<script src="../../js/prototype.js" type="text/javascript"></script>    
<script src="../../js/jscript.js" type="text/javascript"></script>    
<link type="text/css" rel="stylesheet" href="../../extjs/resources/css/ext-all.css" /> 
<link type="text/css" rel="stylesheet" href="../../styles/estilos.css" />   
<link type="text/css" rel="stylesheet" href="../../css/styles.css" />  
<link type="text/css" rel="stylesheet" href="../../css/pagstyle.css" />      
<link type="text/css" rel="stylesheet" href="../../css/tema_ini.css" />
<link type="text/css" rel="stylesheet" href="../../css/ytheme-aero.css" />
<link type="text/css" rel="stylesheet" href="../../css/adm.css" />
<link type="text/css" rel="stylesheet" href="../../css/ajaxtabs.css" />
<link type="text/css" rel="stylesheet" href="../../css/pagstyle.css" />
<script type="text/javascript" src="../../js/modules/sociales/pide_informacion.js"></script><form id="miForm" action="sat.php" method="post" >
<div><input type="hidden" name="module" id="module" value="sociales" /></div>
<div><input type="hidden" name="option" id="option" value="registra_queja" /></div>
<div><input type="hidden" name="page" id="page" value="" /></div>
<div><input type="hidden" name="task" id="task" value="" /></div>
<div><input type="hidden" name="idPersona" id="idPersona" value="" /></div>
<div id="my2"style="width:100%; margin: 10px auto; ">
<div class="x-box-tl">
  <div class="x-box-tr">
    <div class="x-box-tc"></div>
  </div>
</div>
<div class="x-box-ml">
  <div class="x-box-mr">
    <div class="x-box-mc">
       <div class="xsubtitulo"> REGISTRO DE RECLAMOS DE LOS SERVICIOS QUE PRESTA LA MUNICIPALIDAD EN EL DISTRITO</div>
       <div class="mainbody">
 <div class="break"  > </div>
<div><input type="hidden" name="tipo_save" id="tipo_save" value="1" /></div>
<div id="pag_general">

<table class="tshow"  border="0" cellspacing="1" cellpadding="1" >
<tr >
	<td colspan="4" ><span style="color: #990000;">DATOS DEL SOLICITANTE:</span> </td></tr>
<tr >
	<td><span style="color:#0072C6;">Buscar Vecino:</span></td><td colspan="2" ><input type="text" class="texto" name="filtro" id="filtro" value="" size="50" onkeypress="return cancelEnter(event);" onkeyup="showHideDiv('div_persona', '1'); setTask('searchperso'); setp_post2('', 'div_persona'); setTask('clear'); setp_post2('','div_result'); return false;" onfocus="limpiaName();" autocomplete="off"/> <div id="div_persona"></div></td><td   ><span style="color:#0072C6;">!!! Si Ud. es vecino busque por apellidos y nombre...!!!</span> </td></tr>
<tr >
	<td>A.Paterno : </td><td><input type="text" class="texto" name="paterno" id="paterno" value="" size="30" onchange="conMayusculas(this); return false;"  autocomplete="off"/></td><td>A.Materno:</td><td><input type="text" class="texto" name="materno" id="materno" value="" size="30" onchange="conMayusculas(this); return false;" autocomplete="off"/></td></tr>
<tr >
	<td>Nombres : </td><td><input type="text" class="texto" name="nombres" id="nombres" value="" size="30" onchange="conMayusculas(this); return false;" autocomplete="off"/></td><td>EMail : </td><td><input type="text" class="texto" name="email" id="email" value="" size="25" maxlength="30"  autocomplete="off"/></td></tr>
<tr >
	<td>Tipo Doc. : </td><td>
<select name="tipo_documento" id="tipo_documento" style="width: 130px;">
	<option value="0">Tipo de Documento</option>
