYtXzuIeXAliy7nmDeHFNwB5-iImvQWOWdaoAnibaTg6kge04/s1600/Captura.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="432" data-original-width="638" height="270" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjn-jnclID_zbXBvjnMbQnuSnqEp8fgycXn-1mCZoEsLczYQuo43Dtcx7LvYzmedQ9UtaB_SNKM4PUUn4_x6rnIVxBjMPmYtXzuIeXAliy7nmDeHFNwB5-iImvQWOWdaoAnibaTg6kge04/s400/Captura.JPG" width="400" /></a></div>
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Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-23004033781869002612017-07-10T09:59:00.001-07:002017-07-10T09:59:56.614-07:00Declaración Jurada de no poseer Vivienda;persona con discapacidad Soltera y sin pareja. <div dir="ltr" style="text-align: left;" trbidi="on">
<h1 style="text-align: justify;">
<br /></h1>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; text-align: justify; text-autospace: none;">
<span lang="ES" style="font-family: Arial, sans-serif; font-size: 11pt; letter-spacing: 0pt;">Yo, , venezolana,
mayor de edad, soltera, de este domicilio, titular
de la cédula de identidad Nº V , por medio del presente documento
declaramos: 1) Que soy una persona con discapacidad, debidamente certificada
por el Consejo Nacional para las Personas con Discapacidad. 2) Que soy
participante activo del Fondo de Ahorro Obligatorio para la Vivienda de acuerdo
a lo establecido en la Ley del Régimen Prestacional de Vivienda y Hábitat,
publicada en la Gaceta Oficial de la Republica Bolivariana de Venezuela Nº </span><span class="st"><span lang="ES" style="font-size: 11pt; letter-spacing: 0pt;">5.889</span></span><span lang="ES" style="font-family: Arial, sans-serif; font-size: 11pt; letter-spacing: 0pt;">,
Extraordinaria, de fecha 31 de Julio de 2008, y a fin de dar cumplimiento a lo
establecido en el precitado texto legal antes señalado, Declaro Bajo Fe de
Juramento:----------------------------------------- PRIMERO: Que actualmente no
soy Propietaria de ninguna vivienda, ni aquí, ni en ninguna otra parte del
territorio
nacional------------------------------------------------------------------<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; text-align: justify; text-autospace: none;">
<span lang="ES" style="font-family: Arial, sans-serif; font-size: 11pt; letter-spacing: 0pt;">SEGUNDO: </span><span lang="ES" style="font-family: Arial, sans-serif; font-size: 11pt; letter-spacing: 0pt;">No
soy Beneficiaria de subsidio o
asistencia habitacional alguna, ni coparticiparte de una cooperativa o
asociación civil para adquirir vivienda----------------------<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; text-align: justify; text-autospace: none;">
<span lang="ES" style="font-family: Arial, sans-serif; font-size: 11pt; letter-spacing: 0pt;">TERCERO:</span><span lang="ES" style="font-family: Arial, sans-serif; font-size: 11pt; letter-spacing: 0pt;">
Si con posterioridad al Otorgamiento del crédito para adquisición de vivienda
que estoy solicitando, se llegare a comprobar que soy propietaria de otra
vivienda, quedaré obligada a restituir de inmediato la totalidad del préstamo
solicitado------------------<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; text-align: justify; text-autospace: none;">
<span lang="ES" style="font-family: Arial, sans-serif; font-size: 11pt; letter-spacing: 0pt;">CUARTO: Que la
vivienda por la cual estoy haciendo diligencias, constituirá mi única vivienda
principal para mí y mí grupo familiar, la cual me obligo a
habitar-----------------------<o:p></o:p></span></div>
<h1 style="line-height: 20.0pt; margin-bottom: .0001pt; margin: 0cm; mso-line-height-rule: exactly; text-align: justify;">
<span lang="ES" style="font-size: 11pt; font-weight: normal;">QUINTO: Que soy
contribuyente del sistema de política habitacional.-----------------------<o:p></o:p></span></h1>
<br />
<div class="MsoNormal" style="line-height: 20.0pt; mso-layout-grid-align: none; mso-line-height-rule: exactly; mso-pagination: none; text-align: justify; text-autospace: none;">
<span lang="ES" style="font-family: Arial, sans-serif; font-size: 11pt; letter-spacing: 0pt;">A los fines de
dar cumplimiento a lo establecido en los artículos 85 de la Constitución de la
República Bolivariana de Venezuela, 36 de</span><span lang="ES" style="font-family: Arial, sans-serif; font-size: 11pt; letter-spacing: 0pt;"> la </span><span lang="ES" style="font-family: Arial, sans-serif; font-size: 11pt; letter-spacing: 0pt;">Ley para las Personas con Discapacidad y la
Ley de Régimen Prestacional de Vivienda y Hábitat, </span><span lang="ES" style="font-family: Arial, sans-serif; font-size: 11pt; letter-spacing: 0pt;">juro que todo lo antes expuesto es cierto. Así mismo lo
digo y otorgo en Ciudad Bolívar, a la fecha de su presentación. </span><b><span lang="ES" style="font-size: 11pt;"><o:p></o:p></span></b></div>
</div>
Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-35992711367238521842017-07-10T09:57:00.000-07:002017-07-10T09:57:08.676-07:00¿PARA QUE ES LA CONSTITUYENTE? nueve temas para los constituyentistas<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="background: white; margin: 19.2pt 0cm; text-align: justify;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;"><a href="http://www.cne.gob.ve/web/index.php">clikea aqui :revisa tu numero de Cedula, verifica que sector social correspondes y si eres miembro de Mesa</a></span></div>
<div style="background: white; margin: 19.2pt 0cm; text-align: justify;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;">Al convocar la Asamblea Nacional Constituyente (ANC), el pasado
1 de mayo, el presidente de la República Bolivariana de Venezuela, Nicolás
Maduro, planteó nueve temas para ser incorporados a las discusiones de los
constituyentistas y que permitan perfeccionar, mejorar y consolidar la
Constitución del año 1999.<o:p></o:p></span></div>
<div style="background: white; margin: 19.2pt 0cm; text-align: justify; word-wrap: break-word;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;">En
una alocución ofrecida desde el Palacio de Miraflores, Caracas, el jefe de
Estado propuso como primera línea de debate <strong>la paz como necesidad, derecho y
anhelo de la nación</strong>. En ese sentido, se espera que la ANC
reafirme los valores de la justicia, “de la no impunidad”, y que a través de un
gran proceso de convocatoria al diálogo nacional, se puede “construir la paz
verdadera, la paz con democracia, con libertad, con participación, con
justicia”.<o:p></o:p></span></div>
<div style="background: white; margin: 19.2pt 0cm; text-align: justify; word-wrap: break-word;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;">Como
segundo objetivo, la Constituyente debe <strong>ampliar y perfeccionar el sistema económico venezolano</strong> “para
dejar dibujado e instalado un nuevo sistema económico post petrolero”.<o:p></o:p></span></div>
<div style="background: white; margin: 19.2pt 0cm; text-align: justify; word-wrap: break-word;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;">En
este sentido, “tiene que ser explícito el concepto, las formas y los mandatos
constitucionales del modelo postpetrolero” que permita avanzar hacia una
economía productiva, diversificada, mixta, “integrada e integradora, de
economía potencia”.<o:p></o:p></span></div>
<div style="background: white; margin: 19.2pt 0cm; text-align: justify; word-wrap: break-word;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;">El
tercer punto propuesto por el Jefe de Estado es <strong>constitucionalizar todas las Misiones
y Grandes Misiones</strong> creadas en estos 18 años, para afianzar
el modelo de justicia social destinado a garantizar el derecho a la salud, la
educación, el trabajo, el empoderamiento del pueblo, entre otros aspectos.<o:p></o:p></span></div>
<div style="background: white; margin: 19.2pt 0cm; text-align: justify; word-wrap: break-word;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;">El
presidente Maduro también propuso, como cuarto aspecto, <strong>ampliar las competencias del Sistema
de Justicia, Seguridad y Protección del Pueblo</strong>, que comprenderá
” todo lo que es el sistema policial, investigativo, preventivo, el sistema
penitenciario y el sistema judicial” con el establecimiento de nuevas penas
para delitos contra personas y contra la República.<o:p></o:p></span></div>
<div style="background: white; margin: 19.2pt 0cm; text-align: justify; word-wrap: break-word;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;">“Yo
quiero constitucionalizar nuevos elementos de una justicia severa. La lucha
contra el terrorismo aquí no aparece, contra el terrorismo y el narcotráfico en
todas sus formas”, por lo que definir los mecanismos para combatir esos
flagelos es “una gran tarea además, necesaria y bonita para la patria”,
expresó.<o:p></o:p></span></div>
<div style="background: white; margin: 19.2pt 0cm; text-align: justify; word-wrap: break-word;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;">En
quinto lugar se refirió a las nuevas formas de la democracia participativa y
protagónica, por lo que propuso <strong>constitucionalizar
el Poder Comunal</strong>, es decir, incluir en la Carta Magna nuevas
formas de organización como las comunas, los consejos comunales y los Comités
Locales de Abastecimiento y Producción (Clap).<o:p></o:p></span></div>
<div style="background: white; margin: 19.2pt 0cm; text-align: justify; word-wrap: break-word;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;">“¿Qué
es el Clap? Democracia directa económica. ¿Qué son los consejos comunales?
