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************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS - JUL/2009 07:35:33 ****************************************************************************** CGC/CPF : 49.351.786/0004-23 JURIDICA RAZAO SOC.: BAXTER HOSPITALAR LTDA ENDERECO : RUA NOVA SÃO PAULO, Nº 410 BAIRRO : ITAQUI MUNICIPIO : SAO PAULO BANCO : 001 AGENCIA : 03132-1 C/C : 0000000004163-7 ------------------------------------------------------------------------------ UNIDADE ORG FLH/APAC SEQ VALOR *UNIDADE ORG FLH/APAC SEQ VALOR DOCUMENTO(S) : 07/09 *2242397 PAC 4309203583256 16 2.342,81+ 2226952 PAC 4309202599306 19 2.342,81+ *2242397 PAC 4309203583311 13 1.791,56+ 2226952 PAC 4309202601616 10 2.342,81+ *2242397 PAC 4309203583366 14 2.342,81+ TOT.(BRUTO) DA UNID.: 4.685,62+ *2242397 PAC 4309203583388 02 1.791,56+ 2231042 PAC 4309202458220 02 1.791,56+ *2242397 PAC 4309203583510 17 1.791,56+ 2231042 PAC 4309204663511 02 2.342,81+ *2242397 PAC 4309203583520 14 1.791,56+ TOT.(BRUTO) DA UNID.: 4.134,37+ *2242397 PAC 4309203583575 13 1.791,56+ 2231069 PAC 4309202460002 02 895,78+ *2242397 PAC 4309203583586 02 2.342,81+ 2231069 PAC 4309203098520 02 1.791,56+ *TOT.(BRUTO) DA UNID.: 57.743,37+ 2231069 PAC 4309203098596 02 895,78+ *2247488 PAC 4309202026030 02 1.791,56+ 2231069 PAC 4309203112247 02 1.791,56+ *2247488 PAC 4309202026129 02 1.791,56+ 2231069 PAC 4309203112269 02 1.791,56+ *TOT.(BRUTO) DA UNID.: 3.583,12+ 2231069 PAC 4309203112380 02 2.342,81+ *2248271 PAC 4309201986045 02 1.791,56+ 2231069 PAC 4309203112390 02 1.791,56+ *2248271 PAC 4309201986342 02 1.791,56+ 2231069 PAC 4309203112500 02 2.342,81+ *2248271 PAC 4309201986353 02 1.791,56+ 2231069 PAC 4309203112753 02 1.791,56+ *2248271 PAC 4309201986386 02 609,39+ TOT.(BRUTO) DA UNID.: 15.434,98+ *TOT.(BRUTO) DA UNID.: 5.984,07+ 2231778 PAC 4309204664941 10 1.791,56+ *2252287 PAC 4309202489823 02 2.342,81+ 2231778 PAC 4309204665018 13 1.791,56+ *TOT.(BRUTO) DA UNID.: 2.342,81+ 2231778 PAC 4309204665106 11 1.791,56+ *2256029 PAC 4309202440158 12 1.791,56+ TOT.(BRUTO) DA UNID.: 5.374,68+ *2256029 PAC 4309202440169 12 1.791,56+ 2242397 PAC 4309200832420 14 2.342,81+ *2256029 PAC 4309202440500 02 2.342,81+ 2242397 PAC 4309200832431 15 1.791,56+ *2256029 PAC 4309202440686 02 2.342,81+ 2242397 PAC 4309200832464 13 2.342,81+ *TOT.(BRUTO) DA UNID.: 8.268,74+ 2242397 PAC 4309200832541 14 2.342,81+ *2261898 PAC 4309202575051 02 1.791,56+ 2242397 PAC 4309200832563 13 2.342,81+ *2261898 PAC 4309202575095 02 1.791,56+ 2242397 PAC 4309200832585 02 2.342,81+ *2261898 PAC 4309202575139 02 1.791,56+ 2242397 PAC 4309200832630 02 2.342,81+ *2261898 PAC 4309204522051 02 1.791,56+ 2242397 PAC 4309200832651 13 1.791,56+ *TOT.(BRUTO) DA UNID.: 7.166,24+ 2242397 PAC 4309203582629 02 2.342,81+ *2263491 PAC 4309201410723 02 2.342,81+ 2242397 PAC 4309203582728 13 1.791,56+ *2263491 PAC 4309201410734 16 2.342,81+ 2242397 PAC 4309203582750 13 2.342,81+ *2263491 PAC 4309201410745 11 2.342,81+ 2242397 PAC 4309203582761 02 2.342,81+ *2263491 PAC 4309201411614 02 2.342,81+ 2242397 PAC 4309203582772 13 2.342,81+ *2263491 PAC 4309201411944 02 2.342,81+ 2242397 PAC 4309203582794 16 2.342,81+ *2263491 PAC 4309201412000 02 2.342,81+ 2242397 PAC 4309203582850 14 1.791,56+ *2263491 PAC 4309201412087 02 2.342,81+ 2242397 PAC 4309203582871 02 2.342,81+ *2263491 PAC 4309201412175 02 2.342,81+ 2242397 PAC 4309203582937 13 2.342,81+ *TOT.(BRUTO) DA UNID.: 18.742,48+ 2242397 PAC 4309203583047 13 1.791,56+ *3564150 PAC 4309201379076 16 1.791,56+ 2242397 PAC 4309203583190 02 2.342,81+ *3564150 PAC 4309202562775 13 1.791,56+ ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ****************************************************************************** CGC/CPF : 49.351.786/0004-23 JURIDICA RAZAO SOC.: BAXTER HOSPITALAR LTDA ENDERECO : RUA NOVA SÃO PAULO, Nº 410 BAIRRO : ITAQUI MUNICIPIO : SAO PAULO BANCO : 001 AGENCIA : 03132-1 C/C : 0000000004163-7 ------------------------------------------------------------------------------ UNIDADE ORG FLH/APAC SEQ VALOR *UNIDADE ORG FLH/APAC SEQ VALOR 3564150 PAC 4309202562797 13 1.791,56+ TOT.(BRUTO) DA UNID.: 5.374,68+ Página 1

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  • ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 49.351.786/0004-23 JURIDICA RAZAO SOC.: BAXTER HOSPITALAR LTDA ENDERECO : RUA NOVA SÃO PAULO, Nº 410 BAIRRO : ITAQUI MUNICIPIO : SAO PAULO BANCO : 001 AGENCIA : 03132-1 C/C : 0000000004163-7 ------------------------------------------------------------------------------

    UNIDADE ORG FLH/APAC SEQ VALOR *UNIDADE ORG FLH/APAC SEQ VALOR

    DOCUMENTO(S) : 07/09 *2242397 PAC 4309203583256 16 2.342,81+2226952 PAC 4309202599306 19 2.342,81+ *2242397 PAC 4309203583311 13 1.791,56+2226952 PAC 4309202601616 10 2.342,81+ *2242397 PAC 4309203583366 14 2.342,81+TOT.(BRUTO) DA UNID.: 4.685,62+ *2242397 PAC 4309203583388 02 1.791,56+2231042 PAC 4309202458220 02 1.791,56+ *2242397 PAC 4309203583510 17 1.791,56+2231042 PAC 4309204663511 02 2.342,81+ *2242397 PAC 4309203583520 14 1.791,56+TOT.(BRUTO) DA UNID.: 4.134,37+ *2242397 PAC 4309203583575 13 1.791,56+2231069 PAC 4309202460002 02 895,78+ *2242397 PAC 4309203583586 02 2.342,81+2231069 PAC 4309203098520 02 1.791,56+ *TOT.(BRUTO) DA UNID.: 57.743,37+2231069 PAC 4309203098596 02 895,78+ *2247488 PAC 4309202026030 02 1.791,56+2231069 PAC 4309203112247 02 1.791,56+ *2247488 PAC 4309202026129 02 1.791,56+2231069 PAC 4309203112269 02 1.791,56+ *TOT.(BRUTO) DA UNID.: 3.583,12+2231069 PAC 4309203112380 02 2.342,81+ *2248271 PAC 4309201986045 02 1.791,56+2231069 PAC 4309203112390 02 1.791,56+ *2248271 PAC 4309201986342 02 1.791,56+2231069 PAC 4309203112500 02 2.342,81+ *2248271 PAC 4309201986353 02 1.791,56+2231069 PAC 4309203112753 02 1.791,56+ *2248271 PAC 4309201986386 02 609,39+TOT.(BRUTO) DA UNID.: 15.434,98+ *TOT.(BRUTO) DA UNID.: 5.984,07+2231778 PAC 4309204664941 10 1.791,56+ *2252287 PAC 4309202489823 02 2.342,81+2231778 PAC 4309204665018 13 1.791,56+ *TOT.(BRUTO) DA UNID.: 2.342,81+2231778 PAC 4309204665106 11 1.791,56+ *2256029 PAC 4309202440158 12 1.791,56+TOT.(BRUTO) DA UNID.: 5.374,68+ *2256029 PAC 4309202440169 12 1.791,56+2242397 PAC 4309200832420 14 2.342,81+ *2256029 PAC 4309202440500 02 2.342,81+2242397 PAC 4309200832431 15 1.791,56+ *2256029 PAC 4309202440686 02 2.342,81+2242397 PAC 4309200832464 13 2.342,81+ *TOT.(BRUTO) DA UNID.: 8.268,74+2242397 PAC 4309200832541 14 2.342,81+ *2261898 PAC 4309202575051 02 1.791,56+2242397 PAC 4309200832563 13 2.342,81+ *2261898 PAC 4309202575095 02 1.791,56+2242397 PAC 4309200832585 02 2.342,81+ *2261898 PAC 4309202575139 02 1.791,56+2242397 PAC 4309200832630 02 2.342,81+ *2261898 PAC 4309204522051 02 1.791,56+2242397 PAC 4309200832651 13 1.791,56+ *TOT.(BRUTO) DA UNID.: 7.166,24+2242397 PAC 4309203582629 02 2.342,81+ *2263491 PAC 4309201410723 02 2.342,81+2242397 PAC 4309203582728 13 1.791,56+ *2263491 PAC 4309201410734 16 2.342,81+2242397 PAC 4309203582750 13 2.342,81+ *2263491 PAC 4309201410745 11 2.342,81+2242397 PAC 4309203582761 02 2.342,81+ *2263491 PAC 4309201411614 02 2.342,81+2242397 PAC 4309203582772 13 2.342,81+ *2263491 PAC 4309201411944 02 2.342,81+2242397 PAC 4309203582794 16 2.342,81+ *2263491 PAC 4309201412000 02 2.342,81+2242397 PAC 4309203582850 14 1.791,56+ *2263491 PAC 4309201412087 02 2.342,81+2242397 PAC 4309203582871 02 2.342,81+ *2263491 PAC 4309201412175 02 2.342,81+2242397 PAC 4309203582937 13 2.342,81+ *TOT.(BRUTO) DA UNID.: 18.742,48+2242397 PAC 4309203583047 13 1.791,56+ *3564150 PAC 4309201379076 16 1.791,56+2242397 PAC 4309203583190 02 2.342,81+ *3564150 PAC 4309202562775 13 1.791,56+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 49.351.786/0004-23 JURIDICA RAZAO SOC.: BAXTER HOSPITALAR LTDA ENDERECO : RUA NOVA SÃO PAULO, Nº 410 BAIRRO : ITAQUI MUNICIPIO : SAO PAULO BANCO : 001 AGENCIA : 03132-1 C/C : 0000000004163-7 ------------------------------------------------------------------------------