	<option value="1" selected="selected">DNI</option>
	<option value="2">POLICIA</option>
	<option value="3">RUC</option>
	<option value="4">CIF (RR.AA)</option>
	<option value="5">CARNET EXTRANJERIA</option>
	<option value="6">PARTIDA DE NACIMIENTO</option>
	<option value="7">PART. O FICHA REGISTRAL</option>
	<option value="8">REGISTRO ADMINISTRATIVO</option>
	<option value="9">LIBRETA MILITAR</option>
	<option value="10">BOLETA MILITAR</option>
	<option value="11">OTROS</option>
	<option value="12">PASAPORTE</option>
	<option value="13">PARTIDA DEFUNCION</option>
</select>
</td><td>N&deg; Doc :</td><td><input type="text" class="texto" name="documento" id="documento" value="" size="15" onkeypress="return soloNumeros(event);" autocomplete="off"/></td></tr>
<tr >
	<td>Celular: </td><td><input type="text" class="texto" name="fono_cel" id="fono_cel" value="" size="10" onkeypress="return soloNumeros(event);" maxlength="10"  autocomplete="off"/></td></tr>
<tr >
	<td colspan="2" ><span style="color: #990000;">INFORMACION OCURRENCIA:</span> </td><td><div id="div_dni">&nbsp;</div></td><td><div id="div_name">&nbsp;</div></td></tr>
<tr >
	<td>Fecha: </td><td><input type="text" value="19/05/2024" name="fech" size="10" onkeyup="javascript:this.value=formateafecha(this.value);" onblur="esFechaValida(this);" />
    <img src="images/acc_calendar.png" alt="" onclick="displayCalendar(document.forms[0].fech,'dd/mm/yyyy',this)"/>
</td><td>Hora: </td><td><select id="hor"  name="hor">
<option value='00'>00</option> 
<option value='01'>01</option> 
<option value='02'>02</option> 
<option value='03'>03</option> 
<option value='04'>04</option> 
<option value='05'>05</option> 
<option value='06'>06</option> 
<option value='07'>07</option> 
<option value='08'>08</option> 
<option value='09'>09</option> 
<option value='10'>10</option> 
<option value='11' selected="selected">11</option> 
<option value='12'>12</option> 
<option value='13'>13</option> 
<option value='14'>14</option> 
<option value='15'>15</option> 
<option value='16'>16</option> 
<option value='17'>17</option> 
<option value='18'>18</option> 
<option value='19'>19</option> 
<option value='20'>20</option> 
<option value='21'>21</option> 
<option value='22'>22</option> 
<option value='23'>23</option> 
</select>
:<select id="minut"  name="minut">
<option value='0'>00</option> 
<option value='1'>01</option> 
<option value='2'>02</option> 
<option value='3'>03</option> 
<option value='4'>04</option> 
<option value='5'>05</option> 
<option value='6'>06</option> 
<option value='7'>07</option> 
<option value='8'>08</option> 
<option value='9'>09</option> 
<option value='10'>10</option> 
<option value='11'>11</option> 
<option value='12' selected="selected">12</option> 
<option value='13'>13</option> 
<option value='14'>14</option> 
<option value='15'>15</option> 
<option value='16'>16</option> 
<option value='17'>17</option> 
<option value='18'>18</option> 
<option value='19'>19</option> 
<option value='20'>20</option> 
<option value='21'>21</option> 
<option value='22'>22</option> 
<option value='23'>23</option> 
<option value='24'>24</option> 
<option value='25'>25</option> 
<option value='26'>26</option> 
<option value='27'>27</option> 
<option value='28'>28</option> 
<option value='29'>29</option> 
<option value='30'>30</option> 
<option value='31'>31</option> 
<option value='32'>32</option> 
<option value='33'>33</option> 
