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<table cellspacing="0" cellpadding="0" border="0" class="myTable" style="border-width:0;width:555pt">
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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;"> 尚城</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>
<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>
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<td values="" style="border-width:0" bindtype="0" rowspan="5" colspan="7" datasource="" type="textarea' styles='line-height:37px"><font style="font-size:14pt;"> 1、尚城_尚城栋118单元电梯,已维修完毕,结算金额:11,701.00元,审价费用:<br>500元,合计:12,201.00元;
<br> 2、尚城_尚城栋120单元电梯,已维修完毕,结算金额:12,551.00元,审价费用:<br>500元,合计:13,051.00元。
<br> 总合计:25,252.00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>
<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>
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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:2021-05-20;结束日期:2021-05-30。</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>
<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>
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<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、江苏百世德机电工程有限公司</font></td>
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<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>
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<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> 验收时间:2021年05月30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>
<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>
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<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;"> 物业、施工</font></td>
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<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>
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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11月25日至2021年11月25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>
<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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<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">尚城118单元201室</td>
<td align="center">125.2400</td>
<td align="center">955.71</td>
<td align="center">0</td>
<td align="center">955.71</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">2</td>
<td align="center">尚城118单元202室</td>
<td align="center">103.1700</td>
<td align="center">787.29</td>
<td align="center">0</td>
<td align="center">787.29</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">3</td>
<td align="center">尚城118单元301室</td>
<td align="center">125.2400</td>
<td align="center">955.71</td>
<td align="center">0</td>
<td align="center">955.71</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">4</td>
<td align="center">尚城118单元302室</td>
<td align="center">103.1700</td>
<td align="center">787.29</td>
<td align="center">0</td>
<td align="center">787.29</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">5</td>
<td align="center">尚城118单元401室</td>
<td align="center">125.2400</td>
<td align="center">955.71</td>
<td align="center">0</td>
<td align="center">955.71</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">6</td>
<td align="center">尚城118单元402室</td>
<td align="center">103.1700</td>
<td align="center">787.29</td>
<td align="center">0</td>
<td align="center">787.29</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">7</td>
<td align="center">尚城118单元501室</td>
<td align="center">125.2400</td>
<td align="center">955.71</td>
<td align="center">0</td>
<td align="center">955.71</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">8</td>
<td align="center">尚城118单元502室</td>
<td align="center">103.1700</td>
<td align="center">787.29</td>
<td align="center">0</td>
<td align="center">787.29</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">9</td>
<td align="center">尚城118单元601室</td>
<td align="center">125.2400</td>
<td align="center">955.71</td>
<td align="center">0</td>
<td align="center">955.71</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">10</td>
<td align="center">尚城118单元602室</td>
<td align="center">103.1700</td>
<td align="center">787.29</td>
<td align="center">0</td>
<td align="center">787.29</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">11</td>
<td align="center">尚城118单元701室</td>
<td align="center">125.2400</td>
<td align="center">955.71</td>
<td align="center">0</td>
<td align="center">955.71</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">12</td>
<td align="center">尚城118单元702室</td>
<td align="center">103.1700</td>
<td align="center">787.29</td>
<td align="center">0</td>
<td align="center">787.29</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">13</td>
<td align="center">尚城118单元801室</td>
<td align="center">125.2400</td>
<td align="center">955.71</td>
<td align="center">0</td>
<td align="center">955.71</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">14</td>
<td align="center">尚城118单元802室</td>
<td align="center">103.1700</td>
<td align="center">787.29</td>
<td align="center">0</td>
<td align="center">787.29</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">15</td>
<td align="center">尚城120单元201室</td>
<td align="center">125.9200</td>
<td align="center">930.00</td>
<td align="center">0</td>
<td align="center">930.00</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">16</td>
<td align="center">尚城120单元202室</td>
<td align="center">126.5200</td>
<td align="center">934.43</td>
<td align="center">0</td>
<td align="center">934.43</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">17</td>
<td align="center">尚城120单元301室</td>
<td align="center">125.9200</td>
<td align="center">930.00</td>
<td align="center">0</td>
<td align="center">930.00</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">18</td>
<td align="center">尚城120单元302室</td>
<td align="center">126.5200</td>
<td align="center">934.43</td>
<td align="center">0</td>
<td align="center">934.43</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">19</td>
<td align="center">尚城120单元401室</td>
<td align="center">125.9200</td>
<td align="center">930.00</td>
<td align="center">0</td>
<td align="center">930.00</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">20</td>
<td align="center">尚城120单元402室</td>
<td align="center">126.5200</td>
<td align="center">934.43</td>
<td align="center">0</td>
<td align="center">934.43</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center" style="border-width:1px 0 1px 1px">21</td>
<td align="center" style="border-width:1px 0 1px 1px">尚城120单元501室</td>
<td align="center" style="border-width:1px 0 1px 1px">125.9200</td>
<td align="center" style="border-width:1px 0 1px 1px">930.00</td>
<td align="center" style="border-width:1px 0 1px 1px">0</td>
<td align="center" style="border-width:1px 0 1px 1px">930.00</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
</tbody></table>
<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:14pt">
<td align="center">22</td>
<td align="center">尚城120单元502室</td>
<td align="center">126.5200</td>
<td align="center">934.43</td>
<td align="center">0</td>
<td align="center">934.43</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">23</td>
<td align="center">尚城120单元601室</td>
<td align="center">125.9200</td>
<td align="center">930.00</td>
<td align="center">0</td>
<td align="center">930.00</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">24</td>
<td align="center">尚城120单元602室</td>
<td align="center">126.5200</td>
<td align="center">934.43</td>
<td align="center">0</td>
<td align="center">934.43</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">25</td>
<td align="center">尚城120单元701室</td>
<td align="center">125.9200</td>
<td align="center">930.00</td>
<td align="center">0</td>
<td align="center">930.00</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">26</td>
<td align="center">尚城120单元702室</td>
<td align="center">126.5200</td>
<td align="center">934.43</td>
<td align="center">0</td>
<td align="center">934.43</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">27</td>
<td align="center">尚城120单元801室</td>
<td align="center">125.9200</td>
<td align="center">929.99</td>
<td align="center">0</td>
<td align="center">929.99</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">28</td>
<td align="center">尚城120单元802室</td>
<td align="center">126.5200</td>
<td align="center">934.43</td>
<td align="center">0</td>
<td align="center">934.43</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:江苏常工物业管理有限公司(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 月 日</font></td>
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</tbody></table>
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