Democracia directa en lo social y en lo político, democracia protagónica,
participativa, directa”, explicó el Mandatario Nacional.<o:p></o:p></span></div>
<div style="background: white; margin: 19.2pt 0cm; text-align: justify; word-wrap: break-word;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;">El
sexto tema a discutir por la Asamblea Nacional Constituyente <strong>es la defensa de la soberanía e
integridad de la nación y su protección ante agentes intervencionistas</strong>.
Este punto se vincula a la defensa de la integridad de la República y la nueva
visión del mundo pluripolar y multicéntrico.<o:p></o:p></span></div>
<div style="background: white; margin: 19.2pt 0cm; text-align: justify; word-wrap: break-word;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;">El
Jefe de Estado considera que en el debate constituyente debe incorporarse, como
séptimo punto, <strong>la
reivindicación del carácter pluricultural del país</strong>, mediante la
defensa de la “diversidad cultural de la patria, el tema de la espiritualidad y
del recorrido histórico que llevó a un profundo y hermoso mestizaje de todas
las expresiones de la cultura y del arte en Venezuela”.<o:p></o:p></span></div>
<div style="background: white; margin: 19.2pt 0cm; text-align: justify; word-wrap: break-word;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;">La
octava línea de discusión planteada en la <strong>garantía de futuro de la juventud venezolana</strong>,
con la inclusión en la Carta Magna de un capítulo que consagre los derechos de
ese sector de la población. Por tal razón, el presidente Maduro convocó a los
estudiantes sin intermediarios a que participen en el proceso constituyente.<o:p></o:p></span></div>
<div style="background: white; margin: 19.2pt 0cm; text-align: justify; word-wrap: break-word;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;">En
la agenda de discusiones, la Asamblea Nacional Constituyente debe deliberar
sobre<strong> la
preservación de la vida en el planeta</strong>, basada en la definición de
derechos soberanos sobre la preservación de la biodiversidad y el fomento de
una cultura ecológica en el país, indicó el Mandatario Nacional.<o:p></o:p></span></div>
<div style="background: white; margin: 19.2pt 0cm; text-align: justify; word-wrap: break-word;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;">Al
proponer esta agenda, el jefe de Estado reafirma su disposición de entregar el
poder “al Constituyente originario, al soberano, al pueblo”.<o:p></o:p></span></div>
<br />
<div style="background: white; margin: 19.2pt 0cm; text-align: justify; word-wrap: break-word;">
<span style="color: #555555; font-family: "Arial","sans-serif"; font-size: 10.5pt;">En
ese sentido, indicó: “Si para algo es el poder de un presidente revolucionario
es para activar la soberanía absoluta del único dueño de este país, a través
del voto popular, directo y secreto, bajo reglas electorales muy estrictas para
la postulación y elección de una Asamblea Nacional Constituyente que tome el
poder político de la patria”.<o:p></o:p></span></div>
</div>
Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-59647140620095904962017-07-10T09:48:00.001-07:002017-07-10T09:51:53.541-07:00INSCRIPCION DEL PLAN CHAMBA JUVENIL - REQUISITOS<div dir="ltr" style="text-align: left;" trbidi="on">
<a href="http://webcache.googleusercontent.com/search?q=cache:http://www.inj.gob.ve/&gws_rd=cr&ei=HKtjWef6FIj8mAHu2rjoDA">CLIKEA AQUI ACCEDE CHAMBA JUVENIL</a><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjNFgO7yPAqLkJo9qaurDAPiIbDMvSQwpbGPgw5b4RS_GsZoSy2w8OGcpnxbUKvYyu6p4bVnHJSdbshjmYDwXUeFaCYJX9YdkhD90g8RpPaKJiiNdHpHDZDJDglgLNoamoLu1fwLGzxLgg/s1600/juventud-psuv-jpg.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="613" data-original-width="980" height="250" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjNFgO7yPAqLkJo9qaurDAPiIbDMvSQwpbGPgw5b4RS_GsZoSy2w8OGcpnxbUKvYyu6p4bVnHJSdbshjmYDwXUeFaCYJX9YdkhD90g8RpPaKJiiNdHpHDZDJDglgLNoamoLu1fwLGzxLgg/s400/juventud-psuv-jpg.jpg" width="400" /></a></div>
<br />
<h1 style="line-height: 20.0pt; mso-line-height-rule: exactly; text-align: justify;">
<span lang="ES" style="font-size: 11pt; font-weight: normal;"><a href="http://190.202.144.60/">CLIKEA AQUI PARA LOS FORMADORES DEL PLAN CHAMBA JUVENIL</a></span></h1>
<div>
<a href="http://www.inj.gob.ve/srj/">CLIKEA AQUI REGISTRO DE JOVENES TRABAJODORES Y PRODUCTIVOS </a></div>
<h1 style="line-height: 20.0pt; mso-line-height-rule: exactly; text-align: justify;">
<span lang="ES" style="font-size: 11pt; font-weight: normal;">Un total de 200 mil empleos creará el Plan Chamba Juvenil para los
jóvenes venezolanos, en una primera etapa. Estos son los pasos para el
registro, de acuerdo con el presidente del Instituto Nacional de Capacitación y
Educación Socialista (Inces), Wuikelman Ángel:</span></h1>
<h1 style="line-height: 20.0pt; mso-line-height-rule: exactly; text-align: justify;">
<span lang="ES" style="font-size: 11pt; font-weight: normal;">1. Debes poseer el Carnet de la Patria.</span></h1>
<h1 style="line-height: 20.0pt; mso-line-height-rule: exactly; text-align: justify;">
<span lang="ES" style="font-size: 11pt; font-weight: normal;">2. Ingresa a la página web www.inj.gob.ve, introduce los datos personales
más el código que se encuentra al reverso del Carnet.</span></h1>
<h1 style="line-height: 20.0pt; mso-line-height-rule: exactly; text-align: justify;">
<span lang="ES" style="font-size: 11pt; font-weight: normal;">3. Selecciona la opción de empleo en las seis áreas disponibles:
recreación y tiempo libre, educación, servicios sociales y de salud,
mantenimiento y agricultura urbana, seguridad ciudadana y cuadrantes de paz; y
somos productivos Inces.</span></h1>
<h1 style="line-height: 20.0pt; mso-line-height-rule: exactly; text-align: justify;">
<span lang="ES" style="font-size: 11pt; font-weight: normal;">4. Las personas serán contactadas por mensaje de texto.</span></h1>
<h1 style="line-height: 20.0pt; mso-line-height-rule: exactly; text-align: justify;">
<span lang="ES" style="font-size: 11pt; font-weight: normal;">5. Los brigadistas del Movimiento Somos Venezuela verificarán la
información y luego incluirán al aspirante al empleo.</span></h1>
<h1 style="line-height: 20.0pt; mso-line-height-rule: exactly; text-align: justify;">
<span lang="ES" style="font-size: 11pt; font-weight: normal;">Dentro de los 200 mil puestos de trabajo previstos, 60 mil son para
aprendices Inces: 48.680 en empresas públicas y 11.320 en privadas, detalló
este martes el vicepresidente del Área Social y ministro para la Educación,
Elías Jaua. Más de 58 mil personas se han registrado en la página web del plan.</span></h1>
<h1 style="line-height: 20.0pt; mso-line-height-rule: exactly; text-align: justify;">