<option value='34'>34</option> 
<option value='35'>35</option> 
<option value='36'>36</option> 
<option value='37'>37</option> 
<option value='38'>38</option> 
<option value='39'>39</option> 
<option value='40'>40</option> 
<option value='41'>41</option> 
<option value='42'>42</option> 
<option value='43'>43</option> 
<option value='44'>44</option> 
<option value='45'>45</option> 
<option value='46'>46</option> 
<option value='47'>47</option> 
<option value='48'>48</option> 
<option value='49'>49</option> 
<option value='50'>50</option> 
<option value='51'>51</option> 
<option value='52'>52</option> 
<option value='53'>53</option> 
<option value='54'>54</option> 
<option value='55'>55</option> 
<option value='56'>56</option> 
<option value='57'>57</option> 
<option value='58'>58</option> 
<option value='59'>59</option> 
<option value='60'>60</option> 
</select>
</td></tr>
<tr >
	<td>Sector: </td><td colspan="3" >
<select name="sect" id="sect" >
	<option value="0" selected="selected">Seleccionar</option>
	<option value="0">[Escoger Sector]</option>
	<option value="005054">ALAMEDA DEL GOLF</option>
	<option value="001007">ARMANDO VILLANUEVA DEL CAMPO</option>
	<option value="999069">BRISAS DE LA ENCALADA</option>
	<option value="001010">BUENOS AIRES</option>
	<option value="999242">BUENOS AIRES A1 SECTOR SUR BARRIO 1</option>
	<option value="999243">BUENOS AIRES A1 SECTOR SUR BARRIO 2</option>
	<option value="999248">BUENOS AIRES A1 SECTOR SUR BARRIO 2A</option>
	<option value="001002">BUENOS AIRES CENTRO</option>
	<option value="001001">BUENOS AIRES NORTE</option>
	<option value="999237">BUENOS AIRES SECTOR BALNEARIO BARRIO 1</option>
	<option value="999238">BUENOS AIRES SECTOR BALNEARIO BARRIO 2</option>
	<option value="999247">BUENOS AIRES SECTOR NORTE BARRIO 1</option>
	<option value="001003">BUENOS AIRES SUR</option>
	<option value="999289">BUENOS AIRES SUR BOCANA BAJA</option>
	<option value="004004">CALIFORNIA</option>
	<option value="001032">CARLOS MANUEL COX</option>
	<option value="002039">CESAR ACUNA PERALTA</option>
	<option value="002033">CONJ.HAB.JORGE BASADRE(STAEDE)</option>
	<option value="004025">COPROPIETARIOS</option>
	<option value="100040">CORTIJO BAJO</option>
	<option value="999310">COVICAL</option>
	<option value="999226">CRISTO MORENO</option>
	<option value="999177">DERRAMA MAGISTERIAL</option>
	<option value="005003">EL GOLF</option>
	<option value="999315">EL MIRADOR DEL GOLF</option>
	<option value="999196">EL PIALON</option>
	<option value="999107">EL PROGRESO</option>
	<option value="001030">EL PROGRESO</option>
	<option value="999180">EMANUEL</option>
	<option value="004006">FATIMA</option>
	<option value="999077">FUNDO EL SALITRAL</option>
	<option value="003021">FUNDO LA ARBOLEDA</option>
	<option value="130108">FUNDO LAS PALMERAS II</option>
	<option value="999269">FUNDO SAN ANDRES V ETAPA</option>
	<option value="003001">HUAMAN</option>
	<option value="999132">HUANCHAQUITO BAJO</option>
	<option value="000300">JUNTA 300</option>
	<option value="999233">LA BOCANA</option>
	<option value="005019">LA ENCALADA</option>
	<option value="999184">LA ENCALADA LAS BRISAS</option>
	<option value="001056">LA FLORIDA</option>
	<option value="001052">LA VICTORIA</option>
	<option value="005060">LAS CASUARINAS</option>
	<option value="002012">LAS FLORES</option>
	<option value="004008">LAS FLORES DEL GOLF</option>