    UNIDADE ORG FLH/APAC SEQ VALOR *UNIDADE ORG FLH/APAC SEQ VALOR

    3564150 PAC 4309202562797 13 1.791,56+TOT.(BRUTO) DA UNID.: 5.374,68+

    Página 1

  • ------------------------------------------------------------------------------ PRODUCAO AJUSTE BRUTO ------------------------------------------------------------------------------ 138.835,16 0,00 138.835,16 ------------------------------------------------------------------------------�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 01.440.590/0001-36 JURIDICA RAZAO SOC.: FRESENIUS MEDICAL CARE LTDA ENDERECO : RUA AMOREIRA, 891 BAIRRO : JARDIM ROSEIRA MUNICIPIO : AGUAS DA PRATA BANCO : 001 AGENCIA : 01769-8 C/C : 0000000055005-1 ------------------------------------------------------------------------------

    UNIDADE ORG FLH/APAC SEQ VALOR *UNIDADE ORG FLH/APAC SEQ VALOR

    DOCUMENTO(S) : 07/09 2226952 PAC 4309202593620 11 1.791,56+2226952 PAC 4309202599196 11 1.791,56+2226952 PAC 4309202599262 11 1.791,56+2226952 PAC 4309202599273 19 1.791,56+2226952 PAC 4309202599340 15 1.791,56+2226952 PAC 4309202599361 02 1.791,56+2226952 PAC 4309202601210 19 1.791,56+2226952 PAC 4309202601319 10 1.791,56+2226952 PAC 4309202601320 11 1.791,56+2226952 PAC 4309202601539 14 1.791,56+2226952 PAC 4309202601650 10 1.791,56+2226952 PAC 4309202601770 14 1.791,56+TOT.(BRUTO) DA UNID.: 21.498,72+2233304 PAC 4309201491430 02 1.791,56+2233304 PAC 4309201491441 02 1.791,56+2233304 PAC 4309203080721 02 1.791,56+2233304 PAC 4309203080732 02 1.791,56+2233304 PAC 4309203080743 02 1.791,56+2233304 PAC 4309203080754 02 1.791,56+TOT.(BRUTO) DA UNID.: 10.749,36+

    Página 2

  • ------------------------------------------------------------------------------ PRODUCAO AJUSTE BRUTO ------------------------------------------------------------------------------ 32.248,08 0,00 32.248,08 ------------------------------------------------------------------------------�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 01.440.590/0002-17 JURIDICA RAZAO SOC.: FRESENIUS MEDICAL CARE LTDA ENDERECO : BAIRRO : CH-CARA PRIMAVE MUNICIPIO : JAGUARIUNA BANCO : 001 AGENCIA : 01769-8 C/C : 0000000055005-1 ------------------------------------------------------------------------------

    UNIDADE ORG FLH/APAC SEQ VALOR *UNIDADE ORG FLH/APAC SEQ VALOR

    DOCUMENTO(S) : 07/09 2232995 PAC 4309203072449 02 1.791,56+2232995 PAC 4309203072526 02 1.791,56+TOT.(BRUTO) DA UNID.: 3.583,12+2242397 PAC 4309203583180 17 1.791,56+2242397 PAC 4309203583201 13 1.791,56+2242397 PAC 4309203583322 02 2.342,81+2242397 PAC 4309203583399 02 1.791,56+2242397 PAC 4309203583498 02 1.791,56+TOT.(BRUTO) DA UNID.: 9.509,05+

    ------------------------------------------------------------------------------ PRODUCAO AJUSTE BRUTO ------------------------------------------------------------------------------ 13.092,17 0,00 13.092,17 ------------------------------------------------------------------------------�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    UNIDADE ORG FLH/APAC SEQ VALOR *UNIDADE ORG FLH/APAC SEQ VALOR

    DOCUMENTO(S) : 07/09 2242508 BPA 001 01 987,00+2242508 BPA 001 02 1.330,10+2242508 BPA 001 03 2.590,00+

    Página 3

  • 2242508 BPA 001 04 148,40+2242508 BPA 001 06 148,40+2242508 BPA 001 07 148,40+2242508 BPA 001 08 0,00+2242508 BPA 001 09 0,00+TOT.(BRUTO) DA UNID.: 5.352,30+2245272 BPA 001 01 58,80+2245272 BPA 001 02 919,75+2245272 BPA 001 03 3.450,00+2245272 BPA 001 04 200,00+2245272 BPA 001 05 0,00+2245272 BPA 001 06 0,00+TOT.(BRUTO) DA UNID.: 4.628,55+2248123 BPA 001 01 315,00+2248123 BPA 001 02 4,20+2248123 BPA 001 03 506,70+2248123 BPA 001 04 1.410,00+TOT.(BRUTO) DA UNID.: 2.235,90+2249243 BPA 001 01 8,40+2249243 BPA 001 02 67,92+2249243 BPA 001 03 730,00+2249243 BPA 001 04 130,20+TOT.(BRUTO) DA UNID.: 936,52+2256320 BPA 001 01 113,40+2256320 BPA 001 02 740,00+2256320 BPA 001 03 209,42+2256320 BPA 001 04 352,45+2256320 BPA 001 05 352,45+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    108228159120001 223410 001 01 18,55+108228159120001 223410 001 02 18,55+108228159120001 223410 001 03 18,55+108228159120001 223410 001 04 18,55+108228159120001 223410 001 05 18,55+108228159120001 223410 001 06 18,55+108228159120001 223410 001 07 18,55+TOT.(BRUTO) DA UNID.: 1.897,57+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    UNIDADE ORG FLH/APAC SEQ VALOR *UNIDADE ORG FLH/APAC SEQ VALOR

    2261189 BPA 001 01 1.129,80+ *4066251 BPA 001 10 4.674,60+2261189 BPA 001 02 2.640,00+ *4066251 BPA 001 11 1.780,80+2261189 BPA 001 03 64,75+ *4066251 BPA 001 12 1.669,50+2261189 BPA 001 04 34,32+ *4066251 BPA 001 13 12.762,40+2261189 BPA 001 05 352,45+ *4066251 BPA 001 14 180,00+2261189 BPA 001 06 33,78+ *4066251 BPA 001 15 4.980,00+2261189 BPA 001 07 34,32+ *4066251 BPA 001 16 1.730,00+2261189 BPA 001 08 0,00+ *4066251 BPA 001 17 2,83+2261189 BPA 001 09 0,00+ *4066251 BPA 001 18 1.018,80+2261189 BPA 001 10 352,45+ *4066251 BPA 001 19 37,08+2261189 BPA 001 11 352,45+ *4066251 BPA 001 20 40,14+2261189 BPA 001 12 352,45+ *4066251 BPA 002 01 235,80+2261189 BPA 001 13 352,45+ *4066251 BPA 002 02 12,30+2261189 BPA 001 14 141,50+ *4066251 BPA 002 03 453,22+TOT.(BRUTO) DA UNID.: 5.840,72+ *4066251 BPA 002 04 25,20+

    Página 4

  • 2263289 BPA 001 01 596,40+ *4066251 BPA 002 05 2.452,80+2263289 BPA 001 02 591,47+ *4066251 BPA 002 06 148,40+2263289 BPA 001 03 3.940,00+ *4066251 BPA 002 07 904,82+2263289 BPA 001 04 408,10+ *4066251 BPA 002 08 2.871,30+TOT.(BRUTO) DA UNID.: 5.535,97+ *4066251 BPA 002 09 745,82+4066251 BPA 001 01 44,40+ *4066251 BPA 002 10 291,20+4066251 BPA 001 02 680,00+ *4066251 BPA 002 11 988,14+4066251 BPA 001 03 4.210,00+ *4066251 BPA 002 12 246,81+4066251 BPA 001 04 50,00+ *4066251 BPA 002 13 141,75+4066251 BPA 001 05 4.823,00+ *4066251 BPA 002 14 0,00+4066251 BPA 001 06 1.153,96+ *4066251 BPA 002 15 0,00+4066251 BPA 001 07 1.840,75+ *4066251 BPA 002 16 0,00+4066251 BPA 001 08 11.872,00+ *4066251 BPA 002 17 0,00+4066251 BPA 001 09 2.247,96+ * �

