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<td align="center" colspan="7" style="border-width:0"><font style="font-size:22pt;font-weight:bold;">住宅专项维修资金实际使用分摊表</font></td>
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<td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">一、小区名称</font></td>
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<td style="border-width:0" colspan="7"><font style="font-size:14pt;"> 家乐苑</font></td>
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<td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">二、维修项目概况</font></td>
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<td values="" style="border-width:0" bindtype="0" rowspan="2" colspan="7" datasource="" type="textarea' styles='line-height:37px"><font style="font-size:14pt;"> 1、家乐苑家乐苑5,6,7,380,382-1,382-2,384,386,386-2,388,390,390-1等(变更)5<br>电梯，已维修完毕，结算金额：5,700.00元，审价费用：0,合计：5,700.00。</font></td>
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<td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">三、施工日期</font></td>
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<td type="textarea' styles='line-height:37px" colspan="7" datasource="" values="" style="border-width:0" bindtype="0"><font style="font-size:14pt;"> 开始日期：2021-03-02；结束日期：2021-03-02。</font></td>
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<td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">四、施工单位</font></td>
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<td type="textarea' styles='line-height:37px" colspan="7" datasource="" values="" style="border-width:0" bindtype="0"><font style="font-size:14pt;"> 1、无锡捷安电梯有限公司</font></td>
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<td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">五、验收结论</font></td>
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<td type="textarea' styles='line-height:37px" colspan="7" datasource="" values="" style="border-width:0" bindtype="0"><font style="font-size:14pt;"> 合格
<br> 验收时间：2021年03月02日</font></td>
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<td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">六、参与验收人员</font></td>
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<td type="textarea' styles='line-height:37px" colspan="7" datasource="" values="" style="border-width:0" bindtype="0"><font style="font-size:14pt;"> 甲方</font></td>
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<td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">七、公示时间</font></td>
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<td type="textarea' styles='line-height:37px" colspan="7" datasource="" values="" style="border-width:0" bindtype="0"><font style="font-size:14pt;"> 2021年03月02日至2021年03月02日。</font></td>
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<td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">八、分摊清册</font></td>
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<td align="center">序号</td>
<td align="center">房屋地址</td>
<td align="center">房屋面积(㎡)</td>
<td align="center">结算应拨金额(元)</td>
<td align="center">自筹金额(元)</td>
<td align="center">分摊金额(元)</td>
<td align="center" style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">1</td>
<td align="center">家乐苑4、5、6、75单元1001室</td>
<td align="center">227.1900</td>
<td align="center">328.68</td>
<td align="center">0</td>
<td align="center">328.68</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">2</td>
<td align="center">家乐苑4、5、6、75单元1002室</td>
<td align="center">194.4400</td>
<td align="center">281.29</td>
<td align="center">0</td>
<td align="center">281.29</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">3</td>
<td align="center">家乐苑4、5、6、75单元1101室</td>
<td align="center">364.8500</td>
<td align="center">527.84</td>
<td align="center">0</td>
<td align="center">527.84</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">4</td>
<td align="center">家乐苑4、5、6、75单元1102室</td>
<td align="center">194.4400</td>
<td align="center">281.29</td>
<td align="center">0</td>
<td align="center">281.29</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">5</td>
<td align="center">家乐苑4、5、6、75单元1202室</td>
<td align="center">194.4400</td>
<td align="center">281.29</td>
<td align="center">0</td>
<td align="center">281.29</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">6</td>
<td align="center">家乐苑4、5、6、75单元1302室</td>
<td align="center">223.4400</td>
<td align="center">323.26</td>
<td align="center">0</td>
<td align="center">323.26</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">7</td>
<td align="center">家乐苑4、5、6、75单元1402室</td>
<td align="center">223.4400</td>
<td align="center">323.26</td>
<td align="center">0</td>
<td align="center">323.26</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">8</td>
<td align="center">家乐苑4、5、6、75单元1502室</td>
<td align="center">209.5700</td>
<td align="center">303.19</td>
<td align="center">0</td>
<td align="center">303.19</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">9</td>
<td align="center">家乐苑4、5、6、75单元501室</td>
<td align="center">227.1900</td>
<td align="center">328.68</td>
<td align="center">0</td>
<td align="center">328.68</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">10</td>
<td align="center">家乐苑4、5、6、75单元502室</td>
<td align="center">194.4400</td>
<td align="center">281.30</td>
<td align="center">0</td>
<td align="center">281.30</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">11</td>
<td align="center">家乐苑4、5、6、75单元601室</td>
<td align="center">227.1900</td>
<td align="center">328.68</td>
<td align="center">0</td>
<td align="center">328.68</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">12</td>
<td align="center">家乐苑4、5、6、75单元602室</td>
<td align="center">194.4400</td>
<td align="center">281.30</td>
<td align="center">0</td>
<td align="center">281.30</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">13</td>
<td align="center">家乐苑4、5、6、75单元701室</td>
<td align="center">227.1900</td>
<td align="center">328.68</td>
<td align="center">0</td>
<td align="center">328.68</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">14</td>
<td align="center">家乐苑4、5、6、75单元702室</td>
<td align="center">194.4400</td>
<td align="center">281.30</td>
<td align="center">0</td>
<td align="center">281.30</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">15</td>
<td align="center">家乐苑4、5、6、75单元801室</td>
<td align="center">227.1900</td>
<td align="center">328.68</td>
<td align="center">0</td>
<td align="center">328.68</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">16</td>
<td align="center">家乐苑4、5、6、75单元802室</td>
<td align="center">194.4400</td>
<td align="center">281.30</td>
<td align="center">0</td>
<td align="center">281.30</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">17</td>
<td align="center">家乐苑4、5、6、75单元901室</td>
<td align="center">227.1900</td>
<td align="center">328.68</td>
<td align="center">0</td>
<td align="center">328.68</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">18</td>
<td align="center">家乐苑4、5、6、75单元902室</td>
<td align="center">194.4400</td>
<td align="center">281.30</td>
<td align="center">0</td>
<td align="center">281.30</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:0"></td>
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<tr style="height:14pt">
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
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<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td align="right" colspan="3" style="border-width:0"><font style="font-size:14pt;">申请人（盖章）</font></td>
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<td style="border-width:0"></td>
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<tr style="height:14pt">
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0" colspan="2"><font style="font-size:14pt;">年 月 日</font></td>
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