<?xml version="1.0" encoding="utf-8" ?><nfeProc versao="4.00" xmlns="http://www.portalfiscal.inf.br/nfe"><NFe xmlns="http://www.portalfiscal.inf.br/nfe"><infNFe Id="NFe35200629251258000142550010000085901273505200" versao="4.00"><ide><cUF>35</cUF><cNF>27350520</cNF><natOp>SIMPLES REMESSA - NT</natOp><mod>55</mod><serie>1</serie><nNF>8590</nNF><dhEmi>2020-06-17T11:39:00-03:00</dhEmi><dhSaiEnt>2020-06-17T11:39:00-03:00</dhSaiEnt><tpNF>1</tpNF><idDest>2</idDest><cMunFG>3550308</cMunFG><tpImp>2</tpImp><tpEmis>1</tpEmis><cDV>0</cDV><tpAmb>1</tpAmb><finNFe>1</finNFe><indFinal>1</indFinal><indPres>9</indPres><procEmi>0</procEmi><verProc>2.1</verProc></ide><emit><CNPJ>29251258000142</CNPJ><xNome>MED-EL DO BRASIL ELETROMEDICOS LTDA</xNome><xFant>MED-EL</xFant><enderEmit><xLgr>RUA CORONEL DIOGO</xLgr><nro>1060</nro><xBairro>JARDIM DA GLORIA</xBairro><cMun>3550308</cMun><xMun>Sao Paulo</xMun><UF>SP</UF><CEP>01545001</CEP><cPais>1058</cPais><xPais>Brasil</xPais><fone>1120600593</fone></enderEmit><IE>118832532110</IE><CRT>3</CRT></emit><dest><CNPJ>02284062001170</CNPJ><xNome>HOSPITAL ESPERANCA SA</xNome><enderDest><xLgr>Avenida Euclides Figueiredo</xLgr><nro>2000</nro><xBairro>jaracaty</xBairro><cMun>2111300</cMun><xMun>Sao Luis</xMun><UF>MA</UF><CEP>65076820</CEP><cPais>1058</cPais><xPais>BRASIL</xPais></enderDest><indIEDest>9</indIEDest></dest><autXML><CNPJ>09388530000123</CNPJ></autXML><det nItem="1"><prod><cProd>50720</cProd><cEAN>SEM GTIN</cEAN><xProd>BONEBRIDGE Implante de conducao ossea - Lote: 09676; Lote: 09693 Valid:05/08/2021,Valid:05/08/2021</xProd><NCM>90214000</NCM><CFOP>6949</CFOP><uCom>UN</uCom><qCom>2.0000</qCom><vUnCom>24978.0000000000</vUnCom><vProd>49956.00</vProd><cEANTrib>SEM GTIN</cEANTrib><uTrib>UN</uTrib><qTrib>2.0000</qTrib><vUnTrib>24978.0000000000</vUnTrib><indTot>1</indTot></prod><imposto><vTotTrib>5395.25</vTotTrib><ICMS><ICMS40><orig>6</orig><CST>41</CST></ICMS40></ICMS><IPI><cEnq>999</cEnq><IPINT><CST>51</CST></IPINT></IPI><PIS><PISOutr><CST>49</CST><vBC>49956.00</vBC><pPIS>0.00</pPIS><vPIS>0.00</vPIS></PISOutr></PIS><COFINS><COFINSOutr><CST>49</CST><vBC>49956.00</vBC><pCOFINS>0.00</pCOFINS><vCOFINS>0.00</vCOFINS></COFINSOutr></COFINS><ICMSUFDest><vBCUFDest>0.00</vBCUFDest><pFCPUFDest>0.00</pFCPUFDest><pICMSUFDest>0.00</pICMSUFDest><pICMSInter>7.00</pICMSInter><pICMSInterPart>100.00</pICMSInterPart><vFCPUFDest>0.00</vFCPUFDest><vICMSUFDest>0.00</vICMSUFDest><vICMSUFRemet>0.00</vICMSUFRemet></ICMSUFDest></imposto><infAdProd>- Valor