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    898000773726049 223410 001 01 15,00+ *898000773726146 223410 001 08 15,00+898000773726138 223410 001 01 15,00+ *107752373690001 223410 001 08 18,00+898000773726146 223410 001 01 15,00+ *201566067330004 223410 001 08 18,00+107752373690001 223410 001 01 18,00+ *898000773726049 223410 001 09 15,00+201566067330004 223410 001 01 18,00+ *898000773726138 223410 001 09 15,00+201566206630001 223410 001 01 18,00+ *898000773726146 223410 001 09 15,00+898000773726049 223410 001 02 15,00+ *107752373690001 223410 001 09 18,00+898000773726138 223410 001 02 15,00+ *201566067330004 223410 001 09 18,00+898000773726146 223410 001 02 15,00+ *898000773726049 223410 001 10 15,00+107752373690001 223410 001 02 18,00+ *898000773726138 223410 001 10 15,00+201566067330004 223410 001 02 18,00+ *898000773726146 223410 001 10 15,00+201566206630001 223410 001 02 18,00+ *107752373690001 223410 001 10 18,00+898000773726049 223410 001 03 15,00+ *201566067330004 223410 001 10 18,00+898000773726138 223410 001 03 15,00+ *898000773726049 223410 001 11 15,00+898000773726146 223410 001 03 15,00+ *898000773726138 223410 001 11 15,00+107752373690001 223410 001 03 18,00+ *898000773726146 223410 001 11 15,00+201566067330004 223410 001 03 18,00+ *107752373690001 223410 001 11 18,00+201566206630001 223410 001 03 18,00+ *201566067330004 223410 001 11 18,00+898000773726049 223410 001 04 15,00+ *898000773726049 223410 001 12 15,00+898000773726138 223410 001 04 15,00+ *898000773726138 223410 001 12 15,00+898000773726146 223410 001 04 15,00+ *898000773726146 223410 001 12 15,00+107752373690001 223410 001 04 18,00+ *107752373690001 223410 001 12 18,00+201566067330004 223410 001 04 18,00+ *201566067330004 223410 001 12 18,00+898000773726049 223410 001 05 15,00+ *898000773726049 223410 001 13 15,00+898000773726138 223410 001 05 15,00+ *898000773726138 223410 001 13 15,00+898000773726146 223410 001 05 15,00+ *898000773726146 223410 001 13 15,00+107752373690001 223410 001 05 18,00+ *107752373690001 223410 001 13 18,00+201566067330004 223410 001 05 18,00+ *201566067330004 223410 001 13 18,00+898000773726049 223410 001 06 15,00+ *898000773726049 223410 001 14 15,00+898000773726138 223410 001 06 15,00+ *898000773726138 223410 001 14 15,00+898000773726146 223410 001 06 15,00+ *898000773726146 223410 001 14 15,00+107752373690001 223410 001 06 18,00+ *107752373690001 223410 001 14 18,00+201566067330004 223410 001 06 18,00+ *201566067330004 223410 001 14 18,00+898000773726049 223410 001 07 15,00+ *898000773726049 223410 001 15 15,00+898000773726138 223410 001 07 15,00+ *898000773726138 223410 001 15 15,00+898000773726146 223410 001 07 15,00+ *898000773726146 223410 001 15 15,00+107752373690001 223410 001 07 18,00+ *107752373690001 223410 001 15 18,00+201566067330004 223410 001 07 18,00+ *201566067330004 223410 001 15 18,00+898000773726049 223410 001 08 15,00+ *898000773726049 223410 001 16 15,00+898000773726138 223410 001 08 15,00+ *898000773726138 223410 001 16 15,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    Página 5

  • CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    898000773726146 223410 001 16 15,00+ *898000773726146 223410 002 04 15,00+107752373690001 223410 001 16 18,00+ *107752373690001 223410 002 04 18,00+201566067330004 223410 001 16 18,00+ *201566067330004 223410 002 04 18,00+898000773726049 223410 001 17 15,00+ *898000773726049 223410 002 05 15,00+898000773726138 223410 001 17 15,00+ *898000773726138 223410 002 05 15,00+898000773726146 223410 001 17 15,00+ *898000773726146 223410 002 05 15,00+107752373690001 223410 001 17 18,00+ *107752373690001 223410 002 05 18,00+201566067330004 223410 001 17 18,00+ *201566067330004 223410 002 05 18,00+898000773726049 223410 001 18 15,00+ *898000773726049 223410 002 06 15,00+898000773726138 223410 001 18 15,00+ *898000773726138 223410 002 06 15,00+898000773726146 223410 001 18 15,00+ *898000773726146 223410 002 06 15,00+107752373690001 223410 001 18 18,00+ *107752373690001 223410 002 06 18,00+201566067330004 223410 001 18 18,00+ *201566067330004 223410 002 06 18,00+898000773726049 223410 001 19 15,00+ *898000773726049 223410 002 07 15,00+898000773726138 223410 001 19 15,00+ *898000773726138 223410 002 07 15,00+898000773726146 223410 001 19 15,00+ *898000773726146 223410 002 07 15,00+107752373690001 223410 001 19 18,00+ *107752373690001 223410 002 07 18,00+201566067330004 223410 001 19 18,00+ *201566067330004 223410 002 07 18,00+898000773726049 223410 001 20 15,00+ *898000773726049 223410 002 08 15,00+898000773726138 223410 001 20 15,00+ *898000773726138 223410 002 08 15,00+898000773726146 223410 001 20 15,00+ *898000773726146 223410 002 08 15,00+107752373690001 223410 001 20 18,00+ *107752373690001 223410 002 08 18,00+201566067330004 223410 001 20 18,00+ *201566067330004 223410 002 08 18,00+898000773726049 223410 002 01 15,00+ *898000773726049 223410 002 09 15,00+898000773726138 223410 002 01 15,00+ *898000773726138 223410 002 09 15,00+898000773726146 223410 002 01 15,00+ *898000773726146 223410 002 09 15,00+107752373690001 223410 002 01 18,00+ *107752373690001 223410 002 09 18,00+201566067330004 223410 002 01 18,00+ *201566067330004 223410 002 09 18,00+898000773726049 223410 002 02 15,00+ *898000773726049 223410 002 10 15,00+898000773726138 223410 002 02 15,00+ *898000773726138 223410 002 10 15,00+898000773726146 223410 002 02 15,00+ *898000773726146 223410 002 10 15,00+107752373690001 223410 002 02 18,00+ *107752373690001 223410 002 10 18,00+201566067330004 223410 002 02 18,00+ *201566067330004 223410 002 10 18,00+898000773726049 223410 002 03 15,00+ *898000773726049 223410 002 11 15,00+898000773726138 223410 002 03 15,00+ *898000773726138 223410 002 11 15,00+898000773726146 223410 002 03 15,00+ *898000773726146 223410 002 11 15,00+107752373690001 223410 002 03 18,00+ *107752373690001 223410 002 11 18,00+201566067330004 223410 002 03 18,00+ *201566067330004 223410 002 11 18,00+898000773726049 223410 002 04 15,00+ *898000773726049 223410 002 12 15,00+898000773726138 223410 002 04 15,00+ *898000773726138 223410 002 12 15,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    898000773726146 223410 002 12 15,00+ *898000773726146 223410 002 20 15,00+107752373690001 223410 002 12 18,00+ *107752373690001 223410 002 20 18,00+201566067330004 223410 002 12 18,00+ *201566067330004 223410 002 20 18,00+898000773726049 223410 002 13 15,00+ *898000773726049 223410 003 01 15,00+898000773726138 223410 002 13 15,00+ *898000773726138 223410 003 01 15,00+898000773726146 223410 002 13 15,00+ *898000773726146 223410 003 01 15,00+107752373690001 223410 002 13 18,00+ *107752373690001 223410 003 01 18,00+201566067330004 223410 002 13 18,00+ *201566067330004 223410 003 01 18,00+898000773726049 223410 002 14 15,00+ *898000773726049 223410 003 02 15,00+898000773726138 223410 002 14 15,00+ *898000773726138 223410 003 02 15,00+898000773726146 223410 002 14 15,00+ *898000773726146 223410 003 02 15,00+107752373690001 223410 002 14 18,00+ *107752373690001 223410 003 02 18,00+201566067330004 223410 002 14 18,00+ *201566067330004 223410 003 02 18,00+898000773726049 223410 002 15 15,00+ *898000773726049 223410 003 03 15,00+898000773726138 223410 002 15 15,00+ *898000773726138 223410 003 03 15,00+898000773726146 223410 002 15 15,00+ *898000773726146 223410 003 03 15,00+107752373690001 223410 002 15 18,00+ *107752373690001 223410 003 03 18,00+201566067330004 223410 002 15 18,00+ *201566067330004 223410 003 03 18,00+898000773726049 223410 002 16 15,00+ *898000773726049 223410 003 04 15,00+898000773726138 223410 002 16 15,00+ *898000773726138 223410 003 04 15,00+898000773726146 223410 002 16 15,00+ *898000773726146 223410 003 04 15,00+107752373690001 223410 002 16 18,00+ *107752373690001 223410 003 04 18,00+201566067330004 223410 002 16 18,00+ *201566067330004 223410 003 04 18,00+898000773726049 223410 002 17 15,00+ *898000773726049 223410 003 05 15,00+898000773726138 223410 002 17 15,00+ *898000773726138 223410 003 05 15,00+898000773726146 223410 002 17 15,00+ *898000773726146 223410 003 05 15,00+