<span lang="ES" style="font-size: 11pt; font-weight: normal;">Son 60 empresas públicas y las industrias básicas de Guayana las que
recibirán a los jóvenes. En estas últimas, serán 10 mil los puestos de trabajo
para jóvenes.</span></h1>
<h1 style="line-height: 20.0pt; mso-line-height-rule: exactly; text-align: justify;">
<span lang="ES" style="font-size: 11pt; font-weight: normal;">Se estima que para diciembre estén 700 mil jóvenes instruyéndose en las
diferentes áreas de capacitación del Inces para luego formar parte del aparato
productivo nacional. Las áreas son: Industrial; industrias básicas I y II;
banca, seguros y seguridad, transporte y servicios; alimentación; telecomunicaciones,
electricidad e hidrología.</span></h1>
<h1 style="line-height: 20.0pt; mso-line-height-rule: exactly; text-align: justify;">
<span lang="ES" style="font-size: 11pt; font-weight: normal;">Unes prevé ingresar a 6.000 jóvenes en agosto para formarlos como
policías.<o:p></o:p></span></h1>
<br />
<h1 style="line-height: 20.0pt; mso-line-height-rule: exactly; text-align: justify;">
<span lang="ES" style="font-size: 11pt; font-weight: normal;"> </span></h1>
</div>
Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-71149292451631762982017-02-04T06:53:00.004-08:002017-02-04T07:13:57.249-08:00LISTA DE FUNCIONES DEL CARNET DE LA PATRIA <div dir="ltr" style="text-align: left;" trbidi="on">
<div style="text-align: justify;">
EN EL FORMULARIO DEL EMPADRONAMIENTO ESPECIFICAN TODO EL ESTUDIO SOCIAL DEL CIUDADANO Y DE SU ENTORNO FAMILIAR RAZÒN POR LA CUAL TARDA DEPENDIENDO LA DINÁMICA DE TRABAJO DEL CARNETIZADOR</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
SURGEN MUCHAS PREGUNTAS DEL CARNET DE LA PATRIA Y LA MÀS DESTACADA ES ¿PARA QUE SIRVE ESE CARNET? A CONTINUACIÒN SE ESPECIFICA SU FUNCIÒN </div>
<div style="text-align: justify;">
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEix_BhFEGd7ir19T9Cj3GJtLeAzDjDqSDmeNj4PI_RKKaIAf0ehg7FQ4qbVaXVRBzG3iaEJd6RE4V7HgO8Cpdph6WhYBGsfjt76ZJF_Z8y9Mc0Y4SwI4QjoCJGCaHjqnKe6X4QgIQUtLpk/s1600/images.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="185" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEix_BhFEGd7ir19T9Cj3GJtLeAzDjDqSDmeNj4PI_RKKaIAf0ehg7FQ4qbVaXVRBzG3iaEJd6RE4V7HgO8Cpdph6WhYBGsfjt76ZJF_Z8y9Mc0Y4SwI4QjoCJGCaHjqnKe6X4QgIQUtLpk/s400/images.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">LISTADO DE FUNCIÒNES DEL CARNET DE LA PATRIA</td></tr>
</tbody></table>
<br />
- EL CARNET LO PUEDE PORTAL CUALQUIER VENEZOLANO Y EXTRANJEROS QUE ESTÉN EN EL REGISTRO DEL SAIME EN VENEZUELA </div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
- ES UN CANAL DE COMUNICACIÒN DE LOS MINISTERIOS Y GOBIERNO CENTRAL CON EL PUEBLO</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
- CONTRALORÌA SOCIAL MEDIANTE LA INFORMÁTICA Y TELEMÀTICA A TRAVES DE UN CÓDIGO Y UNA APLICACIÒN, ESPECÌFICAMENTE PARA CONFIRMAR SI EL SERVICIO DE BENEFICIOS SOCIALES COMO LAS BOLSAS DEL CLAP DE LA ISIÒN ALIMENTO LLEGA REALMENTE COMPLETA Y NO SE DESVÌE LOS PRINCIPALES PRODUCTOS ENTRE OTROS (ESTUDIAN LA POSIBILIDAD DE SER UN CARNET DE DÉBITO PARA LOS CLAP)</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
- ATENDER LAS NECESIDADES REZAGADAS TALES COMO LA MISIÒN VIVIENDA, PENSIÒN, Y LAS MISIONES IMPLEMENTADAS POR EL GOBIERNO NACIONAL Y EN EL MISMO SENTIDO A LOS EXTRANJEROS EN ESPERA DE LA MISION IDENTIDAD</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
- ACTUALIZAR DATA DE LOS SIMPATIZANTES DE TODOS LOS PARTIDOS POLÍTICOS TAMBIÉN OPORTUNAMENTE PUEDE DESVINCULARSE DE SU ACTUAL PARTIDO Y CAMBIARSE A OTRO PARTIDO </div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
. - ACTUALIZAR LA DATA O INGRESAR A QUE ORGANISMO GUBERNAMENTAL O NO GUBERNAMENTAL PERTENECE TALES COMO DEPORTE, CLAP, MILICIA,COLECTIVOS, FUNDACIONES SIN FINES Y CON LUCROS ENTRE OTROS</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
- SISTEMATIZACIÓN PARA ARROJAR RESULTADOS DE TODOS LOS BENEFICIOS SOCIALES QUE IMPLEMENTAN EL GOBIERNO NACIONAL A TODOS LOS CIUDADANOS VENEZOLANOS Y EXTRANJEROS </div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
- SISTEMATIZACIÒN PARA ARROJAR LA CANTIDAD DE ANIMALES DOMÈSTICOS Y DE GRANJA PARA SER ATENDIDOS POR LOS MINISTERIOS CORRESPONDIENTE Y MISIÒNES COMO LA DE MISIÒN NEVADO</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
- SE REGISTRAN MENORES DE EDAD A PARTIR DE LOS QUINCE AÑOS Y EN CONSECUENCIA MANEJAR LOS DATOS DE LOS JÓVENES DE DIFERENTES ÁMBITOS QUE PERTENECEN Y TENER EL MISMO BENEFICIO DE LISTADO ANTE ESCRITO</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
- REGISTRO DE TODAS LAS PERSONAS DISCAPACITADAS , Y PERSONAS QUE REQUIERAN</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
- SISTEMATIZACIÒN DE LOS EMPLEADOS PÚBLICOS Y PRIVADOS Y EN EL MISMO SENTIDOS DE LOS DESEMPLEADOS PROFESIONALES, NO PROFESIONALES, ARTESANOS, COMERCIANTES FORMAL E INFORMAL ENTRE OTROS<br />
<br />
- REGISTRO QUE MANEJARA LOS CLAP, CONSEJOS COMUNALES, Y ORGANISMO AUTORIZADOS PARA ARTICULAR Y AFIANZAR EL SISTEMA DE PROTECCIÒN SOCIAL, EN CONSECUENCIA AGILIZAR NECESIDADES EN DIFERENTES ÁMBITOS</div>
<div style="text-align: justify;">
<br /></div>
</div>
Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-67355721070715821972017-02-02T09:36:00.002-08:002017-02-02T09:36:49.957-08:00Consultar Hogares de la Patria - Ultimo Listado <div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<a href="http://vicesocial.gob.ve/">Clikea Aqui Consulta Hogares de la Patria Fecha nacimiento</a><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
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<div class="separator" style="clear: both; text-align: center;">
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Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-46276179600225253752017-01-11T06:11:00.000-08:002017-01-11T06:16:10.696-08:00INGRESA NUMERO CEDULA NUEVOS PENSIONADOS IVSS 2017<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
NUEVOS PENSIONADOS DEL SEGURO SOCIAL 2017<br />
CLIKEA EL LINK ACCEDE E INGRESA FECHA DE NACIMIENTO Y NUMERO DE CEDULA<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
</div>
<a href="http://nuevospensionados.ivss.gob.ve/">CLIKEA AQUI IVSS NUEVOS PENSIONADOS 2017</a><br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhhCDE-rqVpn-jUT7DJVIhgUVlMZ6doYf7kb54Eg2DeQRaLtn_nGB7EP2A6HFApVU3BKvjPOoFAscTHwvldmmJoaL-_AY0KL22Y5D6C6XMVjE4Y0DB_O2p_ahk3sYbJmtWLH9HEKBiYhjk/s1600/descarga.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhhCDE-rqVpn-jUT7DJVIhgUVlMZ6doYf7kb54Eg2DeQRaLtn_nGB7EP2A6HFApVU3BKvjPOoFAscTHwvldmmJoaL-_AY0KL22Y5D6C6XMVjE4Y0DB_O2p_ahk3sYbJmtWLH9HEKBiYhjk/s400/descarga.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">NUEVOS PENSIONADOS DEL SEGURO SOCIAL</td></tr>
</tbody></table>
<br /></div>
Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-30665767633405777002016-12-21T07:06:00.002-08:002016-12-21T07:08:28.444-08:00Envío de Cartas y Proyectos Ministerios y Ministros de Venezuela <div dir="ltr" style="text-align: left;" trbidi="on">
<div class="MsoNormal" style="text-align: justify;">
LOS PROYECTOS Y CARTAS SE EMITEN A ESTE LISTADO DE MINISTERIOS DE VENEZUELA COPIA Y PEGA EN GOOGLE EL MINISTERIO CORRESPONDIENTE A BUSCAR</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular del Despacho de la Presidencia
y Seguimiento de la Gestión de Gobierno Carmen
Teresa Meléndez Rivas <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para Relaciones Interiores,
Justicia y Paz Néstor <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para Relaciones Exteriores Delcy Eloina Rodríguez Gómez<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para la Banca y las Finanzas Rodolfo Medina </div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para
la Defensa Vladimir Padrino
López<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio de Poder Popular para la Industria y el Comercio Carlos Farías <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para el Turismo Marleny Contreras <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para la Agricultura Productiva
y las Tierras Wilmar Castro
Soteldo <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para la Pesca y Acuicultura Ángel Belisario <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular de Agricultura Urbana Lorena Freitez <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para la Educación Rodulfo Pérez Hernández <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para la Salud Luisana Melo <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para el Proceso Social del
Trabajo Oswaldo Vera<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para Hábitat y Vivienda Manuel Quevedo <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para el Ecosocialismo y las
Aguas Ernesto Paiva<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular de Petróleo Eulogio del Pino <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular de Planificación Ricardo José Menéndez Prieto <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para la Educación
Universitaria, Ciencia y Tecnología Jorge
Arreaza <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para la Comunicación e
Información Ernesto Villegas <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para las Comunas y los
Movimientos Sociales Erika Farías
Peña <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para la Alimentación Rodolfo Clemente Marco Torres<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para la Cultura Freddy Ñáñez </div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para la Juventud y el Deporte Mervin Maldonado <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para los Pueblos Indígenas y la
Descolonización Aloha Núñez<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para la Mujer y la Igualdad de
Género Blanca Eekhout<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para el Servicio Penitenciario María Iris Varela Rangel <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para Transporte y Obras
Públicas Ricardo Molina </div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular para la Energía
Eléctrica Luis Motta
Domínguez </div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular
para Industrias Básicas, Estratégicas y Socialistas Juan Arias <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Poder Popular de Desarrollo Minero
Ecológico Roberto Ignacio
Mirabal Acosta <o:p></o:p></div>
<br />
<div class="MsoNormal" style="text-align: justify;">
Ministerio del Estado para la Nueva Frontera de Paz Gerardo Izquierdo Torres </div>
<div class="MsoNormal" style="text-align: justify;">
Ministerio de Estado para el Comercio
Exterior e Inversión Internacional Jesús
Faría <o:p></o:p></div>
</div>
Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-7271750361526030862016-11-03T07:16:00.002-07:002016-11-03T07:16:52.117-07:00Acta Extraordinaria de Cambio de Cuentadante del Consejo Comunal<div dir="ltr" style="text-align: left;" trbidi="on">
<div align="center" class="Predeterminado" style="margin-bottom: 14.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 14.0pt; text-align: center;">
<b><span style="font-size: 14.0pt; mso-ansi-language: ES-VE; mso-bidi-font-family: Arial; mso-fareast-language: ES-VE;">Acta Extraordinaria de Cambio de Cuentadante del
Consejo Comunal___________________________________________</span></b><span lang="ES"><o:p></o:p></span></div>
<div align="left" class="Predeterminado" style="margin: 14pt 0cm;">
<b><span style="font-size: 14.0pt; mso-ansi-language: ES-VE; mso-bidi-font-family: Arial; mso-fareast-language: ES-VE;"> Código
SITUR _________________________________</span></b><span lang="ES"><o:p></o:p></span></div>
<div class="Predeterminado" style="line-height: 150%;">
<br />
<b>Nosotros, </b><span lang="ES"> , C.I ______________, , C.I ______________, </span> C.I _________________, <span lang="PT-BR"> C.I ____________, C.I______________, </span>actuando en nuestro
carácter de voceros y voceras del Colectivo de Coordinación Comunitaria del
Consejo Comunal______________________
ubicado en el Sector____________
Parroquia__________________, Municipio____________ del Estado________________, debidamente
registrado por ante el Sistema de Taquilla Única de Registro del Poder Popular
del Estado_____________, en fecha ______
de ___________ de________,<b><i> </i></b>bajo el número________________________
<b>,</b> Certificamos: Que la presente Acta es traslado fiel y exacto de su
original, que fue levantada en esta comunidad de ___________________, en fecha
__________, siendo las_____pm, constituidos en Asamblea de Ciudadanos y
Ciudadanas como Máxima Instancia de deliberación y decisión para el ejercicio
del Poder Popular Comunitario, reunidos
en____________________________________________________________________________________________________________________________________________________________________________________________________atendiendo
a la primera y única convocatoria cursada en fecha ______________, presentes
_______ habitantes mayores de 15 años, inscritos en el Registro de Electores de
esta Comunidad, a los fines de tratar el siguiente orden del día: <b>PRIMER
PUNTO</b>: Constatación del Quórum. <b>SEGUNDO PUNTO</b>: pérdida de la
condición de vocero del ciudadano_________________________<b>,</b> Titular de
la cédula de identidad número __________________<b>, </b>quien fungía como una
de las cuentadante del Consejo Comunal. <b>TERCER PUNTO</b>: Elección de la
nueva persona que asume como vocero o vocera cuentadante del Consejo Comunal <b>CUARTO
PUNTO:</b> Autorización para consignar el acta ante la taquilla del registro
del Poder Popular. Una vez leída el orden del día, la Asamblea por unanimidad
