<div class="container-fluid">

    <div class="row">

        <div class="col-md-10 col-md-offset-1">

            <div  style="height: 120px;">

                <div class="col-md-3" style="text-align: center; border-top: 1px solid black; border-right: 1px solid black; border-bottom: 1px solid black; border-left: 1px solid black; margin-top: 5px; margin-bottom: 5px; height: 100%;">

                    <h5 style="text-align: center;">

                        <strong>Elaboró</strong>

                    </h5>

                    <img src=""/>

                </div>

                <div class="col-md-3"  style="text-align: center; border-top: 1px solid black; border-right: 1px solid black; border-bottom: 1px solid black; border-left: 1px solid black; margin-top: 5px; margin-bottom: 5px; height: 100%;">

                    <h5 style="text-align: center;">

                        <strong>Revisó</strong>

                    </h5>

                    <img src=""/>

                </div>

                <div class="col-md-3"  style="text-align: center; border-top: 1px solid black; border-right: 1px solid black; border-bottom: 1px solid black; border-left: 1px solid black; margin-top: 5px; margin-bottom: 5px; height: 100%;">

                    <h5 style="text-align: center;">

                        <strong>Autorizó</strong>

                    </h5>

                    <img src=""/>

                </div>

                <div class="col-md-3"  style="text-align: center; border-top: 1px solid black; border-right: 1px solid black; border-bottom: 1px solid black; border-left: 1px solid black; margin-top: 5px; margin-bottom: 5px; height: 100%;">

                    <div class="col-md-12" style="height: 75%;">

                        <h5 style="text-align: center;">

                            <strong>Recibido y Aceptado</strong>

                        </h5>

                    </div>

                    <img src=""/>

                    <div class="col-md-12">

                        <h5 style="text-align: bottom;">

                            <strong>Firma, Nombre y Sello</strong>

                        </h5>

                    </div>

                </div>

            </div>

        </div>

    </div>

</div>