<table border=1 cellpadding=1 cellspacing=0 width=730><tr><td colspan=3 width=320> <table border=0 cellpadding=0 cellspacing=0 width=100%><tr><td width=100%> <font size=1>Beneficiário</font></td></tr><tr><td width=100%><font size=1> <b><#NomeCedente></b></font></td></tr></table> </td><td width=168><table border=0 cellpadding=0 cellspacing=0 width=100%> <tr><td width=100%><font size=1>Agência/Código Beneficiário</font></td></tr><tr> <td width=100%><p align=center><font size=2><b><#AgenciaCodigoCedente></b> </font></td></tr></table> </td><td width=146><table border=0 cellpadding=0 cellspacing=0 width=100%> <tr><td width=100%><font size=1>Vencimento</font></td></tr><tr><td width=100%> <p align=center><font size=2><b><#Vencimento></b></font></td></tr></table> </td></tr><tr><td width=320 colspan=3><table border=0 cellpadding=0 cellspacing=0 width=100%> <tr><td width=100%><font size=1>Pagador</font></td></tr><tr><td width=100%> <font size=2><b><#NomeSacado></b></font></td></tr></table> </td><td width=168><table border=0 cellpadding=0 cellspacing=0 width=100%> <tr><td width=100%><font size=1>Número do Documento</font></td></tr><tr> <td width=100%><p align=center><font size=2><b><#NumeroDocumento></b></font></td></tr></table> </td><td width=146><table border=0 cellpadding=0 cellspacing=0 width=100%> <tr><td width=100%><font size=1>Nosso Número</font></td></tr><tr><td width=100%> <p align=center><font size=2><b><#NossoNumeroExibicao></b></font></td></tr></table> </td></tr><tr><td width=66><table border=0 cellpadding=0 cellspacing=0 width=100%> <tr><td width=100%><font size=1>Espécie</font></td></tr><tr><td width=100%><p align=center> <font size=2><b><#Moeda></b></font></td></tr></table> </td><td width=100><table border=0 cellpadding=0 cellspacing=0 width=100%><tr> <td width=100%><font size=1>Quantidade</font></td></tr><tr><td width=100%><p align=center><font size=2> <b><#Quantidade></b></font></td></tr></table> </td><td width=150><table border=0 cellpadding=0 cellspacing=0 width=100%><tr> <td width=100%><font size=1>(x) Valor</font></td></tr><tr><td width=100%><p align=center><font size=2> <b> </b></font></td></tr></table> </td><td width=168><table border=0 cellpadding=0 cellspacing=0 width=100%><tr> <td width=100%><font size=1>(=) Valor do Documento</font></td></tr><tr><td width=100%><p align=center> <font size=2><b><#ValorDocumentoExibicao></b></font></td></tr></table> </td><td width=168><table border=0 cellpadding=0 cellspacing=0 width=100%><tr> <td width=100%><font size=1>(-) Desconto</font></td></tr><tr><td width=100%><p align=center><font size=2><b> <#ValorDescontoExibicao></b></font></td></tr></table> </td></tr><tr><td width=320 colspan=3 valign=bottom><p align=left><font size=2> <b>Demonstrativo:</b></font></td><td width=168><table border=0 cellpadding=0 cellspacing=0 width=100%><tr> <td width=100%><font size=1>(+) Outros Acréscimos</font></td></tr><tr><td width=100%><p align=center> <font size=2><b><#ValorOutrosAcrescimosExibicao></b></font></td></tr></table> </td><td width=146><table border=0 cellpadding=0 cellspacing=0 width=100%><tr> <td width=100%><font size=1>(=) Valor Cobrado</font></td></tr><tr><td width=100%> <p align=center><font size=2><b> </b></font></td></tr></table> </td></tr><tr><td width=100% height=120 colspan=5 valign=top> <font size=2>Comprovante de Entrega - <#Demonstrativo></font> <TABLE id=Table33 height=51 cellSpacing=0 cellPadding=0 width=100% order=0> <BR><BR><BR><BR><TR><TD>__________________________________</TD><TD>_____/_____/__________</TD> </TR><TR><TD><FONT size=1><STRONG>Assinatura do Recebedor</STRONG></FONT> </TD><TD><FONT size=1><STRONG>Data da entrega</STRONG></FONT></TD></TR></TABLE> </td></tr></table><table border=0 cellpadding=0 cellspacing=0 border=0 width=730> <tr><td nowrap height=25 valign=bottom> <font size=1>---------------------------------------------------------------------------------------------------------------------------------------------------------------- Corte Aqui ------------------------------</font></td></tr></table> <table border=0 cellpadding=0 cellspacing=0 