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RECIBO R$ ____________

Eu, ___________________________________________, maior, brasileiro(a),


portador da cdula de identidade RG n ______________________ e do CPF n
__________________, residente e domiciliado na _____________________________
_____________________________________________________________ RECEBI de
_________________________________________________________________________,

a quantia de R$ ___________ (____________________________________),


referentes ao pagamento de:
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________

Resta para pagar o valor de: R$_________


Por ser verdade, firmamos o presente.
________________, ____ de ________________ de______.

__________________________________

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