    Página 6

  • 107752373690001 223410 002 17 18,00+ *107752373690001 223410 003 05 18,00+201566067330004 223410 002 17 18,00+ *201566067330004 223410 003 05 18,00+898000773726049 223410 002 18 15,00+ *898000773726049 223410 003 06 15,00+898000773726138 223410 002 18 15,00+ *898000773726138 223410 003 06 15,00+898000773726146 223410 002 18 15,00+ *898000773726146 223410 003 06 15,00+107752373690001 223410 002 18 18,00+ *107752373690001 223410 003 06 18,00+201566067330004 223410 002 18 18,00+ *201566067330004 223410 003 06 18,00+898000773726049 223410 002 19 15,00+ *898000773726049 223410 003 07 15,00+898000773726138 223410 002 19 15,00+ *898000773726138 223410 003 07 15,00+898000773726146 223410 002 19 15,00+ *898000773726146 223410 003 07 15,00+107752373690001 223410 002 19 18,00+ *107752373690001 223410 003 07 18,00+201566067330004 223410 002 19 18,00+ *201566067330004 223410 003 07 18,00+898000773726049 223410 002 20 15,00+ *898000773726049 223410 003 08 15,00+898000773726138 223410 002 20 15,00+ *898000773726138 223410 003 08 15,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    898000773726146 223410 003 08 15,00+ *898000773726146 223410 003 16 15,00+107752373690001 223410 003 08 18,00+ *107752373690001 223410 003 16 18,00+201566067330004 223410 003 08 18,00+ *201566067330004 223410 003 16 18,00+898000773726049 223410 003 09 15,00+ *898000773726049 223410 003 17 15,00+898000773726138 223410 003 09 15,00+ *898000773726138 223410 003 17 15,00+898000773726146 223410 003 09 15,00+ *898000773726146 223410 003 17 15,00+107752373690001 223410 003 09 18,00+ *107752373690001 223410 003 17 18,00+201566067330004 223410 003 09 18,00+ *201566067330004 223410 003 17 18,00+898000773726049 223410 003 10 15,00+ *898000773726049 223410 003 18 15,00+898000773726138 223410 003 10 15,00+ *898000773726138 223410 003 18 15,00+898000773726146 223410 003 10 15,00+ *898000773726146 223410 003 18 15,00+107752373690001 223410 003 10 18,00+ *107752373690001 223410 003 18 18,00+201566067330004 223410 003 10 18,00+ *201566067330004 223410 003 18 18,00+898000773726049 223410 003 11 15,00+ *898000773726049 223410 003 19 15,00+898000773726138 223410 003 11 15,00+ *898000773726138 223410 003 19 15,00+898000773726146 223410 003 11 15,00+ *898000773726146 223410 003 19 15,00+107752373690001 223410 003 11 18,00+ *107752373690001 223410 003 19 18,00+201566067330004 223410 003 11 18,00+ *201566067330004 223410 003 19 18,00+898000773726049 223410 003 12 15,00+ *898000773726049 223410 003 20 15,00+898000773726138 223410 003 12 15,00+ *898000773726138 223410 003 20 15,00+898000773726146 223410 003 12 15,00+ *898000773726146 223410 003 20 15,00+107752373690001 223410 003 12 18,00+ *107752373690001 223410 003 20 18,00+201566067330004 223410 003 12 18,00+ *201566067330004 223410 003 20 18,00+898000773726049 223410 003 13 15,00+ *898000773726049 223410 004 01 15,00+898000773726138 223410 003 13 15,00+ *898000773726138 223410 004 01 15,00+898000773726146 223410 003 13 15,00+ *898000773726146 223410 004 01 15,00+107752373690001 223410 003 13 18,00+ *107752373690001 223410 004 01 18,00+201566067330004 223410 003 13 18,00+ *201566067330004 223410 004 01 18,00+898000773726049 223410 003 14 15,00+ *898000773726049 223410 004 02 15,00+898000773726138 223410 003 14 15,00+ *898000773726138 223410 004 02 15,00+898000773726146 223410 003 14 15,00+ *898000773726146 223410 004 02 15,00+107752373690001 223410 003 14 18,00+ *107752373690001 223410 004 02 18,00+201566067330004 223410 003 14 18,00+ *201566067330004 223410 004 02 18,00+898000773726049 223410 003 15 15,00+ *898000773726049 223410 004 03 15,00+898000773726138 223410 003 15 15,00+ *898000773726138 223410 004 03 15,00+898000773726146 223410 003 15 15,00+ *898000773726146 223410 004 03 15,00+107752373690001 223410 003 15 18,00+ *107752373690001 223410 004 03 18,00+201566067330004 223410 003 15 18,00+ *201566067330004 223410 004 03 18,00+898000773726049 223410 003 16 15,00+ *898000773726049 223410 004 04 15,00+898000773726138 223410 003 16 15,00+ *898000773726138 223410 004 04 15,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    Página 7

  • CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    898000773726146 223410 004 04 15,00+ *898000773726146 223410 004 12 15,00+107752373690001 223410 004 04 18,00+ *107752373690001 223410 004 12 18,00+201566067330004 223410 004 04 18,00+ *201566067330004 223410 004 12 18,00+898000773726049 223410 004 05 15,00+ *898000773726049 223410 004 13 15,00+898000773726138 223410 004 05 15,00+ *898000773726138 223410 004 13 15,00+898000773726146 223410 004 05 15,00+ *898000773726146 223410 004 13 15,00+107752373690001 223410 004 05 18,00+ *107752373690001 223410 004 13 18,00+201566067330004 223410 004 05 18,00+ *201566067330004 223410 004 13 18,00+898000773726049 223410 004 06 15,00+ *898000773726049 223410 004 14 15,00+898000773726138 223410 004 06 15,00+ *898000773726138 223410 004 14 15,00+898000773726146 223410 004 06 15,00+ *898000773726146 223410 004 14 15,00+107752373690001 223410 004 06 18,00+ *107752373690001 223410 004 14 18,00+201566067330004 223410 004 06 18,00+ *201566067330004 223410 004 14 18,00+898000773726049 223410 004 07 15,00+ *898000773726049 223410 004 15 15,00+898000773726138 223410 004 07 15,00+ *898000773726138 223410 004 15 15,00+898000773726146 223410 004 07 15,00+ *898000773726146 223410 004 15 15,00+107752373690001 223410 004 07 18,00+ *107752373690001 223410 004 15 18,00+201566067330004 223410 004 07 18,00+ *201566067330004 223410 004 15 18,00+898000773726049 223410 004 08 15,00+ *898000773726049 223410 004 16 15,00+898000773726138 223410 004 08 15,00+ *898000773726138 223410 004 16 15,00+898000773726146 223410 004 08 15,00+ *898000773726146 223410 004 16 15,00+107752373690001 223410 004 08 18,00+ *107752373690001 223410 004 16 18,00+201566067330004 223410 004 08 18,00+ *201566067330004 223410 004 16 18,00+898000773726049 223410 004 09 15,00+ *898000773726049 223410 004 17 15,00+898000773726138 223410 004 09 15,00+ *898000773726138 223410 004 17 15,00+898000773726146 223410 004 09 15,00+ *898000773726146 223410 004 17 15,00+107752373690001 223410 004 09 18,00+ *107752373690001 223410 004 17 18,00+201566067330004 223410 004 09 18,00+ *201566067330004 223410 004 17 18,00+898000773726049 223410 004 10 15,00+ *898000773726049 223410 004 18 15,00+898000773726138 223410 004 10 15,00+ *898000773726138 223410 004 18 15,00+898000773726146 223410 004 10 15,00+ *898000773726146 223410 004 18 15,00+107752373690001 223410 004 10 18,00+ *107752373690001 223410 004 18 18,00+201566067330004 223410 004 10 18,00+ *201566067330004 223410 004 18 18,00+898000773726049 223410 004 11 15,00+ *898000773726049 223410 004 19 15,00+898000773726138 223410 004 11 15,00+ *898000773726138 223410 004 19 15,00+898000773726146 223410 004 11 15,00+ *898000773726146 223410 004 19 15,00+107752373690001 223410 004 11 18,00+ *107752373690001 223410 004 19 18,00+201566067330004 223410 004 11 18,00+ *201566067330004 223410 004 19 18,00+898000773726049 223410 004 12 15,00+ *898000773726049 223410 004 20 15,00+898000773726138 223410 004 12 15,00+ *898000773726138 223410 004 20 15,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    898000773726146 223410 004 20 15,00+ *107752373690001 223410 005 08 18,00+107752373690001 223410 004 20 18,00+ *201566067330004 223410 005 08 18,00+898000773726049 223410 005 01 15,00+ *898000773726049 223410 005 09 15,00+898000773726138 223410 005 01 15,00+ *898000773726138 223410 005 09 15,00+898000773726146 223410 005 01 15,00+ *898000773726146 223410 005 09 15,00+107752373690001 223410 005 01 18,00+ *107752373690001 223410 005 09 18,00+201566067330004 223410 005 01 18,00+ *201566067330004 223410 005 09 18,00+898000773726049 223410 005 02 15,00+ *898000773726049 223410 005 10 15,00+898000773726138 223410 005 02 15,00+ *898000773726138 223410 005 10 15,00+898000773726146 223410 005 02 15,00+ *898000773726146 223410 005 10 15,00+107752373690001 223410 005 02 18,00+ *107752373690001 223410 005 10 18,00+201566067330004 223410 005 02 18,00+ *201566067330004 223410 005 10 18,00+898000773726049 223410 005 03 15,00+ *898000773726049 223410 005 11 15,00+898000773726138 223410 005 03 15,00+ *898000773726138 223410 005 11 15,00+898000773726146 223410 005 03 15,00+ *898000773726146 223410 005 11 15,00+107752373690001 223410 005 03 18,00+ *107752373690001 223410 005 11 18,00+201566067330004 223410 005 03 18,00+ *201566067330004 223410 005 11 18,00+898000773726049 223410 005 04 15,00+ *898000773726049 223410 005 12 15,00+898000773726138 223410 005 04 15,00+ *898000773726138 223410 005 12 15,00+898000773726146 223410 005 04 15,00+ *898000773726146 223410 005 12 15,00+107752373690001 223410 005 04 18,00+ *107752373690001 223410 005 12 18,00+201566067330004 223410 005 04 18,00+ *201566067330004 223410 005 12 18,00+898000773726049 223410 005 05 15,00+ *898000773726049 223410 005 13 15,00+898000773726138 223410 005 05 15,00+ *898000773726138 223410 005 13 15,00+898000773726146 223410 005 05 15,00+ *898000773726146 223410 005 13 15,00+107752373690001 223410 005 05 18,00+ *107752373690001 223410 005 13 18,00+

