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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>Aos
coordenadores dos núcleos telessaúde,</span><span style='font-size:10.0pt;
font-family:"Arial","sans-serif";color:#1F497D'><o:p></o:p></span></p>
<p style='text-indent:35.4pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Dando continuidade às nossas atividades relativas às visitas,
estamos fazendo um levantamento da composição das equipes dos núcleos nesta
primeira fase. <o:p></o:p></span></p>
<p style='text-indent:35.4pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Dada a importância destes dados, precisamos que vocês nos enviem
as informações até o dia <b>5 de junho</b> próximo, a fim de que
possamos estar fechando o nosso relatório. <o:p></o:p></span></p>
<p style='text-indent:35.4pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Para tanto, construímos uma planilha a ser preenchida
completamente <o:p></o:p></span></p>
<p style='text-indent:35.4pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Encaminhamos o modelo abaixo (Excel) <o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>Lembramos
que as informações apresentadas devem corresponder à primeira fase do projeto
piloto ( carta acordo) , destacando: a equipe base, os vínculos, os
demais especialistas e outros casos se houverem que são pagos pelo
Telessaúde. <o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> Qualquer
dúvida fazer contato com FONE: (61) 3315- 2860</span><span
style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'> –
<a href="mailto:anaalves@saude.gov.br">anaalves@saude.gov.br</a> </span><span
style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> </span><span
style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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height:14.25pt'>
<p align=center style='text-align:center'><b><span style='font-family:"Arial","sans-serif"'>Composição
da Equipe Base do Núcleo do Estado do ____________</span></b><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:14.25pt'></td>
</tr>
<tr style='height:14.25pt'>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:14.25pt'></td>
</tr>
<tr style='height:28.5pt'>
<td width=22 nowrap rowspan=2 style='width:16.25pt;border:solid windowtext 1.0pt;
border-top:none;background:#FFCC99;padding:0cm 3.5pt 0cm 3.5pt;height:28.5pt'>
<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'>nº</span></b><o:p></o:p></p>
</td>
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<p align=center style='text-align:center'><b><span style='font-size:10.0pt;
font-family:"Arial","sans-serif"'> nome </span></b><o:p></o:p></p>
</td>
<td width=309 colspan=2 style='width:232.0pt;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
background:#FFCC99;padding:0cm 3.5pt 0cm 3.5pt;height:28.5pt'>
<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'>vínculo com o projeto Telessaúde </span></b><o:p></o:p></p>
</td>
<td width=119 style='width:89.5pt;border-top:none;border-left:none;
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<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'> valor </span></b><o:p></o:p></p>
</td>
<td width=109 style='width:81.4pt;border-top:none;border-left:none;
border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
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<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'> valor </span></b><o:p></o:p></p>
</td>
<td width=92 rowspan=2 style='width:68.65pt;border-top:none;border-left:none;
border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
background:#FFCC99;padding:0cm 3.5pt 0cm 3.5pt;height:28.5pt'>
<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'> total pago </span></b><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:28.5pt'></td>
</tr>
<tr style='height:12.75pt'>
<td width=170 style='width:127.55pt;border-top:none;border-left:none;
border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
background:#FFCC99;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'>função </span></b><o:p></o:p></p>
</td>
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<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'>tipo </span></b><o:p></o:p></p>
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<td width=119 style='width:89.5pt;border-top:none;border-left:none;
border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
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<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'> recebido/ MÊS </span></b><o:p></o:p></p>
</td>
<td width=109 style='width:81.4pt;border-top:none;border-left:none;
border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
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<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'> recebido/ ANO </span></b><o:p></o:p></p>
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<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:12.75pt'></td>
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:12.75pt'></td>
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
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<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
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<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
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<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
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<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
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<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
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<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
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<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
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<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
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<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
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<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
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<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
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<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
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<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
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<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
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<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
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<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
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<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
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<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
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<tr style='height:12.75pt'>
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=22 nowrap valign=bottom style='width:16.25pt;border:solid windowtext 1.0pt;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
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<td width=22 nowrap valign=bottom style='width:16.25pt;border:solid windowtext 1.0pt;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
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padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
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<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
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<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
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<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
