<style type="text/css"> .myTable,.myTable td { page-break-after:always; font-family:宋体;font-size:9pt; padding-right:0.5pt; padding-left:0.5pt; padding-top:0.5pt; padding-bottom:0.5pt; border-style:solid;border-width:1px 0 0 1px; } </style> <table cellspacing="0" cellpadding="0" border="0" class="myTable" style="border-width:0;width:555pt"> <tbody><tr style="height:0px"><td style="border-width:0;width:28pt"></td> <td style="border-width:0;width:95pt"></td> <td style="border-width:0;width:87pt"></td> <td style="border-width:0;width:103pt"></td> <td style="border-width:0;width:84pt"></td> <td style="border-width:0;width:76pt"></td> <td style="border-width:0;width:75pt"></td> </tr><tr style="height:55pt"> <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> </tr> <tr style="height:14pt"> <td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">一、小区名称</font></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> </tr> <tr style="height:14pt"> <td style="border-width:0" colspan="7"><font style="font-size:14pt;">&nbsp;&nbsp;&nbsp;&nbsp;上品花园</font></td> </tr> <tr style="height:14pt"> <td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">二、维修项目概况</font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> </tr> <tr style="height:14pt"> <td type="textarea' styles='line-height:37px" colspan="7" datasource="" values="" style="border-width:0" bindtype="0"><font style="font-size:14pt;">　　1、上品花园上品花园220,221221钢丝绳，已维修完毕，结算金额：9,204.00元。</font></td> </tr> <tr style="height:14pt"> <td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">三、施工日期</font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> </tr> <tr style="height:14pt"> <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：2020-11-14；结束日期：2020-11-20。</font></td> </tr> <tr style="height:14pt"> <td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">四、施工单位</font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> </tr> <tr style="height:14pt"> <td type="textarea' styles='line-height:37px" colspan="7" datasource="" values="" style="border-width:0" bindtype="0"><font style="font-size:14pt;">　　1、江苏爱立特设备工程有限公司</font></td> </tr> <tr style="height:14pt"> <td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">五、验收结论</font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> </tr> <tr style="height:42pt"> <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>&nbsp;&nbsp;验收时间：2020年11月21日</font></td> </tr> <tr style="height:14pt"> <td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">六、参与验收人员</font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> </tr> <tr style="height:14pt"> <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、物业方、施工方</font></td> </tr> <tr style="height:14pt"> <td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">七、公示时间</font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> <td style="border-width:0"><font style="font-size:14pt;"></font></td> </tr> <tr style="height:14pt"> <td type="textarea' styles='line-height:37px" colspan="7" datasource="" values="" style="border-width:0" bindtype="0"><font style="font-size:14pt;">　　2021年01月13日至2021年01月13日。</font></td> </tr> <tr style="height:14pt"> <td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">八、分摊清册</font></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> </tr> <tr style="height:14pt"> <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">上品花园221单元1001室</td> <td align="center">139.4700</td> <td align="center">458.29</td> <td align="center">0</td> <td align="center">458.29</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">2</td> <td align="center">上品花园221单元1002室</td> <td align="center">141.4700</td> <td align="center">464.87</td> <td align="center">0</td> <td align="center">464.87</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">3</td> <td align="center">上品花园221单元1101室</td> <td align="center">139.4700</td> <td align="center">458.29</td> <td align="center">0</td> <td align="center">458.29</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">4</td> <td align="center">上品花园221单元1102室</td> <td align="center">133.0700</td> <td align="center">437.26</td> <td align="center">0</td> <td align="center">437.26</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">5</td> <td align="center">上品花园221单元201室</td> <td align="center">139.4700</td> <td align="center">458.30</td> <td align="center">0</td> <td align="center">458.30</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">6</td> <td align="center">上品花园221单元202室</td> <td align="center">141.4700</td> <td align="center">464.87</td> <td align="center">0</td> <td align="center">464.87</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">7</td> <td align="center">上品花园221单元301室</td> <td align="center">139.4700</td> <td align="center">458.29</td> <td align="center">0</td> <td align="center">458.29</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">8</td> <td align="center">上品花园221单元302室</td> <td align="center">141.4700</td> <td align="center">464.87</td> <td align="center">0</td> <td align="center">464.87</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">9</td> <td align="center">上品花园221单元401室</td> <td align="center">139.4700</td> <td align="center">458.29</td> <td align="center">0</td> <td align="center">458.29</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">10</td> <td align="center">上品花园221单元402室</td> <td align="center">141.4700</td> <td align="center">464.87</td> <td align="center">0</td> <td align="center">464.87</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">11</td> <td align="center">上品花园221单元501室</td> <td align="center">139.4700</td> <td align="center">458.29</td> <td align="center">0</td> <td align="center">458.29</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">12</td> <td align="center">上品花园221单元502室</td> <td align="center">141.4700</td> <td align="center">464.87</td> <td align="center">0</td> <td align="center">464.87</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">13</td> <td align="center">上品花园221单元601室</td> <td align="center">139.4700</td> <td align="center">458.29</td> <td align="center">0</td> <td align="center">458.29</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">14</td> <td align="center">上品花园221单元602室</td> <td align="center">141.4700</td> <td align="center">464.87</td> <td align="center">0</td> <td align="center">464.87</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">15</td> <td align="center">上品花园221单元701室</td> <td align="center">139.4700</td> <td align="center">458.29</td> <td align="center">0</td> <td align="center">458.29</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">16</td> <td align="center">上品花园221单元702室</td> <td align="center">141.4700</td> <td align="center">464.87</td> <td align="center">0</td> <td align="center">464.87</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">17</td> <td align="center">上品花园221单元801室</td> <td align="center">139.4700</td> <td align="center">458.29</td> <td align="center">0</td> <td align="center">458.29</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">18</td> <td align="center">上品花园221单元802室</td> <td align="center">141.4700</td> <td align="center">464.87</td> <td align="center">0</td> <td align="center">464.87</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">19</td> <td align="center">上品花园221单元901室</td> <td align="center">139.4700</td> <td align="center">458.29</td> <td align="center">0</td> <td align="center">458.29</td> <td style="border-width:0 0 0 1px"></td> </tr> <tr style="height:14pt"> <td align="center">20</td> <td align="center">上品花园221单元902室</td> <td align="center">141.4700</td> <td align="center">464.87</td> <td align="center">0</td> <td align="center">464.87</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> </tr> <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> </tr> <tr style="height:14pt"> <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> <td style="border-width:0"></td> <td style="border-width:0"></td> </tr> <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&nbsp;&nbsp;&nbsp;&nbsp;月&nbsp;&nbsp;&nbsp;&nbsp;日</font></td> </tr> </tbody></table>