<table cellpadding=0 cellspacing=12 style=width:800px>
	<tbody>
		<tr>
			<td>
			<table cellpadding=0 cellspacing=0 style=width:100%>
				<tbody>
					<tr>
						<td>
						<table cellpadding=0 cellspacing=0>
							<tbody>
								<tr>
									<td>Assist&ecirc;ncia</td>
									<td rowspan=2>&nbsp;</td>
									<td>Solicita&ccedil;&atilde;o</td>
									<td rowspan=2>&nbsp;</td>
									<td>Produto</td>
									<td rowspan=2>&nbsp;</td>
									<td>Data solicita&ccedil;&atilde;o</td>
								</tr>
								<tr>
									<td><input name=ctl00$ContentPlaceHolder1$txtAssistencia type=text value=6327811 /></td>
									<td><input name=ctl00$ContentPlaceHolder1$txtSolicitacao type=text value=1 /></td>
									<td><input name=ctl00$ContentPlaceHolder1$txtProduto type=text value=LIBERTY /></td>
									<td><input name=ctl00$ContentPlaceHolder1$txtAceite type=text /></td>
									<td><input name=ctl00$ContentPlaceHolder1$txtPrazo type=text value=07/07 /></td>
								</tr>
							</tbody>
						</table>
						</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td><strong>SERVI&Ccedil;O #1</strong></td>
					</tr>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td><input name=ctl00$ContentPlaceHolder1$txtServico type=text value=ENCANADOR /></td>
					</tr>
					<tr>
						<td>Valor:</td>
					</tr>
					<tr>
						<td><input name=ctl00$ContentPlaceHolder1$txtValor type=text /></td>
					</tr>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td>
						<table cellpadding=0 cellspacing=0>
							<tbody>
								<tr>
									<td>Importante</td>
								</tr>
								<tr>
									<td>&nbsp;</td>
								</tr>
								<tr>
									<td><textarea cols=20 name=ctl00$ContentPlaceHolder1$txtImportanteServico rows=4></textarea></td>
								</tr>
							</tbody>
						</table>
						</td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>
	</tbody>
</table>
