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Endereco...: ____________________________________________ PEDIDO...: ________.
Cidade.....: ____________________________________________ =====================
CNPJ / CPF.: ____________________  I.E.: ________________ Emissao..: __/__/____
Fone / Fax.: _________________________________            Hora.....:      _____
Email......: __________________________________________________
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Fornecedor.: ________________________________________ Contato.: _______________
Endereco...: __________________________________________________________________
Cidade.....: __________________________________________________________________
CNPJ / CPF.: __________________                Insc. Estadual.: _______________
Fone.......: _______________                         Fax......: _______________
Forma Pgto.: _______________________________________ Entrega..: __/__/____
#15
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         Codigo Descricao do Produto                                                Quantidade           Valor   Icms    IPI       Total
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_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
_______________ _________________________________________________________________  ___,___.___ ___  ___,___.__  __.__  __.__  ___,___.__
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  Despesas ==> _____________      Descontos ==> _____________     Quantidade ==> _____________          Total Produtos ==> _____________
                                                                                                          Total Pedido ==> _____________

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 Base Icms ==> _____________     Valor Icms ==> _____________       Base IPI ==> _____________               Valor IPI ==> _____________
Peso Bruto ==> _____________   Peso Liquido ==> _____________         Volume ==> _____________                 Cubagem ==> _____________
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#18
Observacao.: __________________________________________________________________
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