	<option value="004454">LAS FLORES DEL GOLF II</option>
	<option value="005063">LAS FLORES DEL GOLF III</option>
	<option value="005067">LAS FLORES DEL GOLF III ETAPA</option>
	<option value="005066">LAS HORTENCIAS DE CALIFORNIA</option>
	<option value="130106">LAS HORTENCIAS DE CALIFORNIA II ETAPA</option>
	<option value="005037">LAS PALMAS</option>
	<option value="999121">LAS PALMAS DE SAN ANDRES I</option>
	<option value="005055">LAS PALMAS DEL GOLF</option>
	<option value="005065">LAS PALMAS DEL GOLF II</option>
	<option value="005061">LAS PALMAS II</option>
	<option value="005062">LAS PALMAS III</option>
	<option value="002035">LAS PALMERAS</option>
	<option value="999174">LAS PALMERAS DE SANTA ISABEL</option>
	<option value="005022">LAS PALMERAS DEL GOLF</option>
	<option value="999058">LAS PALMERAS SAN ANDRES</option>
	<option value="004039">LAS PRADERAS DEL GOLF</option>
	<option value="003014">LAS VEGAS</option>
	<option value="002024">LIBERACION SOCIAL</option>
	<option value="000983">LIMA</option>
	<option value="999274">LOS CARRIZALES BOCANA BAJA</option>
	<option value="999234">LOS COMUNES</option>
	<option value="999190">LOS GIRASOLES</option>
	<option value="004020">LOS JARDINES DEL GOLF</option>
	<option value="999059">LOS LAURELES PALMERAS II</option>
	<option value="003016">LOS MANGOS</option>
	<option value="999295">LOS MANGUITOS</option>
	<option value="999152">LOS MANGUITOS II</option>
	<option value="002023">LOS ROSALES DE SAN LUIS</option>
	<option value="001011">LOS SAUCES</option>
	<option value="999066">LOS SAUCES 2DA ETAPA</option>
	<option value="999232">LOS SAUCES DE SAN ANDRES</option>
	<option value="999148">LOS SAUCES II ETAPA</option>
	<option value="999257">LOTE FASE 23</option>
	<option value="001029">LOTIZACION MONTEVIDEO</option>
	<option value="999079">MARILAN 4</option>
	<option value="999076">MARTIN ARIAS CERNA</option>
	<option value="999106">MERCADO MAYORISTA</option>
	<option value="000001">MIGRACION</option>
	<option value="005056">MIGRADO</option>
	<option value="001055">MONTEVIDEO PARTE</option>
	<option value="001057">MONTEVIDEO REMANENTE</option>
	<option value="999169">NATASHA II</option>
	<option value="130116">PALMAS REALES</option>
	<option value="005059">PALMERAS DEL GOLF II ETAPA</option>
	<option value="999145">PALMERAS DEL GOLF III ETAPA</option>
	<option value="999216">PAPA FRANCISCO</option>
	<option value="000002">PAPA FRANCISCO</option>
	<option value="999086">PASTOS DE HUAMAN</option>
	<option value="003013">PIALON</option>
	<option value="004002">PORTALES DEL GOLF</option>
	<option value="999222">PREDIO DESAGUADERO UC 10138</option>
	<option value="999283">PREDIO EL DESAGUADERO UC 10121</option>
	<option value="999231">PREDIO EL SAUCE</option>
	<option value="999207">PREDIO LA ENCALADA</option>
	<option value="999075">PREDIO LAS HORTENCIAS</option>
	<option value="000200">PREDIO LAS HORTENCIAS B</option>
	<option value="999307">PREDIO MONTEVIDEO</option>
	<option value="130109">PROLONG FATIMA</option>
	<option value="999159">PUEBLO JOVEN BUENOS AIRES A1</option>
	<option value="999320">RESIDENCIAL MAGISTERIAL EL GOLF DE TRUJILLO</option>
	<option value="999309">SAENZ PEA</option>
	<option value="002038">SAN ANDRES BAJO</option>
	<option value="002026">SAN ANDRES V ETAPA</option>
	<option value="002030">SAN ANDRES V ETAPA II</option>
	<option value="999235">SAN ANDRES V ETAPA II</option>
