<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=3>&nbsp;</td>
						<td>Solicita&ccedil;&atilde;o</td>
						<td rowspan=3>&nbsp;</td>
						<td>Produto</td>
						<td rowspan=3>&nbsp;</td>
						<td>Data solicita&ccedil;&atilde;o</td>
						<td rowspan=3>&nbsp;</td>
						<td>Prazo</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td><input name=ctl00$ContentPlaceHolder1$txtAssistencia type=text value=5768169 /></td>
						<td><input name=ctl00$ContentPlaceHolder1$txtSolicitacao type=text value=1 /></td>
						<td><input name=ctl00$ContentPlaceHolder1$txtProduto type=text value=LIBERTY ABSENT IMOBILIÁRIO /></td>
						<td><input name=ctl00$ContentPlaceHolder1$txtDataSolicitacao type=text value=27/12/2022 12:16 /></td>
						<td><input name=ctl00$ContentPlaceHolder1$txtPrazo type=text value=2797 /></td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td>
			<table cellpadding=0 cellspacing=0>
				<tbody>
					<tr>
						<td>Servi&ccedil;o(s)</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td><input name=ctl00$ContentPlaceHolder1$txtServico type=text value=CHECK-UP LAR - SERVIÇOS MÚLTIPLOS /></td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>
		<tr>
			<td>
			<table cellpadding=0 cellspacing=0>
				<tbody>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td>Cliente</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td><input name=ctl00$ContentPlaceHolder1$txtNomeCliente type=text value=LEANDRO DE JESUS FERREIRA /></td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td><strong>RESID&Ecirc;NCIA</strong></td>
		</tr>
		<tr>
			<td>&nbsp;</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=Rua Major Theolindo Ferreira Ribas, 2008 - Hauer, Curitiba - PR, 81670-110, Brasil /></td>
						<td><input name=ctl00$ContentPlaceHolder1$txtComplemento type=text value=sobrado D bairro BOQUEIRAO /></td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td>
			<table cellpadding=0 cellspacing=0>
				<tbody>
					<tr>
						<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=Hauer /></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=81670110 /></td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td>
			<table cellpadding=0 cellspacing=0>
				<tbody>
					<tr>
						<td>Refer&ecirc;ncias</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
					</tr>
					<tr>
						<td><input name=ctl00$ContentPlaceHolder1$txtReferencia type=text value=PROX NÃO TEM /></td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>
	</tbody>
</table>
