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												<td>Servi&ccedil;o agendado:&nbsp;22/11 13:00 as 17:00</td>
											</tr>
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									</table>
									</td>
									<td>&nbsp;</td>
								</tr>
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						</td>
						<td style=vertical-align:bottom>
						<table cellpadding=0 cellspacing=0 style=width:100%>
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									<td>&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;<input name=ctl00$ContentPlaceHolder1$ibtFechar src=https://www.acionafacil.com.br/Library/Images/btn-fechar.gif type=image /></td>
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						</td>
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			</td>
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			<td>&nbsp;</td>
		</tr>
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			<td>&nbsp;</td>
		</tr>
	</tbody>
</table>

<table cellpadding=0 cellspacing=12 style=width:800px>
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							<tbody>
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									<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=5651165 /></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=22/11 13:00 /></td>
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						</table>
						</td>
					</tr>
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						<td>&nbsp;</td>
					</tr>
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						<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=LIMPEZA DE CAIXA D’AGUA - PADRÃO /></td>
					</tr>
					<tr>
						<td>Valor:</td>
					</tr>
					<tr>
						<td><input name=ctl00$ContentPlaceHolder1$txtValor type=text /></td>
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					<tr>
						<td>&nbsp;</td>
					</tr>
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						<td>
						<table cellpadding=0 cellspacing=0>
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									<td>Importante</td>
								</tr>
								<tr>
									<td>&nbsp;</td>
								</tr>
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									<td><textarea cols=20 name=ctl00$ContentPlaceHolder1$txtImportanteServico rows=4></textarea></td>
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									<td>&nbsp;</td>
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						</table>
						</td>
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			<td>&nbsp;</td>
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			<td>
			<table border=0 cellpadding=0 cellspacing=0>
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						<td><strong>ORIGEM</strong></td>
						<td>&nbsp;</td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td>
			<table cellpadding=0 cellspacing=0>
				<tbody>
					<tr>
						<td>Endere&ccedil;o</td>
						<td rowspan=3>&nbsp;</td>
						<td>Complemento</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td><input name=ctl00$ContentPlaceHolder1$txtEndereco type=text value=R. Odilon Santana Gomes, 138 - Pilarzinho, Curitiba - PR, 82110-360, Brasil, 138 /></td>
						<td><input name=ctl00$ContentPlaceHolder1$txtComplemento type=text value=sobrado 29 /></td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td>
			<table cellpadding=0 cellspacing=0>
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						<td>Bairro</td>
						<td rowspan=3>&nbsp;</td>
						<td>Cidade</td>
						<td rowspan=3>&nbsp;</td>
						<td>Estado</td>
						<td rowspan=3>&nbsp;</td>
						<td>CEP</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td><input name=ctl00$ContentPlaceHolder1$txtBairro type=text value=Pilarzinho /></td>
						<td><input name=ctl00$ContentPlaceHolder1$txtCidade type=text value=Curitiba /></td>
						<td><input name=ctl00$ContentPlaceHolder1$txtEstado type=text value=PR /></td>
						<td><input name=ctl00$ContentPlaceHolder1$txtCep type=text value=82110360 /></td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td>
			<table cellpadding=0 cellspacing=0>
				<tbody>
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						<td>Refer&ecirc;ncias</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td><input name=ctl00$ContentPlaceHolder1$txtReferencia type=text value=unidade de saude do pilarzinho /></td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
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			<td>&nbsp;</td>
		</tr>
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			<td>
			<table cellpadding=0 cellspacing=0>
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						<td>Problema</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td><input name=ctl00$ContentPlaceHolder1$txtProblema type=text /></td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
		</tr>
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			<td>
			<table cellpadding=0 cellspacing=0>
				<tbody>
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						<td>Importante</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td><textarea cols=20 name=ctl00$ContentPlaceHolder1$txtImportante rows=4></textarea></td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td>
			<table cellpadding=0 cellspacing=0>
				<tbody>
					<tr>
						<td>Cliente</td>
						<td rowspan=3>&nbsp;</td>
						<td>Telefone</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td><input name=ctl00$ContentPlaceHolder1$txtCliente type=text value=EDUARDO FARINA RISDEN /></td>
						<td><input name=ctl00$ContentPlaceHolder1$txtTelefone type=text value=(41) 995551661|(41) 991134904 /></td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>
		<tr>
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	</tbody>
</table>