    Página 8

  • 201566067330004 223410 005 05 18,00+ *201566067330004 223410 005 13 18,00+898000773726049 223410 005 06 15,00+ *898000773726049 223410 005 14 15,00+898000773726138 223410 005 06 15,00+ *898000773726138 223410 005 14 15,00+898000773726146 223410 005 06 15,00+ *898000773726146 223410 005 14 15,00+107752373690001 223410 005 06 18,00+ *107752373690001 223410 005 14 18,00+201566067330004 223410 005 06 18,00+ *201566067330004 223410 005 14 18,00+898000773726049 223410 005 07 15,00+ *898000773726049 223410 005 15 15,00+898000773726138 223410 005 07 15,00+ *898000773726138 223410 005 15 15,00+898000773726146 223410 005 07 15,00+ *898000773726146 223410 005 15 15,00+107752373690001 223410 005 07 18,00+ *107752373690001 223410 005 15 18,00+201566067330004 223410 005 07 18,00+ *201566067330004 223410 005 15 18,00+898000773726049 223410 005 08 15,00+ *898000773726049 223410 005 16 15,00+898000773726138 223410 005 08 15,00+ *898000773726138 223410 005 16 15,00+898000773726146 223410 005 08 15,00+ *898000773726146 223410 005 16 15,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    107752373690001 223410 005 16 18,00+ *107752373690001 223410 006 04 18,00+201566067330004 223410 005 16 18,00+ *201566067330004 223410 006 04 18,00+898000773726049 223410 005 17 15,00+ *898000773726049 223410 006 05 15,00+898000773726138 223410 005 17 15,00+ *898000773726138 223410 006 05 15,00+898000773726146 223410 005 17 15,00+ *898000773726146 223410 006 05 15,00+107752373690001 223410 005 17 18,00+ *107752373690001 223410 006 05 18,00+201566067330004 223410 005 17 18,00+ *201566067330004 223410 006 05 18,00+898000773726049 223410 005 18 15,00+ *898000773726049 223410 006 06 15,00+898000773726138 223410 005 18 15,00+ *898000773726138 223410 006 06 15,00+898000773726146 223410 005 18 15,00+ *898000773726146 223410 006 06 15,00+107752373690001 223410 005 18 18,00+ *107752373690001 223410 006 06 18,00+201566067330004 223410 005 18 18,00+ *201566067330004 223410 006 06 18,00+898000773726049 223410 005 19 15,00+ *898000773726049 223410 006 07 15,00+898000773726138 223410 005 19 15,00+ *898000773726138 223410 006 07 15,00+898000773726146 223410 005 19 15,00+ *898000773726146 223410 006 07 15,00+107752373690001 223410 005 19 18,00+ *107752373690001 223410 006 07 18,00+201566067330004 223410 005 19 18,00+ *201566067330004 223410 006 07 18,00+898000773726049 223410 005 20 15,00+ *898000773726049 223410 006 08 15,00+898000773726138 223410 005 20 15,00+ *898000773726138 223410 006 08 15,00+898000773726146 223410 005 20 15,00+ *898000773726146 223410 006 08 15,00+107752373690001 223410 005 20 18,00+ *107752373690001 223410 006 08 18,00+201566067330004 223410 005 20 18,00+ *201566067330004 223410 006 08 18,00+898000773726049 223410 006 01 15,00+ *898000773726049 223410 006 09 15,00+898000773726138 223410 006 01 15,00+ *898000773726138 223410 006 09 15,00+898000773726146 223410 006 01 15,00+ *898000773726146 223410 006 09 15,00+107752373690001 223410 006 01 18,00+ *107752373690001 223410 006 09 18,00+201566067330004 223410 006 01 18,00+ *201566067330004 223410 006 09 18,00+898000773726049 223410 006 02 15,00+ *898000773726049 223410 006 10 15,00+898000773726138 223410 006 02 15,00+ *898000773726138 223410 006 10 15,00+898000773726146 223410 006 02 15,00+ *898000773726146 223410 006 10 15,00+107752373690001 223410 006 02 18,00+ *107752373690001 223410 006 10 18,00+201566067330004 223410 006 02 18,00+ *201566067330004 223410 006 10 18,00+898000773726049 223410 006 03 15,00+ *898000773726049 223410 006 11 15,00+898000773726138 223410 006 03 15,00+ *898000773726138 223410 006 11 15,00+898000773726146 223410 006 03 15,00+ *898000773726146 223410 006 11 15,00+107752373690001 223410 006 03 18,00+ *107752373690001 223410 006 11 18,00+201566067330004 223410 006 03 18,00+ *201566067330004 223410 006 11 18,00+898000773726049 223410 006 04 15,00+ *898000773726049 223410 006 12 15,00+898000773726138 223410 006 04 15,00+ *898000773726138 223410 006 12 15,00+898000773726146 223410 006 04 15,00+ *898000773726146 223410 006 12 15,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    Página 9

  • CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    107752373690001 223410 006 12 18,00+ *201566067330004 223410 006 20 18,00+201566067330004 223410 006 12 18,00+ *898000773726049 223410 007 01 15,00+898000773726049 223410 006 13 15,00+ *898000773726138 223410 007 01 15,00+898000773726138 223410 006 13 15,00+ *898000773726146 223410 007 01 15,00+898000773726146 223410 006 13 15,00+ *107752373690001 223410 007 01 18,00+201566067330004 223410 006 13 18,00+ *201566067330004 223410 007 01 18,00+898000773726049 223410 006 14 15,00+ *898000773726049 223410 007 02 15,00+898000773726138 223410 006 14 15,00+ *898000773726138 223410 007 02 15,00+898000773726146 223410 006 14 15,00+ *898000773726146 223410 007 02 15,00+107752373690001 223410 006 14 18,00+ *107752373690001 223410 007 02 18,00+201566067330004 223410 006 14 18,00+ *201566067330004 223410 007 02 18,00+898000773726049 223410 006 15 15,00+ *898000773726049 223410 007 03 15,00+898000773726138 223410 006 15 15,00+ *898000773726138 223410 007 03 15,00+898000773726146 223410 006 15 15,00+ *898000773726146 223410 007 03 15,00+107752373690001 223410 006 15 18,00+ *107752373690001 223410 007 03 18,00+201566067330004 223410 006 15 18,00+ *201566067330004 223410 007 03 18,00+898000773726049 223410 006 16 15,00+ *898000773726049 223410 007 04 15,00+898000773726138 223410 006 16 15,00+ *898000773726138 223410 007 04 15,00+898000773726146 223410 006 16 15,00+ *898000773726146 223410 007 04 15,00+107752373690001 223410 006 16 18,00+ *107752373690001 223410 007 04 18,00+201566067330004 223410 006 16 18,00+ *201566067330004 223410 007 04 18,00+898000773726049 223410 006 17 15,00+ *898000773726049 223410 007 05 15,00+898000773726138 223410 006 17 15,00+ *898000773726138 223410 007 05 15,00+898000773726146 223410 006 17 15,00+ *898000773726146 223410 007 05 15,00+107752373690001 223410 006 17 18,00+ *107752373690001 223410 007 05 18,00+201566067330004 223410 006 17 18,00+ *201566067330004 223410 007 05 18,00+898000773726049 223410 006 18 15,00+ *898000773726049 223410 007 06 15,00+898000773726138 223410 006 18 15,00+ *898000773726138 223410 007 06 15,00+898000773726146 223410 006 18 15,00+ *898000773726146 223410 007 06 15,00+107752373690001 223410 006 18 18,00+ *107752373690001 223410 007 06 18,00+201566067330004 223410 006 18 18,00+ *201566067330004 223410 007 06 18,00+898000773726049 223410 006 19 15,00+ *898000773726049 223410 007 07 15,00+898000773726138 223410 006 19 15,00+ *898000773726138 223410 007 07 15,00+898000773726146 223410 006 19 15,00+ *898000773726146 223410 007 07 15,00+107752373690001 223410 006 19 18,00+ *107752373690001 223410 007 07 18,00+201566067330004 223410 006 19 18,00+ *201566067330004 223410 007 07 18,00+898000773726049 223410 006 20 15,00+ *898000773726049 223410 007 08 15,00+898000773726138 223410 006 20 15,00+ *898000773726138 223410 007 08 15,00+898000773726146 223410 006 20 15,00+ *898000773726146 223410 007 08 15,00+107752373690001 223410 006 20 18,00+ *107752373690001 223410 007 08 18,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    201566067330004 223410 007 08 18,00+ *201566067330004 223410 007 16 18,00+898000773726049 223410 007 09 15,00+ *898000773726049 223410 007 17 15,00+898000773726138 223410 007 09 15,00+ *898000773726138 223410 007 17 15,00+898000773726146 223410 007 09 15,00+ *898000773726146 223410 007 17 15,00+107752373690001 223410 007 09 18,00+ *107752373690001 223410 007 17 18,00+201566067330004 223410 007 09 18,00+ *201566067330004 223410 007 17 18,00+898000773726049 223410 007 10 15,00+ *898000773726049 223410 007 18 15,00+898000773726138 223410 007 10 15,00+ *898000773726138 223410 007 18 15,00+898000773726146 223410 007 10 15,00+ *898000773726146 223410 007 18 15,00+107752373690001 223410 007 10 18,00+ *107752373690001 223410 007 18 18,00+201566067330004 223410 007 10 18,00+ *201566067330004 223410 007 18 18,00+898000773726049 223410 007 11 15,00+ *898000773726049 223410 007 19 15,00+898000773726138 223410 007 11 15,00+ *898000773726138 223410 007 19 15,00+898000773726146 223410 007 11 15,00+ *898000773726146 223410 007 19 15,00+107752373690001 223410 007 11 18,00+ *107752373690001 223410 007 19 18,00+201566067330004 223410 007 11 18,00+ *201566067330004 223410 007 19 18,00+898000773726049 223410 007 12 15,00+ *898000773726049 223410 007 20 15,00+898000773726138 223410 007 12 15,00+ *898000773726138 223410 007 20 15,00+898000773726146 223410 007 12 15,00+ *898000773726146 223410 007 20 15,00+107752373690001 223410 007 12 18,00+ *107752373690001 223410 007 20 18,00+201566067330004 223410 007 12 18,00+ *201566067330004 223410 007 20 18,00+898000773726049 223410 007 13 15,00+ *898000773726049 223410 008 01 15,00+898000773726138 223410 007 13 15,00+ *898000773726138 223410 008 01 15,00+898000773726146 223410 007 13 15,00+ *898000773726146 223410 008 01 15,00+107752373690001 223410 007 13 18,00+ *107752373690001 223410 008 01 18,00+201566067330004 223410 007 13 18,00+ *201566067330004 223410 008 01 18,00+