Aprox. dos Tributos: R$ 5395,25 (10,80%)</infAdProd></det><det nItem="2"><prod><cProd>5125300</cProd><cEAN>SEM GTIN</cEAN><xProd>KIT MEDIDOR BONEBRIDGE - Lote: medel Valid:14/05/2021</xProd><NCM>90219092</NCM><CFOP>6949</CFOP><uCom>UN</uCom><qCom>1.0000</qCom><vUnCom>125.4700000000</vUnCom><vProd>125.47</vProd><cEANTrib>SEM GTIN</cEANTrib><uTrib>UN</uTrib><qTrib>1.0000</qTrib><vUnTrib>125.4700000000</vUnTrib><indTot>1</indTot></prod><imposto><vTotTrib>13.55</vTotTrib><ICMS><ICMS40><orig>7</orig><CST>41</CST></ICMS40></ICMS><IPI><cEnq>999</cEnq><IPINT><CST>51</CST></IPINT></IPI><PIS><PISOutr><CST>49</CST><vBC>125.47</vBC><pPIS>0.00</pPIS><vPIS>0.00</vPIS></PISOutr></PIS><COFINS><COFINSOutr><CST>49</CST><vBC>125.47</vBC><pCOFINS>0.00</pCOFINS><vCOFINS>0.00</vCOFINS></COFINSOutr></COFINS><ICMSUFDest><vBCUFDest>0.00</vBCUFDest><pFCPUFDest>0.00</pFCPUFDest><pICMSUFDest>0.00</pICMSUFDest><pICMSInter>7.00</pICMSInter><pICMSInterPart>100.00</pICMSInterPart><vFCPUFDest>0.00</vFCPUFDest><vICMSUFDest>0.00</vICMSUFDest><vICMSUFRemet>0.00</vICMSUFRemet></ICMSUFDest></imposto><infAdProd>- Valor Aprox. dos Tributos: R$ 13,55 (10,80%)</infAdProd></det><det nItem="3"><prod><cProd>51254</cProd><cEAN>SEM GTIN</cEAN><xProd>Lifts 1 mm para BONEBRIDGE - Lote: medel Valid:04/10/2022</xProd><NCM>90219092</NCM><CFOP>6949</CFOP><uCom>UN</uCom><qCom>1.0000</qCom><vUnCom>1164.0000000000</vUnCom><vProd>1164.00</vProd><cEANTrib>SEM GTIN</cEANTrib><uTrib>UN</uTrib><qTrib>1.0000</qTrib><vUnTrib>1164.0000000000</vUnTrib><indTot>1</indTot></prod><imposto><vTotTrib>125.71</vTotTrib><ICMS><ICMS40><orig>6</orig><CST>41</CST></ICMS40></ICMS><IPI><cEnq>999</cEnq><IPINT><CST>51</CST></IPINT></IPI><PIS><PISOutr><CST>49</CST><vBC>1164.00</vBC><pPIS>0.00</pPIS><vPIS>0.00</vPIS></PISOutr></PIS><COFINS><COFINSOutr><CST>49</CST><vBC>1164.00</vBC><pCOFINS>0.00</pCOFINS><vCOFINS>0.00</vCOFINS></COFINSOutr></COFINS><ICMSUFDest><vBCUFDest>0.00</vBCUFDest><pFCPUFDest>0.00</pFCPUFDest><pICMSUFDest>0.00</pICMSUFDest><pICMSInter>7.00</pICMSInter><pICMSInterPart>100.00</pICMSInterPart><vFCPUFDest>0.00</vFCPUFDest><vICMSUFDest>0.00</vICMSUFDest><vICMSUFRemet>0.00</vICMSUFRemet></ICMSUFDest></imposto><infAdProd>- Valor Aprox. dos Tributos: R$ 125,71 (10,80%)</infAdProd></det><det nItem="4"><prod><cProd>51255</cProd><cEAN>SEM GTIN</cEAN><xProd>Lifts 