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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;"> 广益佳苑一期</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、广益佳苑一期_广益佳苑一期栋10单元电梯，已维修完毕，结算金额：5,579.00<br>元，审价费用：1000元,合计：6,579.00元。
<br> 总合计：6,579.00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：2021-04-08；结束日期：2022-04-08。</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、无锡市安顺电梯维修有限公司</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>
<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;"> 合格
<br> 验收时间：2021年04月20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;"> 物业经理、相关业主</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09月26日至2022年09月26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">广益家园10单元101室</td>
<td align="center">139.1900</td>
<td align="center">265.16</td>
<td align="center">0</td>
<td align="center">265.16</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">2</td>
<td align="center">广益家园10单元102室</td>
<td align="center">154.9900</td>
<td align="center">295.27</td>
<td align="center">0</td>
<td align="center">295.27</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">3</td>
<td align="center">广益家园10单元201室</td>
<td align="center">152.5100</td>
<td align="center">290.55</td>
<td align="center">0</td>
<td align="center">290.55</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">4</td>
<td align="center">广益家园10单元202室</td>
<td align="center">150.8400</td>
<td align="center">287.35</td>
<td align="center">0</td>
<td align="center">287.35</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">5</td>
<td align="center">广益家园10单元301室</td>
<td align="center">152.5100</td>
<td align="center">290.55</td>
<td align="center">0</td>
<td align="center">290.55</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">6</td>
<td align="center">广益家园10单元302室</td>
<td align="center">150.8400</td>
<td align="center">287.35</td>
<td align="center">0</td>
<td align="center">287.35</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">7</td>
<td align="center">广益家园10单元401室</td>
<td align="center">152.5100</td>
<td align="center">290.55</td>
<td align="center">0</td>
<td align="center">290.55</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">8</td>
<td align="center">广益家园10单元402室</td>
<td align="center">150.8400</td>
<td align="center">287.35</td>
<td align="center">0</td>
<td align="center">287.35</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">9</td>
<td align="center">广益家园10单元501室</td>
<td align="center">152.5100</td>
<td align="center">290.55</td>
<td align="center">0</td>
<td align="center">290.55</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">10</td>
<td align="center">广益家园10单元502室</td>
<td align="center">150.8400</td>
<td align="center">287.35</td>
<td align="center">0</td>
<td align="center">287.35</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">11</td>
<td align="center">广益家园10单元601室</td>
<td align="center">152.5100</td>
<td align="center">290.55</td>
<td align="center">0</td>
<td align="center">290.55</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">12</td>
<td align="center">广益家园10单元602室</td>
<td align="center">150.8400</td>
<td align="center">287.35</td>
<td align="center">0</td>
<td align="center">287.35</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">13</td>
<td align="center">广益家园10单元701室</td>
<td align="center">152.5100</td>
<td align="center">290.55</td>
<td align="center">0</td>
<td align="center">290.55</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">14</td>
<td align="center">广益家园10单元702室</td>
<td align="center">150.8400</td>
<td align="center">287.35</td>
<td align="center">0</td>
<td align="center">287.35</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">15</td>
<td align="center">广益家园10单元801室</td>
<td align="center">152.5100</td>
<td align="center">290.55</td>
<td align="center">0</td>
<td align="center">290.55</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">16</td>
<td align="center">广益家园10单元802室</td>
<td align="center">150.8400</td>
<td align="center">287.35</td>
<td align="center">0</td>
<td align="center">287.35</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">17</td>
<td align="center">广益家园10单元901室</td>
<td align="center">152.5100</td>
<td align="center">290.54</td>
<td align="center">0</td>
<td align="center">290.54</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">18</td>
<td align="center">广益家园10单元902室</td>
<td align="center">150.8400</td>
<td align="center">287.35</td>
<td align="center">0</td>
<td align="center">287.35</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">19</td>
<td align="center">广益家园10单元1001室</td>
<td align="center">149.1100</td>
<td align="center">284.06</td>
<td align="center">0</td>
<td align="center">284.06</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">20</td>
<td align="center">广益家园10单元1002室</td>
<td align="center">149.1800</td>
<td align="center">284.19</td>
<td align="center">0</td>
<td align="center">284.19</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">21</td>
<td align="center">广益家园10单元1101室</td>
<td align="center">213.6400</td>
<td align="center">407.00</td>
<td align="center">0</td>
<td align="center">407.00</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">22</td>
<td align="center">广益家园10单元1102室</td>
<td align="center">220.5300</td>
<td align="center">420.13</td>
<td align="center">0</td>
<td align="center">420.13</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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</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 style="border-width:0"></td>
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<td style="border-width:0"></td>
<td align="right" colspan="3" style="border-width:0"><font style="font-size:14pt;">申请人:无锡市金佳物业管理有限公司（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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