nombra como directo Debate para esta sesión, al Vocero __________________,
titular de la cédula de identidad número V- _____________, perteneciente a la
comisión electoral permanente, dando inicio a la Asamblea de carácter
extraordinaria, con el propósito de considerar la agenda antes mencionada:
PRIMER PUNTO: En este sentido, se procede a constatar el quórum reglamentario,
y se verifica la asistencia de ______ habitantes mayores de quince años,
inscritos en el Registro de Electores de esta comunidad, <b><u><span lang="ES">SEGUNDO PUNTO</span></u></b><u><span lang="ES">:</span></u><span lang="ES">
se debate sobre el cambio de residencia de la ciudadana________________________</span><b>, </b>verificándose que su nueva residencia está
fuera del ámbito geográfico del Consejo Comunal Loma Alta y que<b> </b> al mudarse de nuestra poligonal pierde la
condición de vocera, según lo previsto en articulo 43, numeral 3, de la Ley
Orgánica de los Consejos Comunales. <b>TERCER PUNTO. </b>La Asamblea por
mayoría de los asistentes, decide nombrar a la ciudadana,_______________________________________
<b>, </b>titular de la cédula de identidad número V__________________<b>, </b>vocera
de la unidad de administración financiera del Consejo Comunal, como la nueva
cuentadante ante la banca pública y privada del Consejo comunal
_________________________<b>CUARTO PUNTO: </b>Esta asamblea AUTORIZA a _________________, titular de la Cédula de
Identidad Nº ________________ en su carácter de vocero(a) de la Unidad de
___________________ del consejo comunal____________________, para que consigne
la presente acta extraordinaria, ante la
Taquilla Única de Registro del Poder Popular del Estado Miranda, del Ministerio
del Poder Popular para las Comunas y Movimientos Sociales. Se levanta el Acta y
los presentes certifican que la misma es traslado fiel y exacto de su original,
habitantes de la comunidad, firman en señal de conformidad y aceptación de su
contenido:<span lang="ES"><o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -7.1pt; mso-border-alt: solid #00000A .5pt; mso-padding-alt: 0cm .5pt 0cm .5pt;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0; page-break-inside: avoid;">
<td style="border: solid #00000A 1.0pt; mso-border-alt: solid #00000A .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div class="Predeterminado" style="line-height: 150%;">
<b><span lang="ES">Nº</span></b><span lang="ES"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid #00000A 1.0pt; mso-border-alt: solid #00000A .5pt; mso-border-left-alt: solid #00000A .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 204.55pt;" valign="top" width="273">
<div align="center" class="Predeterminado" style="line-height: 150%; text-align: center;">
<b><span lang="ES">Nombre y Apellido</span></b><span lang="ES"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid #00000A 1.0pt; mso-border-alt: solid #00000A .5pt; mso-border-left-alt: solid #00000A .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 112.15pt;" valign="top" width="150">
<div align="center" class="Predeterminado" style="line-height: 150%; text-align: center;">
<b><span lang="ES">Cédula de Ident</span></b><span lang="ES"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid #00000A 1.0pt; mso-border-alt: solid #00000A .5pt; mso-border-left-alt: solid #00000A .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 118.45pt;" valign="top" width="158">
<div align="center" class="Predeterminado" style="line-height: 150%; text-align: center;">
<b><span lang="ES">Firma</span></b><span lang="ES"><o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; page-break-inside: avoid;">
<td style="border-top: none; border: solid #00000A 1.0pt; mso-border-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div class="Predeterminado" style="line-height: 200%;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: none; border-right: solid #00000A 1.0pt; border-top: none; mso-border-alt: solid #00000A .5pt; mso-border-left-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 204.55pt;" valign="top" width="273">
<div class="Predeterminado" style="line-height: 200%;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: none; border-right: solid #00000A 1.0pt; border-top: none; mso-border-alt: solid #00000A .5pt; mso-border-left-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 112.15pt;" valign="top" width="150">
<div class="Predeterminado" style="line-height: 200%;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: none; border-right: solid #00000A 1.0pt; border-top: none; mso-border-alt: solid #00000A .5pt; mso-border-left-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 118.45pt;" valign="top" width="158">
<div class="Predeterminado" style="line-height: 200%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2; page-break-inside: avoid;">
<td style="border-top: none; border: solid #00000A 1.0pt; mso-border-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div class="Predeterminado" style="line-height: 200%;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: none; border-right: solid #00000A 1.0pt; border-top: none; mso-border-alt: solid #00000A .5pt; mso-border-left-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 204.55pt;" valign="top" width="273">
<div class="Predeterminado" style="line-height: 200%;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: none; border-right: solid #00000A 1.0pt; border-top: none; mso-border-alt: solid #00000A .5pt; mso-border-left-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 112.15pt;" valign="top" width="150">
<div class="Predeterminado" style="line-height: 200%;">
<br /></div>
</td>
<td style="border-bottom: solid #00000A 1.0pt; border-left: none; border-right: solid #00000A 1.0pt; border-top: none; mso-border-alt: solid #00000A .5pt; mso-border-left-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 118.45pt;" valign="top" width="158">
<div class="Predeterminado" style="line-height: 200%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; page-break-inside: avoid;">
<td style="border-top: none; border: solid #00000A 1.0pt; mso-border-alt: solid #00000A .5pt; mso-border-top-alt: solid #00000A .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div class="Predeterminado" style="line-height: 200%;">
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Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-1860525841913730372016-10-06T08:27:00.002-07:002016-10-06T08:39:22.959-07:00Formatos Socio Productivas, Inscripciòn Consejo Comunal y Comunas<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
FORMATOS DE INSCRIPCIÒN DE COMUNAS<br />
FORMATOS DE INSCRIPCION DE CONSEJO COMUNALES<br />
FORMATO DE REGISTRAR ORGANIZACIONES SOCIO PRODUCTIVAS<br />
ACTAS Y FORMATODE CNE<br />
