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ESCOLA: ______________________________________________________________________

ALUNO (A): ____________________________________________________________________

ANO: __________ TURMA: ______ TURNO: ______________ DATA: ______________________


ESCOLA: ______________________________________________________________________

ALUNO (A): ____________________________________________________________________

ANO: __________ TURMA: ______ TURNO: ______________ DATA: ______________________


ESCOLA: ______________________________________________________________________

ALUNO (A): ____________________________________________________________________

ANO: __________ TURMA: ______ TURNO: ______________ DATA: ______________________

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