	<option value="999219">SAN ANDRES V ETAPA III SECTOR</option>
	<option value="999225">SAN ANDRES V ETAPA SECTOR II</option>
	<option value="000033">SAN DANTE</option>
	<option value="004040">SAN JOSE DE CALIFORNIA</option>
	<option value="999211">SAN JOSE DE CALIFORNIA 2DA ETAPA</option>
	<option value="004053">SAN LUIS DE CALIFORNIA</option>
	<option value="003017">SAN PEDRO</option>
	<option value="999215">SAN PEDRO 2DA ETAPA</option>
	<option value="999071">SAN PEDRO DERRAMA MAGISTERIAL I</option>
	<option value="999072">SAN PEDRO DERRAMA MAGISTERIAL II</option>
	<option value="999189">SAN PEDRO SECTOR HUAMAN</option>
	<option value="002015">SAN VICENTE DE PAUL</option>
	<option value="004005">SANTA EDELMIRA</option>
	<option value="999054">SANTA ISABEL (VICTOR LARCO  HERRERA</option>
	<option value="999155">SECTOR BARRIO NUEVO MOCHE</option>
	<option value="999099">SECTOR CARRETERA INDUSTRUAL</option>
	<option value="999181">SEÑOR DE LOS MILAGROS</option>
	<option value="999185">SR DE LOS MILADROS</option>
	<option value="999156">TECSUP</option>
	<option value="003018">TUPAC AMARU</option>
	<option value="999236">TUPAC AMARU VISTA ALEGRE</option>
	<option value="999195">UBICACION RURAL LA FLORIDA</option>
	<option value="001031">VALLE MOCHE</option>
	<option value="999063">VALLE PALMERAS SAN ANDRES</option>
	<option value="999158">VIA DE EVITAMIENTO</option>
	<option value="002037">VILLA CLEMENTINA PERALTA DE ACUÑA</option>
	<option value="001058">VILLA DEL MAR</option>
	<option value="130120">VILLA FLORENCIA</option>
	<option value="999332">VIRGEN DE LA PUERTA</option>
	<option value="003009">VISTA ALEGRE</option>
</select>
</td></tr>
<tr >
	<td>Tipo: </td><td colspan="3" ><input type="radio" name="tppp" value="2" /> Serv. Barrido de Calles &nbsp;&nbsp;&nbsp;<input type="radio" name="tppp" value="1" /> Serv. Recojo Basura &nbsp;&nbsp;&nbsp;<input type="radio" name="tppp" value="0" checked="checked" /> Serv. Parques y Jardines&nbsp;&nbsp;&nbsp;<input type="radio" name="tppp" value="3" /> Serv. Administracion Tributaria &nbsp;&nbsp;&nbsp;<input type="radio" name="tppp" value="4" /> Serv. Obras Municipal &nbsp;&nbsp;&nbsp;<input type="radio" name="tppp" value="5" /> Serv. Seguridad Ciudadana &nbsp;&nbsp;&nbsp;</td></tr>
<tr >
	<td>Tema: </td><td colspan="3" ><input type="text" class="texto" name="tema" id="tema" value="" size="50" maxlength="500"  autocomplete="off"/></td></tr>
<tr >
	<td>Descripcion :</td><td colspan="4"  ><textarea rows="5" class="texto" cols="40" name="solicitud" id="solicitud" onkeydown="textCounter(this.form.solicitud, this.form.sizesolicitud, 255);" onkeyup="textCounter(this.form.solicitud, this.form.sizesolicitud, 255);" ></textarea>
<input type="text" class="texto" name="sizesolicitud" size="2" maxlength="3" value="255" readonly="readonly" /> caracteres</td></tr>
<tr >
	<td class="myicons" colspan="4" ><a href="#" onclick="saveSolicitud(); return false;"><img src="../../images/icons/save.gif" alt=""/> Enviar Solicitud </a>&nbsp;&nbsp;&nbsp;&nbsp;<a href="#" onclick="displayDiv('div_contri', '0'); formReset( 'b_contribuyente' ); return false;"><img src="../../images/icons/cancel.png" alt=""/>Cancelar</a></td></tr>
</table>
<div id="div_pide"></div></div>
<div class="break"  > </div>
    </div>
    </div>
  </div>
</div>  
<div class="x-box-bl">
  <div class="x-box-br">
    <div class="x-box-bc"></div>
  </div>
</div>
</div>
</form>