    Página 10

  • 898000773726049 223410 007 14 15,00+ *898000773726049 223410 008 02 15,00+898000773726138 223410 007 14 15,00+ *898000773726138 223410 008 02 15,00+898000773726146 223410 007 14 15,00+ *898000773726146 223410 008 02 15,00+107752373690001 223410 007 14 18,00+ *107752373690001 223410 008 02 18,00+201566067330004 223410 007 14 18,00+ *201566067330004 223410 008 02 18,00+898000773726049 223410 007 15 15,00+ *898000773726049 223410 008 03 15,00+898000773726138 223410 007 15 15,00+ *898000773726138 223410 008 03 15,00+898000773726146 223410 007 15 15,00+ *898000773726146 223410 008 03 15,00+107752373690001 223410 007 15 18,00+ *107752373690001 223410 008 03 18,00+201566067330004 223410 007 15 18,00+ *201566067330004 223410 008 03 18,00+898000773726049 223410 007 16 15,00+ *898000773726049 223410 008 04 15,00+898000773726138 223410 007 16 15,00+ *898000773726138 223410 008 04 15,00+898000773726146 223410 007 16 15,00+ *898000773726146 223410 008 04 15,00+107752373690001 223410 007 16 18,00+ *107752373690001 223410 008 04 18,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    201566067330004 223410 008 04 18,00+ *201566067330004 223410 008 12 18,00+898000773726049 223410 008 05 15,00+ *898000773726049 223410 008 13 15,00+898000773726138 223410 008 05 15,00+ *898000773726138 223410 008 13 15,00+898000773726146 223410 008 05 15,00+ *898000773726146 223410 008 13 15,00+107752373690001 223410 008 05 18,00+ *107752373690001 223410 008 13 18,00+201566067330004 223410 008 05 18,00+ *201566067330004 223410 008 13 18,00+898000773726049 223410 008 06 15,00+ *898000773726049 223410 008 14 15,00+898000773726138 223410 008 06 15,00+ *898000773726138 223410 008 14 15,00+898000773726146 223410 008 06 15,00+ *898000773726146 223410 008 14 15,00+107752373690001 223410 008 06 18,00+ *107752373690001 223410 008 14 18,00+201566067330004 223410 008 06 18,00+ *201566067330004 223410 008 14 18,00+898000773726049 223410 008 07 15,00+ *898000773726049 223410 008 15 15,00+898000773726138 223410 008 07 15,00+ *898000773726138 223410 008 15 15,00+898000773726146 223410 008 07 15,00+ *898000773726146 223410 008 15 15,00+107752373690001 223410 008 07 18,00+ *107752373690001 223410 008 15 18,00+201566067330004 223410 008 07 18,00+ *201566067330004 223410 008 15 18,00+898000773726049 223410 008 08 15,00+ *898000773726049 223410 008 16 15,00+898000773726138 223410 008 08 15,00+ *898000773726138 223410 008 16 15,00+898000773726146 223410 008 08 15,00+ *898000773726146 223410 008 16 15,00+107752373690001 223410 008 08 18,00+ *107752373690001 223410 008 16 18,00+201566067330004 223410 008 08 18,00+ *201566067330004 223410 008 16 18,00+898000773726049 223410 008 09 15,00+ *898000773726049 223410 008 17 15,00+898000773726138 223410 008 09 15,00+ *898000773726138 223410 008 17 15,00+898000773726146 223410 008 09 15,00+ *898000773726146 223410 008 17 15,00+107752373690001 223410 008 09 18,00+ *107752373690001 223410 008 17 18,00+201566067330004 223410 008 09 18,00+ *201566067330004 223410 008 17 18,00+898000773726049 223410 008 10 15,00+ *898000773726049 223410 008 18 15,00+898000773726138 223410 008 10 15,00+ *898000773726138 223410 008 18 15,00+898000773726146 223410 008 10 15,00+ *898000773726146 223410 008 18 15,00+107752373690001 223410 008 10 18,00+ *107752373690001 223410 008 18 18,00+201566067330004 223410 008 10 18,00+ *201566067330004 223410 008 18 18,00+898000773726049 223410 008 11 15,00+ *898000773726049 223410 008 19 15,00+898000773726138 223410 008 11 15,00+ *898000773726138 223410 008 19 15,00+898000773726146 223410 008 11 15,00+ *898000773726146 223410 008 19 15,00+107752373690001 223410 008 11 18,00+ *107752373690001 223410 008 19 18,00+201566067330004 223410 008 11 18,00+ *201566067330004 223410 008 19 18,00+898000773726049 223410 008 12 15,00+ *898000773726049 223410 008 20 15,00+898000773726138 223410 008 12 15,00+ *898000773726138 223410 008 20 15,00+898000773726146 223410 008 12 15,00+ *898000773726146 223410 008 20 15,00+107752373690001 223410 008 12 18,00+ *107752373690001 223410 008 20 18,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    Página 11

  • CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    201566067330004 223410 008 20 18,00+ *201566067330004 223410 009 09 18,00+898000773726049 223410 009 01 15,00+ *898000773726049 223410 009 10 15,00+898000773726138 223410 009 01 15,00+ *898000773726138 223410 009 10 15,00+898000773726146 223410 009 01 15,00+ *107752373690001 223410 009 10 18,00+107752373690001 223410 009 01 18,00+ *201566067330004 223410 009 10 18,00+201566067330004 223410 009 01 18,00+ *898000773726049 223410 009 11 15,00+898000773726049 223410 009 02 15,00+ *898000773726138 223410 009 11 15,00+898000773726138 223410 009 02 15,00+ *107752373690001 223410 009 11 18,00+898000773726146 223410 009 02 15,00+ *201566067330004 223410 009 11 18,00+107752373690001 223410 009 02 18,00+ *898000773726049 223410 009 12 15,00+201566067330004 223410 009 02 18,00+ *898000773726138 223410 009 12 15,00+898000773726049 223410 009 03 15,00+ *107752373690001 223410 009 12 18,00+898000773726138 223410 009 03 15,00+ *201566067330004 223410 009 12 18,00+898000773726146 223410 009 03 15,00+ *898000773726049 223410 009 13 15,00+107752373690001 223410 009 03 18,00+ *898000773726138 223410 009 13 15,00+201566067330004 223410 009 03 18,00+ *107752373690001 223410 009 13 18,00+898000773726049 223410 009 04 15,00+ *201566067330004 223410 009 13 18,00+898000773726138 223410 009 04 15,00+ *898000773726049 223410 009 14 15,00+898000773726146 223410 009 04 15,00+ *898000773726138 223410 009 14 15,00+107752373690001 223410 009 04 18,00+ *107752373690001 223410 009 14 18,00+201566067330004 223410 009 04 18,00+ *201566067330004 223410 009 14 18,00+898000773726049 223410 009 05 15,00+ *898000773726049 223410 009 15 15,00+898000773726138 223410 009 05 15,00+ *898000773726138 223410 009 15 15,00+107752373690001 223410 009 05 18,00+ *107752373690001 223410 009 15 18,00+201566067330004 223410 009 05 18,00+ *201566067330004 223410 009 15 18,00+898000773726049 223410 009 06 15,00+ *898000773726049 223410 009 16 15,00+898000773726138 223410 009 06 15,00+ *898000773726138 223410 009 16 15,00+107752373690001 223410 009 06 18,00+ *107752373690001 223410 009 16 18,00+201566067330004 223410 009 06 18,00+ *201566067330004 223410 009 16 18,00+898000773726049 223410 009 07 15,00+ *898000773726049 223410 009 17 15,00+898000773726138 223410 009 07 15,00+ *898000773726138 223410 009 17 15,00+107752373690001 223410 009 07 18,00+ *107752373690001 223410 009 17 18,00+201566067330004 223410 009 07 18,00+ *201566067330004 223410 009 17 18,00+898000773726049 223410 009 08 15,00+ *898000773726049 223410 009 18 15,00+898000773726138 223410 009 08 15,00+ *898000773726138 223410 009 18 15,00+107752373690001 223410 009 08 18,00+ *107752373690001 223410 009 18 18,00+201566067330004 223410 009 08 18,00+ *201566067330004 223410 009 18 18,00+898000773726049 223410 009 09 15,00+ *898000773726049 223410 009 19 15,00+898000773726138 223410 009 09 15,00+ *898000773726138 223410 009 19 15,00+107752373690001 223410 009 09 18,00+ *107752373690001 223410 009 19 18,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    201566067330004 223410 009 19 18,00+ *201566067330004 223410 010 09 18,00+898000773726049 223410 009 20 15,00+ *898000773726049 223410 010 10 15,00+898000773726138 223410 009 20 15,00+ *898000773726138 223410 010 10 15,00+107752373690001 223410 009 20 18,00+ *107752373690001 223410 010 10 18,00+201566067330004 223410 009 20 18,00+ *201566067330004 223410 010 10 18,00+898000773726049 223410 010 01 15,00+ *898000773726049 223410 010 11 15,00+898000773726138 223410 010 01 15,00+ *898000773726138 223410 010 11 15,00+107752373690001 223410 010 01 18,00+ *107752373690001 223410 010 11 18,00+201566067330004 223410 010 01 18,00+ *201566067330004 223410 010 11 18,00+898000773726049 223410 010 02 15,00+ *898000773726049 223410 010 12 15,00+898000773726138 223410 010 02 15,00+ *898000773726138 223410 010 12 15,00+107752373690001 223410 010 02 18,00+ *107752373690001 223410 010 12 18,00+201566067330004 223410 010 02 18,00+ *201566067330004 223410 010 12 18,00+898000773726049 223410 010 03 15,00+ *898000773726049 223410 010 13 15,00+898000773726138 223410 010 03 15,00+ *898000773726138 223410 010 13 15,00+107752373690001 223410 010 03 18,00+ *107752373690001 223410 010 13 18,00+201566067330004 223410 010 03 18,00+ *201566067330004 223410 010 13 18,00+898000773726049 223410 010 04 15,00+ *898000773726049 223410 010 14 15,00+898000773726138 223410 010 04 15,00+ *898000773726138 223410 010 14 15,00+107752373690001 223410 010 04 18,00+ *107752373690001 223410 010 14 18,00+201566067330004 223410 010 04 18,00+ *201566067330004 223410 010 14 18,00+898000773726049 223410 010 05 15,00+ *898000773726049 223410 010 15 15,00+898000773726138 223410 010 05 15,00+ *898000773726138 223410 010 15 15,00+107752373690001 223410 010 05 18,00+ *107752373690001 223410 010 15 18,00+201566067330004 223410 010 05 18,00+ *201566067330004 223410 010 15 18,00+898000773726049 223410 010 06 15,00+ *898000773726049 223410 010 16 15,00+