width=730><tr><td width=40% valign=bottom height=60> <p align=left><#LogotipoCedente></td><td width=30% valign=baseline><font size=2> <#IdentificacaoCedente></font></td><td width=15% valign=bottom><p align=center> <font size=2><b>Recibo do Pagador</b></font></td></tr></table> <table border=1 cellpadding=1 cellspacing=0 width=730><tr><td colspan=3 width=320> <table border=0 cellpadding=0 cellspacing=0 width=100%><tr><td width=100%> <font size=1>Beneficiário</font></td></tr><tr><td width=100%><font size=1><b><#NomeCedente></b></font></td></tr></table> </td><td width=168><table border=0 cellpadding=0 cellspacing=0 width=100%><tr> <td width=100%><font size=1>Agência/Código Beneficiário</font></td></tr><tr><td width=100%> <p align=center><font size=2><b><#AgenciaCodigoCedente></b></font></td></tr></table> </td><td width=146><table border=0 cellpadding=0 cellspacing=0 width=100%><tr> <td width=100%><font size=1>Vencimento</font></td></tr><tr><td width=100%><p align=center> <font size=2><b><#Vencimento></b></font></td></tr></table> </td></tr><tr><td width=320 colspan=3><table border=0 cellpadding=0 cellspacing=0 width=100%> <tr><td width=100%><font size=1>Pagador</font></td></tr><tr><td width=100%><font size=2><b><#NomeSacado></b> </font></td></tr></table> </td><td width=168><table border=0 cellpadding=0 cellspacing=0 width=100%><tr><td width=100%> <font size=1>Número do Documento</font></td></tr><tr><td width=100%><p align=center><font size=2><b><#NumeroDocumento></b> </font></td></tr></table> </td><td width=146><table border=0 cellpadding=0 cellspacing=0 width=100%><tr><td width=100%> <font size=1>Nosso Número</font></td></tr><tr><td width=100%><p align=center><font size=2><b> <#NossoNumeroExibicao></b></font></td></tr></table> </td></tr><tr><td width=66><table border=0 cellpadding=0 cellspacing=0 width=100%><tr><td width=100%> <font size=1>Espécie</font></td></tr><tr><td width=100%><p align=center><font size=2><b> <#Moeda></b></font></td></tr></table> </td><td width=100><table border=0 cellpadding=0 cellspacing=0 width=100%><tr><td width=100%> <font size=1>Quantidade</font></td></tr><tr><td width=100%><p align=center><font size=2><b><#Quantidade></b> </font></td></tr></table> </td><td width=150><table border=0 cellpadding=0 cellspacing=0 width=100%><tr><td width=100%> <font size=1>(x) Valor</font></td></tr><tr><td width=100%><p align=center><font size=2><b> </b> </font></td></tr></table> </td><td width=168><table border=0 cellpadding=0 cellspacing=0 width=100%><tr><td width=100%> <font size=1>(=) Valor do Documento</font></td></tr><tr><td width=100%><p align=center> <font size=2><b><#ValorDocumentoExibicao></b></font></td></tr></table> </td><td width=168><table border=0 cellpadding=0 cellspacing=0 width=100%><tr><td width=100%> <font size=1>(-) Desconto</font></td></tr><tr><td width=100%><p align=center><font size=2><b> <#ValorDescontoExibicao></b></font></td></tr></table> </td></tr><tr><td width=320 colspan=3 valign=bottom><p align=left><font size=2> <b>Demonstrativo:</b></font></td><td width=168><table border=0 cellpadding=0 cellspacing=0 width=100%> <tr><td width=100%><font size=1>(+) Outros Acréscimos</font></td></tr><tr><td width=100%> <p align=center><font size=2><b><#ValorOutrosAcrescimosExibicao></b></font></td></tr></table> </td><td width=146><table border=0 cellpadding=0 cellspacing=0 width=100%><tr><td width=100%> <font size=1>(=) Valor Cobrado</font></td></tr><tr><td width=100%><p align=center><font size=2> <b> </b></font></td></tr></table> </td></tr><tr><td width=100% height=120 colspan=5 valign=top><font size=2><#Demonstrativo></font></td></tr></table> <table border=0 cellpadding=0 cellspacing=0 width=730><tr><td width=308><p align=left><font size=1> <#URLOrigem></font></td><td width=332 valign=top><p align=center><font size=1>Autenticação Mecânica</font></td> </tr><tr><td width=308><p align=center><font size=1> </font></td><td width=332><p align=center> <font size=1> </font></td></tr><tr><td width=308><p align=center><font size=1> </font></td> <td width=332><p align=center><font size=1> </font></td></tr></table>