2-3 mm para BONEBRIDGE - Lote: medel Valid:12/08/2022</xProd><NCM>90219092</NCM><CFOP>6949</CFOP><uCom>UN</uCom><qCom>1.0000</qCom><vUnCom>1164.0000000000</vUnCom><vProd>1164.00</vProd><cEANTrib>SEM GTIN</cEANTrib><uTrib>UN</uTrib><qTrib>1.0000</qTrib><vUnTrib>1164.0000000000</vUnTrib><indTot>1</indTot></prod><imposto><vTotTrib>125.71</vTotTrib><ICMS><ICMS40><orig>6</orig><CST>41</CST></ICMS40></ICMS><IPI><cEnq>999</cEnq><IPINT><CST>51</CST></IPINT></IPI><PIS><PISOutr><CST>49</CST><vBC>1164.00</vBC><pPIS>0.00</pPIS><vPIS>0.00</vPIS></PISOutr></PIS><COFINS><COFINSOutr><CST>49</CST><vBC>1164.00</vBC><pCOFINS>0.00</pCOFINS><vCOFINS>0.00</vCOFINS></COFINSOutr></COFINS><ICMSUFDest><vBCUFDest>0.00</vBCUFDest><pFCPUFDest>0.00</pFCPUFDest><pICMSUFDest>0.00</pICMSUFDest><pICMSInter>7.00</pICMSInter><pICMSInterPart>100.00</pICMSInterPart><vFCPUFDest>0.00</vFCPUFDest><vICMSUFDest>0.00</vICMSUFDest><vICMSUFRemet>0.00</vICMSUFRemet></ICMSUFDest></imposto><infAdProd>- Valor Aprox. dos Tributos: R$ 125,71 (10,80%)</infAdProd></det><det nItem="5"><prod><cProd>51560</cProd><cEAN>SEM GTIN</cEAN><xProd>Kit SAMBA BB Direito - Lote: 007352</xProd><NCM>90214000</NCM><CFOP>6949</CFOP><uCom>UN</uCom><qCom>1.0000</qCom><vUnCom>25478.0000000000</vUnCom><vProd>25478.00</vProd><cEANTrib>SEM GTIN</cEANTrib><uTrib>UN</uTrib><qTrib>1.0000</qTrib><vUnTrib>25478.0000000000</vUnTrib><indTot>1</indTot></prod><imposto><vTotTrib>2751.62</vTotTrib><ICMS><ICMS40><orig>6</orig><CST>41</CST></ICMS40></ICMS><IPI><cEnq>999</cEnq><IPINT><CST>51</CST></IPINT></IPI><PIS><PISOutr><CST>49</CST><vBC>25478.00</vBC><pPIS>0.00</pPIS><vPIS>0.00</vPIS></PISOutr></PIS><COFINS><COFINSOutr><CST>49</CST><vBC>25478.00</vBC><pCOFINS>0.00</pCOFINS><vCOFINS>0.00</vCOFINS></COFINSOutr></COFINS><ICMSUFDest><vBCUFDest>0.00</vBCUFDest><pFCPUFDest>0.00</pFCPUFDest><pICMSUFDest>0.00</pICMSUFDest><pICMSInter>7.00</pICMSInter><pICMSInterPart>100.00</pICMSInterPart><vFCPUFDest>0.00</vFCPUFDest><vICMSUFDest>0.00</vICMSUFDest><vICMSUFRemet>0.00</vICMSUFRemet></ICMSUFDest></imposto><infAdProd>- Valor Aprox. dos Tributos: R$ 2751,62 (10,80%)</infAdProd></det><total><ICMSTot><vBC>0.00</vBC><vICMS>0.00</vICMS><vICMSDeson>0.00</vICMSDeson><vFCPUFDest>0.00</vFCPUFDest><vICMSUFDest>0.00</vICMSUFDest><vICMSUFRemet>0.00</vICMSUFRemet><vFCP>0.00</vFCP><vBCST>0.00</vBCST><vST>0.00</vST><vFCPST>0.00</vFCPST><vFCPSTRet>0.00</vFCPSTRet><vProd>77887.47</vProd><vFrete>0.00</vFrete><vSeg>0.00</vSeg><vDesc>0.00</vDesc><vII>0.00</vII><vIPI>0.00</vIPI><vIPIDevol>0.00</vIPIDevol><vPIS>0.00</vPIS><vCOFINS>0.00</vCOFINS><vOutro>0.00</vOutro><vNF>77887.47</vNF><vTotTrib>8411.84</vTotTrib></ICMSTot></total><transp><modFrete>0</modFrete><vol><qVol>0</qVol><esp>CAIXAS</esp><marca>MED-EL</marca><pesoL>5.860</pesoL><pesoB>5.860</pesoB></vol></transp><cobr><fat><nFat>8590</nFat><vOrig>0.00</vOrig><vDesc>0.00</vDesc><vLiq>0.00</vLiq></fat></cobr><pag><detPag><tPag>90</tPag><vPag>0.00</vPag></detPag></pag><infAdic><infCpl>Procedimento autorizado pelo Ajuste SINIEF 11/14 e baseado na Resposta a Consulta N: 4450/2014 DE 12/01/2015  da Sefaz/SP CONVENIO ICMS 126, DE 24 DE SETEMBRO DE 2010 Pedido: 5812, Documento: , Obs Comercial: entregar para o Ivalmy - revenda Maranhao - cirurgia 27/06 - DRA ALINE - PACIENTE NALATILE MORO - CASSI- SENHA 202325082 -, - Conf. Lei da Transparencia 12.741/12, o valor Total Aproximado dos Tributos e R$ 8411,84 - (Fonte: IBPT)</infCpl></infAdic></infNFe><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/TR/2001/REC-xml-c14n-20010315" /><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1" /><Reference URI="#NFe35200629251258000142550010000085901273505200"><Transforms><Transform Algorithm="http://www.w3.org/2000/09/xmldsig#enveloped-signature" /><Transform Algorithm="http://www.w3.org/TR/2001/REC-xml-c14n-20010315" /></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1" /><DigestValue>+/jLZdNtTixcMrqqAZNux7XqcUw=</DigestValue></Reference></SignedInfo><SignatureValue>lVH2G0f36dhNSVE39cGxoXZLtu+QoII5FxwwASlYwGFtasB+iQOjM93J5r46zoCzhSzBNO/5YmigA8W+R7H3jdr4EvKtHNXvLAdzlxMmdtK+toA9Usej02tFA+5uuynsufgq7sbZLRXJFl4+R4aKQaMY9nTdjm8VImUklmeD7R1HvTk/O+Iiy9/qTG3E3uW3dd+QSyTLnllQvDJmbgXEVbmKT8hbwTuOZ0mgOMs2Z4aH6HHE0nCYH2LluOmG+NiTsv57myH97iDi8TdTqEt/POiU0WEETRLsro1n5j1AuG8BCkMTQnMe9BP7oI5lxDWc0HmRa2o+cbxFfmtcunkJDg==</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></NFe><protNFe versao="4.00" xmlns="http://www.portalfiscal.inf.br/nfe"><infProt xmlns="http://www.portalfiscal.inf.br/nfe"><tpAmb>1</tpAmb><verAplic>SP_NFE_PL009_V4</verAplic><chNFe>35200629251258000142550010000085901273505200</chNFe><dhRecbto>2020-06-17T11:40:41-03:00</dhRecbto><nProt>135200492677426</nProt><digVal>+/jLZdNtTixcMrqqAZNux7XqcUw=</digVal><cStat>100</cStat><xMotivo>Autorizado o uso da NF-e</xMotivo></infProt></protNFe></nfeProc>