1. ____ Segment No.
2. ____ Province
3. ____ District
4. ____ Judicial Precinct (Corregimiento)
5. ____ Locality
6. ____ Segment No. (number of name)
7. ____ Building number or name
8. ____ Apartment or room number
Only for the cities of Panamá and Colón, also write
9. ____ Block No.