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<td width=22 nowrap valign=bottom style='width:16.25pt;border:solid windowtext 1.0pt;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
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<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
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padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
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<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:12.75pt'></td>
</tr>
<tr style='height:15.75pt'>
<td width=686 nowrap colspan=6 valign=bottom style='width:514.35pt;
border:solid windowtext 1.0pt;border-top:none;padding:0cm 3.5pt 0cm 3.5pt;
height:15.75pt'>
<p align=right style='text-align:right'><b><span style='font-family:"Arial","sans-serif"'>subtotal</span></b><o:p></o:p></p>
</td>
<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:15.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:15.75pt'></td>
</tr>
<tr style='height:14.25pt'>
<td width=777 nowrap colspan=7 rowspan=2 valign=bottom style='width:583.0pt;
border:solid windowtext 1.0pt;border-top:none;background:#FFCC00;padding:
0cm 3.5pt 0cm 3.5pt;height:14.25pt'>
<p align=center style='text-align:center'><b><span style='font-family:"Arial","sans-serif"'>Composição
da Equipe de Especialistas do Núcleo do Estado do ____________</span></b><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:14.25pt'></td>
</tr>
<tr style='height:14.25pt'>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:14.25pt'></td>
</tr>
<tr style='height:12.75pt'>
<td width=22 nowrap rowspan=2 style='width:16.25pt;border:solid windowtext 1.0pt;
border-top:none;background:#FFCC99;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'>nº</span></b><o:p></o:p></p>
</td>
<td width=127 rowspan=2 style='width:95.2pt;border-top:none;border-left:none;
border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
background:#FFCC99;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p align=center style='text-align:center'><b><span style='font-size:10.0pt;
font-family:"Arial","sans-serif"'> nome </span></b><o:p></o:p></p>
</td>
<td width=309 colspan=2 style='width:232.0pt;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
background:#FFCC99;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'>vínculo com o projeto Telessaúde </span></b><o:p></o:p></p>
</td>
<td width=119 style='width:89.5pt;border-top:none;border-left:none;
border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
background:#FFCC99;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'> valor </span></b><o:p></o:p></p>
</td>
<td width=109 style='width:81.4pt;border-top:none;border-left:none;
border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
background:#FFCC99;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'> valor </span></b><o:p></o:p></p>
</td>
<td width=92 rowspan=2 style='width:68.65pt;border-top:none;border-left:none;
border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
background:#FFCC99;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'> total pago </span></b><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:12.75pt'></td>
</tr>
<tr style='height:12.75pt'>
<td width=170 style='width:127.55pt;border-top:none;border-left:none;
border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
background:#FFCC99;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'>especialidade </span></b><o:p></o:p></p>
</td>
<td width=139 style='width:104.45pt;border-top:none;border-left:none;
border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
background:#FFCC99;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'>forma de pagamento </span></b><o:p></o:p></p>
</td>
<td width=119 style='width:89.5pt;border-top:none;border-left:none;
border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
background:#FFCC99;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'> recebido/ MÊS </span></b><o:p></o:p></p>
</td>
<td width=109 style='width:81.4pt;border-top:none;border-left:none;
border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
background:#FFCC99;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p align=center style='text-align:center'><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif"'> recebido/ ANO </span></b><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:12.75pt'></td>
</tr>
<tr style='height:12.75pt'>
<td width=22 nowrap valign=bottom style='width:16.25pt;border:solid windowtext 1.0pt;
border-top:none;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:12.75pt'></td>
</tr>
<tr style='height:12.75pt'>
<td width=22 nowrap valign=bottom style='width:16.25pt;border:solid windowtext 1.0pt;
border-top:none;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:12.75pt'></td>
</tr>
<tr style='height:12.75pt'>
<td width=22 nowrap valign=bottom style='width:16.25pt;border:solid windowtext 1.0pt;
border-top:none;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:12.75pt'></td>
</tr>
<tr style='height:12.75pt'>
<td width=22 nowrap valign=bottom style='width:16.25pt;border:solid windowtext 1.0pt;
border-top:none;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:12.75pt'></td>
</tr>
<tr style='height:12.75pt'>
<td width=22 nowrap valign=bottom style='width:16.25pt;border:solid windowtext 1.0pt;
border-top:none;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:12.75pt'></td>
</tr>
<tr style='height:12.75pt'>
<td width=22 nowrap valign=bottom style='width:16.25pt;border:solid windowtext 1.0pt;
border-top:none;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:12.75pt'></td>
</tr>
<tr style='height:12.75pt'>
<td width=22 nowrap valign=bottom style='width:16.25pt;border:solid windowtext 1.0pt;
border-top:none;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:12.75pt'></td>
</tr>
<tr style='height:12.75pt'>
<td width=22 nowrap valign=bottom style='width:16.25pt;border:solid windowtext 1.0pt;
border-top:none;padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=127 nowrap valign=bottom style='width:95.2pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=170 nowrap valign=bottom style='width:127.55pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=139 nowrap valign=bottom style='width:104.45pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=119 nowrap valign=bottom style='width:89.5pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=109 nowrap valign=bottom style='width:81.4pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:12.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:12.75pt'></td>
</tr>
<tr style='height:15.75pt'>
<td width=686 nowrap colspan=6 valign=bottom style='width:514.35pt;
border:solid windowtext 1.0pt;border-top:none;padding:0cm 3.5pt 0cm 3.5pt;
height:15.75pt'>
<p align=right style='text-align:right'><b><span style='font-family:"Arial","sans-serif"'>subtotal</span></b><o:p></o:p></p>
</td>
<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:15.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:15.75pt'></td>
</tr>
<tr style='height:15.75pt'>
<td width=686 nowrap colspan=6 valign=bottom style='width:514.35pt;
border:solid windowtext 1.0pt;border-top:none;padding:0cm 3.5pt 0cm 3.5pt;
height:15.75pt'>
<p align=right style='text-align:right'><b><span style='font-family:"Arial","sans-serif"'>total</span></b><o:p></o:p></p>
</td>
<td width=92 nowrap valign=bottom style='width:68.65pt;border-top:none;
border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0cm 3.5pt 0cm 3.5pt;height:15.75pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
</td>
<td width=0 style='width:.3pt;padding:0cm 0cm 0cm 0cm;height:15.75pt'></td>
</tr>
</table>
</div>
</div>
</div>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Atenciosamente,<br>
<br>
Coordenação Nacional do Telessaúde Brasil<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><o:p> </o:p></p>
</div>
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