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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;"> 长江大厦（长江路12号）</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="3" colspan="7" datasource="" type="textarea' styles='line-height:37px"><font style="font-size:14pt;"> 1、长江大厦（长江路12号）_长江路12,12-1,12-2,12-3,12-5,12-6栋0单元电梯，<br>已维修完毕，结算金额：47,484.00元，审价费用：2154元,合计：49,638.00元。
<br> 总合计：49,638.00元</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：2022-07-10；结束日期：2022-07-20。</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、无锡市城建电梯工程有限公司</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：2022年08月01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;"> 业主代表、施工方、物业方</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;"> 2022年11月22日至2022年11月22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>
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<td align="center">1</td>
<td align="center">长江大厦（长江路12号）12-3幢301室</td>
<td align="center">1470.1000</td>
<td align="center">29,661.46</td>
<td align="center">0</td>
<td align="center">29,661.46</td>
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<td align="center">2</td>
<td align="center">长江大厦（长江路12号）12-3幢402室</td>
<td align="center">108.9200</td>
<td align="center">2,197.62</td>
<td align="center">0</td>
<td align="center">2,197.62</td>
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<td align="center">3</td>
<td align="center">长江大厦（长江路12号）12-3幢403室</td>
<td align="center">123.6900</td>
<td align="center">2,495.63</td>
<td align="center">0</td>
<td align="center">2,495.63</td>
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<td align="center">4</td>
<td align="center">长江大厦（长江路12号）12-3幢405室</td>
<td align="center">408.8800</td>
<td align="center">8,249.77</td>
<td align="center">0</td>
<td align="center">8,249.77</td>
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<td align="center">5</td>
<td align="center">长江大厦（长江路12号）12-3幢406室</td>
<td align="center">46.0700</td>
<td align="center">929.53</td>
<td align="center">0</td>
<td align="center">929.53</td>
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<td align="center">6</td>
<td align="center">长江大厦（长江路12号）12-3幢407室</td>
<td align="center">65.3800</td>
<td align="center">1,319.13</td>
<td align="center">0</td>
<td align="center">1,319.13</td>
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<td align="center">7</td>
<td align="center">长江大厦（长江路12号）12-3幢408室</td>
<td align="center">237.1500</td>
<td align="center">4,784.86</td>
<td align="center">0</td>
<td align="center">4,784.86</td>
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<td style="border-width:1px 0 0 0"></td>
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<td align="right" colspan="3" style="border-width:0"><font style="font-size:14pt;">申请人:无锡太湖世家物业服务有限公司（盖章）</font></td>
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<td style="border-width:0" colspan="2"><font style="font-size:14pt;">年 月 日</font></td>
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