    Página 12

  • 898000773726138 223410 010 06 15,00+ *898000773726138 223410 010 16 15,00+107752373690001 223410 010 06 18,00+ *107752373690001 223410 010 16 18,00+201566067330004 223410 010 06 18,00+ *201566067330004 223410 010 16 18,00+898000773726049 223410 010 07 15,00+ *898000773726049 223410 010 17 15,00+898000773726138 223410 010 07 15,00+ *898000773726138 223410 010 17 15,00+107752373690001 223410 010 07 18,00+ *107752373690001 223410 010 17 18,00+201566067330004 223410 010 07 18,00+ *201566067330004 223410 010 17 18,00+898000773726049 223410 010 08 15,00+ *898000773726049 223410 010 18 15,00+898000773726138 223410 010 08 15,00+ *898000773726138 223410 010 18 15,00+107752373690001 223410 010 08 18,00+ *107752373690001 223410 010 18 18,00+201566067330004 223410 010 08 18,00+ *201566067330004 223410 010 18 18,00+898000773726049 223410 010 09 15,00+ *898000773726049 223410 010 19 15,00+898000773726138 223410 010 09 15,00+ *898000773726138 223410 010 19 15,00+107752373690001 223410 010 09 18,00+ *107752373690001 223410 010 19 18,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    201566067330004 223410 010 19 18,00+ *201566067330004 223410 011 09 18,00+898000773726049 223410 010 20 15,00+ *898000773726049 223410 011 10 15,00+898000773726138 223410 010 20 15,00+ *898000773726138 223410 011 10 15,00+107752373690001 223410 010 20 18,00+ *107752373690001 223410 011 10 18,00+201566067330004 223410 010 20 18,00+ *201566067330004 223410 011 10 18,00+898000773726049 223410 011 01 15,00+ *898000773726049 223410 011 11 15,00+898000773726138 223410 011 01 15,00+ *898000773726138 223410 011 11 15,00+107752373690001 223410 011 01 18,00+ *107752373690001 223410 011 11 18,00+201566067330004 223410 011 01 18,00+ *201566067330004 223410 011 11 18,00+898000773726049 223410 011 02 15,00+ *898000773726049 223410 011 12 15,00+898000773726138 223410 011 02 15,00+ *898000773726138 223410 011 12 15,00+107752373690001 223410 011 02 18,00+ *107752373690001 223410 011 12 18,00+201566067330004 223410 011 02 18,00+ *201566067330004 223410 011 12 18,00+898000773726049 223410 011 03 15,00+ *898000773726049 223410 011 13 15,00+898000773726138 223410 011 03 15,00+ *898000773726138 223410 011 13 15,00+107752373690001 223410 011 03 18,00+ *107752373690001 223410 011 13 18,00+201566067330004 223410 011 03 18,00+ *201566067330004 223410 011 13 18,00+898000773726049 223410 011 04 15,00+ *898000773726049 223410 011 14 15,00+898000773726138 223410 011 04 15,00+ *898000773726138 223410 011 14 15,00+107752373690001 223410 011 04 18,00+ *107752373690001 223410 011 14 18,00+201566067330004 223410 011 04 18,00+ *201566067330004 223410 011 14 18,00+898000773726049 223410 011 05 15,00+ *898000773726049 223410 011 15 15,00+898000773726138 223410 011 05 15,00+ *898000773726138 223410 011 15 15,00+107752373690001 223410 011 05 18,00+ *107752373690001 223410 011 15 18,00+201566067330004 223410 011 05 18,00+ *201566067330004 223410 011 15 18,00+898000773726049 223410 011 06 15,00+ *898000773726049 223410 011 16 15,00+898000773726138 223410 011 06 15,00+ *898000773726138 223410 011 16 15,00+107752373690001 223410 011 06 18,00+ *107752373690001 223410 011 16 18,00+201566067330004 223410 011 06 18,00+ *201566067330004 223410 011 16 18,00+898000773726049 223410 011 07 15,00+ *898000773726049 223410 011 17 15,00+898000773726138 223410 011 07 15,00+ *898000773726138 223410 011 17 15,00+107752373690001 223410 011 07 18,00+ *107752373690001 223410 011 17 18,00+201566067330004 223410 011 07 18,00+ *201566067330004 223410 011 17 18,00+898000773726049 223410 011 08 15,00+ *898000773726049 223410 011 18 15,00+898000773726138 223410 011 08 15,00+ *898000773726138 223410 011 18 15,00+107752373690001 223410 011 08 18,00+ *107752373690001 223410 011 18 18,00+201566067330004 223410 011 08 18,00+ *201566067330004 223410 011 18 18,00+898000773726049 223410 011 09 15,00+ *898000773726049 223410 011 19 15,00+898000773726138 223410 011 09 15,00+ *898000773726138 223410 011 19 15,00+107752373690001 223410 011 09 18,00+ *107752373690001 223410 011 19 18,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    Página 13

  • CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    201566067330004 223410 011 19 18,00+ *201566067330004 223410 012 09 18,00+898000773726049 223410 011 20 15,00+ *898000773726049 223410 012 10 15,00+898000773726138 223410 011 20 15,00+ *898000773726138 223410 012 10 15,00+107752373690001 223410 011 20 18,00+ *107752373690001 223410 012 10 18,00+201566067330004 223410 011 20 18,00+ *201566067330004 223410 012 10 18,00+898000773726049 223410 012 01 15,00+ *898000773726049 223410 012 11 15,00+898000773726138 223410 012 01 15,00+ *898000773726138 223410 012 11 15,00+107752373690001 223410 012 01 18,00+ *107752373690001 223410 012 11 18,00+201566067330004 223410 012 01 18,00+ *201566067330004 223410 012 11 18,00+898000773726049 223410 012 02 15,00+ *898000773726049 223410 012 12 15,00+898000773726138 223410 012 02 15,00+ *898000773726138 223410 012 12 15,00+107752373690001 223410 012 02 18,00+ *107752373690001 223410 012 12 18,00+201566067330004 223410 012 02 18,00+ *201566067330004 223410 012 12 18,00+898000773726049 223410 012 03 15,00+ *898000773726049 223410 012 13 15,00+898000773726138 223410 012 03 15,00+ *898000773726138 223410 012 13 15,00+107752373690001 223410 012 03 18,00+ *107752373690001 223410 012 13 18,00+201566067330004 223410 012 03 18,00+ *201566067330004 223410 012 13 18,00+898000773726049 223410 012 04 15,00+ *898000773726049 223410 012 14 15,00+898000773726138 223410 012 04 15,00+ *898000773726138 223410 012 14 15,00+107752373690001 223410 012 04 18,00+ *107752373690001 223410 012 14 18,00+201566067330004 223410 012 04 18,00+ *201566067330004 223410 012 14 18,00+898000773726049 223410 012 05 15,00+ *898000773726049 223410 012 15 15,00+898000773726138 223410 012 05 15,00+ *898000773726138 223410 012 15 15,00+107752373690001 223410 012 05 18,00+ *107752373690001 223410 012 15 18,00+201566067330004 223410 012 05 18,00+ *201566067330004 223410 012 15 18,00+898000773726049 223410 012 06 15,00+ *898000773726049 223410 012 16 15,00+898000773726138 223410 012 06 15,00+ *107752373690001 223410 012 16 18,00+107752373690001 223410 012 06 18,00+ *201566067330004 223410 012 16 18,00+201566067330004 223410 012 06 18,00+ *898000773726049 223410 012 17 15,00+898000773726049 223410 012 07 15,00+ *898000773726138 223410 012 17 15,00+898000773726138 223410 012 07 15,00+ *107752373690001 223410 012 17 18,00+107752373690001 223410 012 07 18,00+ *201566067330004 223410 012 17 18,00+201566067330004 223410 012 07 18,00+ *898000773726049 223410 012 18 15,00+898000773726049 223410 012 08 15,00+ *898000773726138 223410 012 18 15,00+898000773726138 223410 012 08 15,00+ *107752373690001 223410 012 18 18,00+107752373690001 223410 012 08 18,00+ *201566067330004 223410 012 18 18,00+201566067330004 223410 012 08 18,00+ *898000773726049 223410 012 19 15,00+898000773726049 223410 012 09 15,00+ *898000773726138 223410 012 19 15,00+898000773726138 223410 012 09 15,00+ *107752373690001 223410 012 19 18,00+107752373690001 223410 012 09 18,00+ *201566067330004 223410 012 19 18,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    898000773726049 223410 012 20 15,00+ *898000773726049 223410 013 10 15,00+898000773726138 223410 012 20 15,00+ *898000773726138 223410 013 10 15,00+107752373690001 223410 012 20 18,00+ *107752373690001 223410 013 10 18,00+201566067330004 223410 012 20 18,00+ *201566067330004 223410 013 10 18,00+898000773726049 223410 013 01 15,00+ *898000773726049 223410 013 11 15,00+898000773726138 223410 013 01 15,00+ *898000773726138 223410 013 11 15,00+107752373690001 223410 013 01 18,00+ *107752373690001 223410 013 11 18,00+201566067330004 223410 013 01 18,00+ *201566067330004 223410 013 11 18,00+898000773726049 223410 013 02 15,00+ *898000773726049 223410 013 12 15,00+898000773726138 223410 013 02 15,00+ *898000773726138 223410 013 12 15,00+107752373690001 223410 013 02 18,00+ *107752373690001 223410 013 12 18,00+201566067330004 223410 013 02 18,00+ *201566067330004 223410 013 12 18,00+898000773726049 223410 013 03 15,00+ *898000773726049 223410 013 13 15,00+898000773726138 223410 013 03 15,00+ *898000773726138 223410 013 13 15,00+107752373690001 223410 013 03 18,00+ *107752373690001 223410 013 13 18,00+201566067330004 223410 013 03 18,00+ *201566067330004 223410 013 13 18,00+898000773726049 223410 013 04 15,00+ *898000773726049 223410 013 14 15,00+898000773726138 223410 013 04 15,00+ *898000773726138 223410 013 14 15,00+107752373690001 223410 013 04 18,00+ *107752373690001 223410 013 14 18,00+201566067330004 223410 013 04 18,00+ *201566067330004 223410 013 14 18,00+898000773726049 223410 013 05 15,00+ *898000773726049 223410 013 15 15,00+898000773726138 223410 013 05 15,00+ *898000773726138 223410 013 15 15,00+107752373690001 223410 013 05 18,00+ *107752373690001 223410 013 15 18,00+201566067330004 223410 013 05 18,00+ *201566067330004 223410 013 15 18,00+898000773726049 223410 013 06 15,00+ *898000773726049 223410 013 16 15,00+898000773726138 223410 013 06 15,00+ *898000773726138 223410 013 16 15,00+