<ol style="background-color: white; border: 0px; color: #666666; font-family: "Open Sans", sans-serif; font-size: 14.3254px; margin: 0px 0px 1.625em 2.5em; outline: 0px; padding: 0px; vertical-align: baseline;">
<li style="border: 0px; font-size: 14.1822px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><a href="http://www.mpcomunas.gob.ve/wp-content/uploads/2013/09/Instructivo_Plan_de_Desarrollo_integral_Comunitario.pdf" style="border: 0px; color: black; font-size: 14.0403px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;">Instructivo Plan de Desarrollo integral Comunitario</a></li>
<li style="border: 0px; font-size: 14.1822px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><a href="http://www.mpcomunas.gob.ve/wp-content/uploads/2013/09/Plan_de_Desarrollo_Integral_Comunitario_modelo.pdf" style="border: 0px; color: black; font-size: 14.0403px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;">Plan de Desarrollo Integral Comunitario (modelo)</a></li>
<li style="border: 0px; font-size: 14.1822px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><a href="http://www.mpcomunas.gob.ve/wp-content/uploads/2013/09/planilla_caracterizacion.pdf" style="border: 0px; color: black; font-size: 14.0403px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;">Planilla Censo Demográfico</a></li>
<li style="border: 0px; font-size: 14.1822px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><a href="http://www.mpcomunas.gob.ve/wp-content/uploads/2013/09/certificado.pdf" style="border: 0px; color: black; font-size: 14.0403px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;">Certificación de adecuación de los Consejos Com</a></li>
</ol>
<a href="http://www.mpcomunas.gob.ve/formatos/">CLIKEA AQUI PARA SELECCION DE FORMATOS<---</a><br />
<div style="text-align: justify;">
ACTA DE ASAMBLEA FAMILIAR</div>
<div style="text-align: justify;">
NOSOTROS, (identificar a las personas que integran la Unidad Productiva</div>
<div style="text-align: justify;">
Familiar con sus respectivas cédulas de identidad), mediante el presente</div>
<div style="text-align: justify;">
documento sometemos a consideración la constitución de la ORGANIZACIÓN</div>
<div style="text-align: justify;">
SOCIOPRODUCTIVA COMUNITARIA, denominada UNIDAD PRODUCTIVA</div>
<div style="text-align: justify;">
FAMILIAR, la cual podrá asumir las siguientes denominaciones:</div>
<div style="text-align: justify;">
1.- ____________________________________________</div>
<div style="text-align: justify;">
2.- ____________________________________________</div>
<div style="text-align: justify;">
3.- ____________________________________________</div>
<div style="text-align: justify;">
La UNIDAD PRODUCTIVA FAMILIAR se regirá por los principios y valores socioproductivos</div>
<div style="text-align: justify;">
comunitarios y sus formas de organización comunal, a saber: la</div>
<div style="text-align: justify;">
corresponsabilidad, cooperación, sustentabilidad, libertad, justicia social, solidaridad,</div>
<div style="text-align: justify;">
equidad, transparencia, honestidad, igualdad, eficiencia y eficacia, contraloría social,</div>
<div style="text-align: justify;">
rendición de cuentas, gestión y participación democrática, formación y educación,</div>
<div style="text-align: justify;">
respeto y fomento de las tradiciones, la diversidad cultural, articulación de trabajo en</div>
<div style="text-align: justify;">
redes socio-productivas, la cultura ecológica y la preponderancia de los intereses</div>
<div style="text-align: justify;">
comunes sobre los individuales, que garantice la satisfacción de las necesidades de</div>
<div style="text-align: justify;">
la comunidad, aportando la mayor suma de felicidad posible. En este sentido,</div>
<div style="text-align: justify;">
informamos a la(s) Asamblea(s) de Ciudadanos y Ciudadanas del o los Consejo(s)</div>
<div style="text-align: justify;">
Comunal(es) ________________________, inscrito(s) bajo el número</div>
<div style="text-align: justify;">
____________ ante la Oficina de Taquilla Única de Registro del Poder Popular____</div>
<div style="text-align: justify;">
(ESTADO DE LA TAQUILLA ÚNICA), en fecha ____________, que dicha empresa</div>
<div style="text-align: justify;">
se regirá bajo las siguientes cláusulas:</div>
<div style="text-align: justify;">
PRIMERA. La Organización Socio-Productiva tendrá su domicilio en la ciudad</div>
<div style="text-align: justify;">
________________________ de (IDENTIFICAR EL DOMICILIO DE LA</div>
<div style="text-align: justify;">
ORGANIZACIÓN Y DEL CONSEJO COMUNAL O COMUNA DONDE ESTARÁ</div>
<div style="text-align: justify;">
UBICADA).</div>
<div style="text-align: justify;">
SEGUNDA. La UNIDAD PRODUCTIVA FAMILIAR tiene por objeto ejecutar las</div>
<div style="text-align: justify;">
actividades de ________________________ (OBJETO DE LA UNIDAD</div>
<div style="text-align: justify;">
PRODUCTIVA FAMILIAR) en beneficio de sus productores y productoras, y de la</div>
<div style="text-align: justify;">
comunidad _____________ (CONSEJO(S) COMUNAL(ES), COMUNA(S), OTRA</div>
<div style="text-align: justify;">
ORGANIZACIÓN DE BASE DEL PODER POPULAR)</div>
<div style="text-align: justify;">
TERCERA. La duración de nuestra Organización Socio-Productiva es de ____</div>
<div style="text-align: justify;">
(XXX), años, sin embargo podrá suprimirse en el momento en que los productores y</div>
<div style="text-align: justify;">
productoras familiares así lo decidan, previa notificación por escrito a la Asamblea de</div>
<div style="text-align: justify;">
Ciudadanos y Ciudadanas.</div>
<div style="text-align: justify;">
CUARTA. La UNIDAD PRODUCTIVA FAMILIAR desarrollará sus actividades con</div>
<div style="text-align: justify;">
recursos propios y aquellos de índole financiero y no financiero, así como los de</div>
<div style="text-align: justify;">
carácter retornable y no retornable para el logro de sus metas de conformidad con el</div>
<div style="text-align: justify;">
numeral 3 del artículo 8 de la Ley. En tal sentido sus productores o productoras</div>
<div style="text-align: justify;">
participarán directamente en la gestión de la referida Unidad Productiva Familiar.</div>
<div style="text-align: justify;">
QUINTA. La organización socioproductiva familiar estará destinada a satisfacer las</div>
<div style="text-align: justify;">
necesidades de los miembros de la familia, de los Consejos Comunales y demás</div>
<div style="text-align: justify;">
instancias del Poder Popular.</div>
<div style="text-align: justify;">
SEXTA. Los Miembros Integrantes deberán participar en los procesos de Formación</div>
<div style="text-align: justify;">
Político-Ideológica y Técnico-Productiva implementada por las Escuelas del Poder</div>
<div style="text-align: justify;">
Popular o cualquier otra instancia que disponga el Ministerio como órgano rector.</div>
