<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>&nbsp; </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>&nbsp;&nbsp;&nbsp;&nbsp; </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>&nbsp; </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>&nbsp; </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>&nbsp; </font></td><td width=332><p align=center>
<font size=1>&nbsp; </font></td></tr><tr><td width=308><p align=center><font size=1>&nbsp; </font></td>
<td width=332><p align=center><font size=1>&nbsp; </font></td></tr></table>