    Página 14

  • 107752373690001 223410 013 06 18,00+ *107752373690001 223410 013 16 18,00+201566067330004 223410 013 06 18,00+ *201566067330004 223410 013 16 18,00+898000773726049 223410 013 07 15,00+ *898000773726049 223410 013 17 15,00+898000773726138 223410 013 07 15,00+ *898000773726138 223410 013 17 15,00+107752373690001 223410 013 07 18,00+ *107752373690001 223410 013 17 18,00+201566067330004 223410 013 07 18,00+ *201566067330004 223410 013 17 18,00+898000773726049 223410 013 08 15,00+ *898000773726049 223410 013 18 15,00+898000773726138 223410 013 08 15,00+ *898000773726138 223410 013 18 15,00+107752373690001 223410 013 08 18,00+ *107752373690001 223410 013 18 18,00+201566067330004 223410 013 08 18,00+ *201566067330004 223410 013 18 18,00+898000773726049 223410 013 09 15,00+ *898000773726049 223410 013 19 15,00+898000773726138 223410 013 09 15,00+ *898000773726138 223410 013 19 15,00+107752373690001 223410 013 09 18,00+ *107752373690001 223410 013 19 18,00+201566067330004 223410 013 09 18,00+ *201566067330004 223410 013 19 18,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    898000773726049 223410 013 20 15,00+ *898000773726049 223410 014 10 15,00+898000773726138 223410 013 20 15,00+ *898000773726138 223410 014 10 15,00+107752373690001 223410 013 20 18,00+ *107752373690001 223410 014 10 18,00+201566067330004 223410 013 20 18,00+ *201566067330004 223410 014 10 18,00+898000773726049 223410 014 01 15,00+ *898000773726049 223410 014 11 15,00+898000773726138 223410 014 01 15,00+ *898000773726138 223410 014 11 15,00+107752373690001 223410 014 01 18,00+ *107752373690001 223410 014 11 18,00+201566067330004 223410 014 01 18,00+ *201566067330004 223410 014 11 18,00+898000773726049 223410 014 02 15,00+ *898000773726049 223410 014 12 15,00+898000773726138 223410 014 02 15,00+ *898000773726138 223410 014 12 15,00+107752373690001 223410 014 02 18,00+ *107752373690001 223410 014 12 18,00+201566067330004 223410 014 02 18,00+ *201566067330004 223410 014 12 18,00+898000773726049 223410 014 03 15,00+ *898000773726049 223410 014 13 15,00+898000773726138 223410 014 03 15,00+ *898000773726138 223410 014 13 15,00+107752373690001 223410 014 03 18,00+ *107752373690001 223410 014 13 18,00+201566067330004 223410 014 03 18,00+ *201566067330004 223410 014 13 18,00+898000773726049 223410 014 04 15,00+ *898000773726049 223410 014 14 15,00+898000773726138 223410 014 04 15,00+ *898000773726138 223410 014 14 15,00+107752373690001 223410 014 04 18,00+ *107752373690001 223410 014 14 18,00+201566067330004 223410 014 04 18,00+ *201566067330004 223410 014 14 18,00+898000773726049 223410 014 05 15,00+ *898000773726049 223410 014 15 15,00+898000773726138 223410 014 05 15,00+ *898000773726138 223410 014 15 15,00+107752373690001 223410 014 05 18,00+ *107752373690001 223410 014 15 18,00+201566067330004 223410 014 05 18,00+ *201566067330004 223410 014 15 18,00+898000773726049 223410 014 06 15,00+ *898000773726049 223410 014 16 15,00+898000773726138 223410 014 06 15,00+ *898000773726138 223410 014 16 15,00+107752373690001 223410 014 06 18,00+ *107752373690001 223410 014 16 18,00+201566067330004 223410 014 06 18,00+ *201566067330004 223410 014 16 18,00+898000773726049 223410 014 07 15,00+ *898000773726049 223410 014 17 15,00+898000773726138 223410 014 07 15,00+ *898000773726138 223410 014 17 15,00+107752373690001 223410 014 07 18,00+ *107752373690001 223410 014 17 18,00+201566067330004 223410 014 07 18,00+ *201566067330004 223410 014 17 18,00+898000773726049 223410 014 08 15,00+ *898000773726049 223410 014 18 15,00+898000773726138 223410 014 08 15,00+ *898000773726138 223410 014 18 15,00+107752373690001 223410 014 08 18,00+ *107752373690001 223410 014 18 18,00+201566067330004 223410 014 08 18,00+ *201566067330004 223410 014 18 18,00+898000773726049 223410 014 09 15,00+ *898000773726049 223410 014 19 15,00+898000773726138 223410 014 09 15,00+ *898000773726138 223410 014 19 15,00+107752373690001 223410 014 09 18,00+ *107752373690001 223410 014 19 18,00+201566067330004 223410 014 09 18,00+ *201566067330004 223410 014 19 18,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    Página 15

  • CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    898000773726049 223410 014 20 15,00+ *898000773726049 223410 015 10 15,00+898000773726138 223410 014 20 15,00+ *898000773726138 223410 015 10 15,00+107752373690001 223410 014 20 18,00+ *107752373690001 223410 015 10 18,00+201566067330004 223410 014 20 18,00+ *201566067330004 223410 015 10 18,00+898000773726049 223410 015 01 15,00+ *898000773726049 223410 015 11 15,00+898000773726138 223410 015 01 15,00+ *898000773726138 223410 015 11 15,00+107752373690001 223410 015 01 18,00+ *107752373690001 223410 015 11 18,00+201566067330004 223410 015 01 18,00+ *201566067330004 223410 015 11 18,00+898000773726049 223410 015 02 15,00+ *898000773726049 223410 015 12 15,00+898000773726138 223410 015 02 15,00+ *898000773726138 223410 015 12 15,00+107752373690001 223410 015 02 18,00+ *107752373690001 223410 015 12 18,00+201566067330004 223410 015 02 18,00+ *201566067330004 223410 015 12 18,00+898000773726049 223410 015 03 15,00+ *898000773726049 223410 015 13 15,00+898000773726138 223410 015 03 15,00+ *898000773726138 223410 015 13 15,00+107752373690001 223410 015 03 18,00+ *107752373690001 223410 015 13 18,00+201566067330004 223410 015 03 18,00+ *201566067330004 223410 015 13 18,00+898000773726049 223410 015 04 15,00+ *898000773726049 223410 015 14 15,00+898000773726138 223410 015 04 15,00+ *898000773726138 223410 015 14 15,00+107752373690001 223410 015 04 18,00+ *107752373690001 223410 015 14 18,00+201566067330004 223410 015 04 18,00+ *201566067330004 223410 015 14 18,00+898000773726049 223410 015 05 15,00+ *898000773726049 223410 015 15 15,00+898000773726138 223410 015 05 15,00+ *898000773726138 223410 015 15 15,00+107752373690001 223410 015 05 18,00+ *107752373690001 223410 015 15 18,00+201566067330004 223410 015 05 18,00+ *201566067330004 223410 015 15 18,00+898000773726049 223410 015 06 15,00+ *898000773726049 223410 015 16 15,00+898000773726138 223410 015 06 15,00+ *898000773726138 223410 015 16 15,00+107752373690001 223410 015 06 18,00+ *107752373690001 223410 015 16 18,00+201566067330004 223410 015 06 18,00+ *201566067330004 223410 015 16 18,00+898000773726049 223410 015 07 15,00+ *898000773726138 223410 015 17 15,00+898000773726138 223410 015 07 15,00+ *107752373690001 223410 015 17 18,00+107752373690001 223410 015 07 18,00+ *201566067330004 223410 015 17 18,00+201566067330004 223410 015 07 18,00+ *898000773726049 223410 015 18 15,00+898000773726049 223410 015 08 15,00+ *898000773726138 223410 015 18 15,00+898000773726138 223410 015 08 15,00+ *107752373690001 223410 015 18 18,00+107752373690001 223410 015 08 18,00+ *201566067330004 223410 015 18 18,00+201566067330004 223410 015 08 18,00+ *898000773726049 223410 015 19 15,00+898000773726049 223410 015 09 15,00+ *898000773726138 223410 015 19 15,00+898000773726138 223410 015 09 15,00+ *107752373690001 223410 015 19 18,00+107752373690001 223410 015 09 18,00+ *201566067330004 223410 015 19 18,00+201566067330004 223410 015 09 18,00+ *898000773726049 223410 015 20 15,00+�

    ************************************************************************ 02.23 SSMA/RS SISTEMA DE INFORMACOES AMBULATORIAIS SAS/DATASUS/0504 20/08/2009 DISCRIMINATIVO DE PAGAMENTO DE SERVICOS -CONTINUACAO - JUL/2009 07:35:33 ******************************************************************************

    CGC/CPF : 00.689.359/0001-18 JURIDICA RAZAO SOC.: FUNDACAO ESTADUAL LACEN IPB PORTO A ENDERECO : AV IPIRANGA 5400 BAIRRO : JARDIM BOTANICO MUNICIPIO : PORTO ALEGRE BANCO : 001 AGENCIA : 02814-2 C/C : 0000000006500-5 ------------------------------------------------------------------------------

    CNS PROFISS. CBO FLH SEQ VALOR * CNS PROFISS. CBO FLH SEQ VALOR

    898000773726138 223410 015 20 15,00+ *898000773726138 223410 016 10 15,00+107752373690001 223410 015 20 18,00+ *107752373690001 223410 016 10 18,00+201566067330004 223410 015 20 18,00+ *201566067330004 223410 016 10 18,00+898000773726049 223410 016 01 15,00+ *898000773726049 223410 016 11 15,00+898000773726138 223410 016 01 15,00+ *898000773726138 223410 016 11 15,00+107752373690001 223410 016 01 18,00+ *107752373690001 223410 016 11 18,00+201566067330004 223410 016 01 18,00+ *201566067330004 223410 016 11 18,00+898000773726049 223410 016 02 15,00+ *898000773726049 223410 016 12 15,00+898000773726138 223410 016 02 15,00+ *898000773726138 223410 016 12 15,00+107752373690001 223410 016 02 18,00+ *107752373690001 223410 016 12 18,00+201566067330004 223410 016 02 18,00+ *201566067330004 223410 016 12 18,00+898000773726049 223410 016 03 15,00+ *898000773726049 223410 016 13 15,00+898000773726138 223410 016 03 15,00+ *898000773726138 223410 016 13 15,00+107752373690001 223410 016 03 18,00+ *107752373690001 223410 016 13 18,00+201566067330004 223410 016 03 18,00+ *201566067330004 223410 016 13 18,00+898000773726049 223410 016 04 15,00+ *898000773726049 223410 016 14 15,00+898000773726138 223410 016 04 15,00+ *898000773726138 223410 016 14 15,00+107752373690001 223410 016 04 18,00+ *107752373690001 223410 016 14 18,00+201566067330004 223410 016 04 18,00+ *201566067330004 223410 016 14 18,00+898000773726049 223410 016 05 15,00+ *898000773726049 223410 016 15 15,00+898000


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