<div style="text-align: justify;">
SÉPTIMA. Desarrollar acciones estratégicas de enlace y coordinación de las</div>
<div style="text-align: justify;">
actividades generadas en las etapas de la cadena socio-productiva articulándolas a</div>
<div style="text-align: justify;">
las redes socio-productivas, los mercados o espacios comunitarios de interacción</div>
<div style="text-align: justify;">
económica destinados al intercambio de saberes, bienes y servicios en conjunto con</div>
<div style="text-align: justify;">
las brigadas socialistas de producción, distribución y consumo organizados en el</div>
<div style="text-align: justify;">
seno de la comunidad o Comuna, dentro del marco de la Ley Orgánica del Sistema</div>
<div style="text-align: justify;">
Económico Comunal.</div>
<div style="text-align: justify;">
OCTAVA. Se proponen como voceros de la UNIDAD PRODUCTIVA FAMILIAR, a</div>
<div style="text-align: justify;">
los ciudadanos y ciudadanas que se identifican a continuación:</div>
<div style="text-align: justify;">
Por la Unidad de Administración y Gestión Productiva</div>
<div style="text-align: justify;">
Nombres, apellidos, cédulas de identidad, domicilio:</div>
<div style="text-align: justify;">
1.</div>
<div style="text-align: justify;">
2.</div>
<div style="text-align: justify;">
3.</div>
<div style="text-align: justify;">
NOVENA. La UNIDAD PRODUCTIVA FAMILIAR se regirá por el artículo 10 numeral</div>
<div style="text-align: justify;">
3 de la Ley Orgánica del Sistema Económico Comunal, por la Constitución de la</div>
<div style="text-align: justify;">
República Bolivariana de Venezuela y demás normas aplicables.</div>
<div style="text-align: justify;">
En consecuencia, se somete a consideración de la Asamblea de Ciudadanos y</div>
<div style="text-align: justify;">
Ciudadanas a los fines de su aprobación el acta constitutiva estatutaria y proyecto</div>
<div style="text-align: justify;">
socioproductivo.</div>
<div style="text-align: justify;">
En la ciudad de ___________, a los _____ días del mes de_____ de 2012.</div>
<div style="text-align: justify;">
En señal de conformidad por parte de la asamblea familiar del acta constitutiva</div>
<div style="text-align: justify;">
estatutaria, proyecto socioproductivo y de los tres nombres propuestos para la</div>
<div style="text-align: justify;">
denominación de esta unidad familiar, los abajo firmantes.-</div>
<div style="text-align: justify;">
NOMBRE Y APELLIDO C.I. FIRMA</div>
</div>
Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-66632760166291361432016-09-28T19:18:00.002-07:002016-09-28T19:18:49.123-07:00Solicitud : Cambio de Bombillos Ahorradores <div dir="ltr" style="text-align: left;" trbidi="on">
<div align="right" class="Predeterminado" style="mso-line-height-alt: 5.0pt; text-align: right;">
<span lang="ES-VE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Cccccc, de 2016 <o:p></o:p></span></div>
<div class="Predeterminado" style="mso-line-height-alt: 5.0pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="Cuerpodetexto" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<b><span lang="ES-VE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ciudadano:
</span></b><span lang="ES-VE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="Cuerpodetexto" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Gerente
de Comercialización de Corpoelec -------------estado<o:p></o:p></span></div>
<div class="Cuerpodetexto" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 115%;">Su Despacho.</span><span lang="ES-VE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="Cuerpodetexto" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="Cuerpodetexto" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 115%;"> Reciban un Cordial
Saludo Revolucionario, Bolivariano y Socialista de parte de esta gran familia
Comunal y al mismo tiempo desearle éxitos en sus funciones, siendo
ustedes los principales propulsores en el desarrollo de nuestro gentilicio de
Ccccc Estado ccccccc</span><span lang="ES-VE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="Cuerpodetexto" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="Cuerpodetexto" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<span lang="ES-VE" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 115%;"> Por medio de la
presente, el Consejo Comunal “CCCCCCC”, integrado por los voceros: <b> C.I Nº , C.I Nº y C.I Nº </b>, Venezolanos, mayores
de edad, civilmente hábiles, <b> y </b>respectivamente ubicados en el Sector cccccc,
Parroquia Cccccc Municipio Cccc, del Estado Trujillo, en la oportunidad de hacerle el siguiente planteamiento: </span><b><u><span lang="ES-VE" style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">La Solicitud del proceso de canje de bombillos ahorradores</span></u></b><span lang="ES-VE" style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> Con la finalidad de
contribuir a satisfacer las necesidades de en nuestra comunidad; como parte de
las estrategias que Corpoelec; Empresa Eléctrica Socialista emprende para el
acercamiento con las comunidades <u>ccccccccc</u>. Habida cuenta que nuestros
vecinos están sometidos a un suministro irregular del servicio los cuales a la par se están apoyando de la
sustitución de bombillos incandescentes por ahorradores de energía como parte
de 7ma fase de la Misión Revolución Energética y dar el buen uso racional y consiente
Por tal motivo buscamos acercar la
empresa a la comunidad y brindar facilidades para el pago de la factura de
energía eléctrica </span><span lang="ES-VE" style="background: white; color: #1d2d45; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">y
permitan que nuestros usuarios y usuarias se sientan satisfechos, contribuyendo
así a la Construcción de la Patria Socialista para el buen vivir de los
venezolanos y venezolanas.</span><span lang="ES-VE" style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span lang="ES-VE" style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> Acudimos a sus buenos oficios para la atención
a nuestra comunidad mediante el censo anexado, estrategia para
reimpulsar la distribución eficiente , a través de la identificación de los habitantes
y así conocer la demanda actual que se destinan a el sector Mirinday <o:p></o:p></span></div>
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<span lang="ES-VE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Por
el Consejo Comunal<o:p></o:p></span></div>
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Voc. Órgano Ejecutivo</span><span lang="ES-VE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><o:p></o:p></span></div>
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<span lang="ES-VE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold;">Voc. Órgano de Administrador y Finanzas Voc.
de Energía y Gas</span><span lang="ES-VE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><o:p></o:p></span></div>
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Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-40287361325864628262016-09-14T17:28:00.000-07:002016-09-14T17:28:19.628-07:00CERTIFICADO DE ANULACIÓN DEL CONSEJO COMUNAL<div dir="ltr" style="text-align: left;" trbidi="on">
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<b style="line-height: 13.65pt;"> </b><b style="line-height: 13.65pt;"><span style="font-family: "Times New Roman", serif; font-size: 12pt;">CERTIFICADO DE </span></b><span style="background-color: transparent; line-height: 18.2px;"><span style="font-family: Times New Roman, serif;"><b>ANULACIÓN</b></span></span></div>
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<b><span style="font-family: "Times New Roman", serif; font-size: 12pt;"> Certifica
el Consejo Comunal ___________________________”,
ubicado</span></b><b><span style="font-family: "Times New Roman", serif; font-size: 12pt;"><o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman", serif; font-size: 12pt;">Dentro del ámbito
geográfico: </span></b><b><span style="font-family: "Times New Roman", serif; font-size: 12pt;"> NORTE:
______________________; SUR: ________________________________;ESTE:_____________________y;
OESTE: _______________________; delSector:__________________________,Parroquia:_________________Municipio______________del
Estado _________________,<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman", serif; font-size: 12pt;"> Intervino
en la decisión de anulación absoluta de este Consejo Comunal; establecida en una Asamblea
de Ciudadanos y Ciudadanas de la comunidad
procediendo la aprobación de finiquitar
su proceso,</span></b><b><span style="font-family: Arial, sans-serif;"> </span></b><b><span style="font-family: "Times New Roman", serif;">por incumplimientos de las normas legales establecidas para su
funcionamiento. </span></b><b><span style="font-family: "Times New Roman", serif; font-size: 12pt;"> Por la siguiente exposición de motivos: </span><o:p></o:p></b></div>
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<b><span style="font-family: "Times New Roman", serif; font-size: 12pt;"> La
comunidad que conforma el Consejo Comunal______________ en el ámbito territorial
es de menor cantidad de hogares y los
habitantes no participan a las organización de eventos sociales evidenciando
apatía con frecuencia y en el mismo sentido a la integración y organización para
la actualización de vocerías principales del Consejo Comunal , también dejando
de servir al público, ylas reuniones convocada por los entes gubernamentales no
eran</span></b><b><span style="font-size: 12.0pt;"> </span></b><b><span style="font-family: "Times New Roman", serif; font-size: 12pt;">atendida en los lapsos
establecidos violando todo lo dispuesto en las leyes desde el año 2014 , las vocerías
firmantes se mantenían integrado por miembros de de consanguinidad familiar y
actualmente poseen la vocería sin vigencias. En consecuencia los habitantes convienen
en incluirse al consejo
comunal__________________ colindante de su geografía mediante su aprobación
participativa rigiéndose a sus estatutos e instancias sociales de su jurisdicción.
<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman", serif; font-size: 12pt;">
Por medio de la presente, el Consejo Comunal “Valle Hondo”, integrado por los voceros:
________________C.I Nº 222.222, _____________ C.I Nº11.131.111 y
R________________ C.I Nº 11.111.119, Solicitamos
la nulidad y validación a los efectos de Registro ante la Taquilla Única
de Registro del Poder Popular. <o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman", serif; font-size: 12pt;"> Certificado y solicitud que se
expide a los
fines de hacer
constar que el
Consejo Comunal denominado
___________________ Rif__________________ por
el Ministerio del
Poder Popular para
las Comunas y
Protección Social. <o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman", serif; font-size: 12pt;">En la ciudad de
_____________________, a los
_____________( )
del mes</span></b><b><span style="font-family: "Times New Roman", serif; font-size: 12pt;"><o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman", serif; font-size: 12pt;">de___________________ de dos
mil (201)</span></b><b><span style="font-family: "Times New Roman", serif; font-size: 12pt;"><o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman", serif; font-size: 12pt;"> <o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman", serif; font-size: 12pt;">_______________Telf.
0416.____________ <o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman", serif; font-size: 12pt;">Voc. Órgano Ejecutivo<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman", serif; font-size: 12pt;"> __________________Tlf.0415 _______________Tlf
0415
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<b><span style="font-family: "Times New Roman", serif; font-size: 12pt;">Voc. Órgano de Admi y
Finanzas Voc. Órgano Contralor Social<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman", serif; font-size: 12pt;">Firmas de Habitantes
anexadas<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 115%;">Acta de Nulidad del Consejo Comunal______________________<o:p></o:p></span></b></div>
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<b><span style="font-family: Arial, sans-serif;">…….Explicaron que, una vez
cubierto este paso, se dirigieron hasta la ____________________ donde solicitan
la nulidad de_______________________, en tanto a que no se cumplieron las
normas legales establecidas para su funcionamiento.</span></b><b><span style="color: #888888; font-family: "Arial","sans-serif"; font-size: 10.5pt;"><o:p></o:p></span></b></div>
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<b><span style="font-family: Arial, sans-serif;"> Señalan los voceros que la primera
flagrancia que hubo, fue __________vencidos como -……………además de que no hubo la
convocatoria a la asamblea de ciudadanos, requisito indispensable para proceder
a la creación---------------------.</span></b><b><span style="color: #888888; font-family: "Arial","sans-serif"; font-size: 10.5pt;"><o:p></o:p></span></b></div>
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<b><span style="font-family: Arial, sans-serif;"> Entre otros pasos obviados están la
falta de la comisión promotora, la comisión electoral y la no difusión pública
del proyecto de la carta fundacional de la co-----------------, aunado a que no
se convocó a la consulta para el ----------------------------.</span></b><b><span style="color: #888888; font-family: "Arial","sans-serif"; font-size: 10.5pt;"><o:p></o:p></span></b></div>
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<b><span style="font-family: Arial, sans-serif;"> Por estas razones, los voceros
autorizados de consejo comunale de, ----------------, solicitaron a -------------------------la
nulidad absoluta del proceso ----------------que se hizo para la fundación porque, entre otras cosas, no se tomó en
cuenta la opinión <span class="apple-converted-space"> </span>de un
número considerable de ciudadanos que conviven en ese ámbito territorial.</span></b><b><span style="color: #888888; font-family: "Arial","sans-serif"; font-size: 10.5pt;"><o:p></o:p></span></b></div>
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Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.comtag:blogger.com,1999:blog-986856162228986006.post-39629162787359285662016-07-22T08:42:00.000-07:002016-07-22T08:42:28.388-07:00Solicitud de Transporte para Plan Recreacional<div dir="ltr" style="text-align: left;" trbidi="on">
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<span lang="ES" style="font-family: "Arial","sans-serif";">, 18 de julio de 2016<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "Arial","sans-serif";">CIUDADANO: <o:p></o:p></span></div>
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<span lang="ES" style="font-family: "Arial","sans-serif";"> Reciba un cordial saludo de parte de
nuestra <b>institución _______________</b>,
la presente tiene como finalidad hacerle la solicitud del transporte escolar
para el día lunes 25/07/2016, la misma para el traslado de los alumnos de la _____________y
personal a una actividad recreacional al_______________, ubicado_______________,
vía a _____________y se requerirá del transporte para el traslado de los
estudiante y demás personal, el lugar del mismo será en la Sede del____________,
hora de salida 07:00 am.<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "Arial","sans-serif";"> Sin otro particular a que hacer
referencia y en espera de una respuesta positiva, se despide;<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "Arial","sans-serif";">___________________________<o:p></o:p></span></div>
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<b><span lang="ES" style="font-family: "Arial","sans-serif";">Prof. <o:p></o:p></span></b></div>
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Carlos Arriechehttp://www.blogger.com/profile/03341770478843547753noreply@blogger.com