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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;"> 阅山花园</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、阅山花园阅山花园36栋36单元36单元电梯，已维修完毕，结算金额：13,000.00<br>元，审价费用：1000元,合计：14,000.00元。
<br> 总合计：14,000.00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：2021-10-05；结束日期：2021-10-06。</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、无锡广奥电梯有限公司</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10月06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;"> 36-902业主；36-601业主；36-901业主；36-1001业主；36-302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06月06日至2022年06月06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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<tr style="height:14pt">
<td align="center">1</td>
<td align="center">阅山花园36单元101室</td>
<td align="center">272.4500</td>
<td align="center">1,036.52</td>
<td align="center">0</td>
<td align="center">1,036.52</td>
<td style="border-width:0 0 0 1px"></td>
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<tr style="height:14pt">
<td align="center">2</td>
<td align="center">阅山花园36单元102室</td>
<td align="center">258.8900</td>
<td align="center">984.93</td>
<td align="center">0</td>
<td align="center">984.93</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">3</td>
<td align="center">阅山花园36单元201室</td>
<td align="center">163.9500</td>
<td align="center">623.74</td>
<td align="center">0</td>
<td align="center">623.74</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">4</td>
<td align="center">阅山花园36单元202室</td>
<td align="center">140.3900</td>
<td align="center">534.10</td>
<td align="center">0</td>
<td align="center">534.10</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">5</td>
<td align="center">阅山花园36单元301室</td>
<td align="center">163.9500</td>
<td align="center">623.74</td>
<td align="center">0</td>
<td align="center">623.74</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">6</td>
<td align="center">阅山花园36单元302室</td>
<td align="center">140.3900</td>
<td align="center">534.10</td>
<td align="center">0</td>
<td align="center">534.10</td>
<td style="border-width:0 0 0 1px"></td>
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<tr style="height:14pt">
<td align="center">7</td>
<td align="center">阅山花园36单元401室</td>
<td align="center">163.9500</td>
<td align="center">623.74</td>
<td align="center">0</td>
<td align="center">623.74</td>
<td style="border-width:0 0 0 1px"></td>
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<tr style="height:14pt">
<td align="center">8</td>
<td align="center">阅山花园36单元402室</td>
<td align="center">140.3900</td>
<td align="center">534.10</td>
<td align="center">0</td>
<td align="center">534.10</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">9</td>
<td align="center">阅山花园36单元501室</td>
<td align="center">163.9500</td>
<td align="center">623.74</td>
<td align="center">0</td>
<td align="center">623.74</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">10</td>
<td align="center">阅山花园36单元502室</td>
<td align="center">140.3900</td>
<td align="center">534.10</td>
<td align="center">0</td>
<td align="center">534.10</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">11</td>
<td align="center">阅山花园36单元601室</td>
<td align="center">163.9500</td>
<td align="center">623.74</td>
<td align="center">0</td>
<td align="center">623.74</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">12</td>
<td align="center">阅山花园36单元602室</td>
<td align="center">140.3900</td>
<td align="center">534.10</td>
<td align="center">0</td>
<td align="center">534.10</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">13</td>
<td align="center">阅山花园36单元701室</td>
<td align="center">163.9500</td>
<td align="center">623.74</td>
<td align="center">0</td>
<td align="center">623.74</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">14</td>
<td align="center">阅山花园36单元702室</td>
<td align="center">140.3900</td>
<td align="center">534.10</td>
<td align="center">0</td>
<td align="center">534.10</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">15</td>
<td align="center">阅山花园36单元801室</td>
<td align="center">163.9500</td>
<td align="center">623.74</td>
<td align="center">0</td>
<td align="center">623.74</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">16</td>
<td align="center">阅山花园36单元802室</td>
<td align="center">140.3900</td>
<td align="center">534.10</td>
<td align="center">0</td>
<td align="center">534.10</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">17</td>
<td align="center">阅山花园36单元901室</td>
<td align="center">163.9500</td>
<td align="center">623.74</td>
<td align="center">0</td>
<td align="center">623.74</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">18</td>
<td align="center">阅山花园36单元902室</td>
<td align="center">140.3900</td>
<td align="center">534.10</td>
<td align="center">0</td>
<td align="center">534.10</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">19</td>
<td align="center">阅山花园36单元1001室</td>
<td align="center">163.9500</td>
<td align="center">623.73</td>
<td align="center">0</td>
<td align="center">623.73</td>
<td style="border-width:0 0 0 1px"></td>
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<tr style="height:16pt">
<td align="center">20</td>
<td align="center">阅山花园36单元1002室</td>
<td align="center">140.3900</td>
<td align="center">534.10</td>
<td align="center">0</td>
<td align="center">534.10</td>
<td style="border-width:0 0 0 1px"></td>
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<td align="center">21</td>
<td align="center">阅山花园36单元1101室</td>
<td align="center">225.3000</td>
<td align="center">857.14</td>
<td align="center">0</td>
<td align="center">857.14</td>
<td style="border-width:0 0 0 1px"></td>
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<td align="center">22</td>
<td align="center">阅山花园36单元1102室</td>
<td align="center">184.2200</td>
<td align="center">700.86</td>
<td align="center">0</td>
<td align="center">700.86</td>
<td style="border-width:0 0 0 1px"></td>
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<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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<td style="border-width:0;width:84pt"></td>
<td style="border-width:0;width:76pt"></td>
<td style="border-width:0;width:75pt"></td>
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<td align="right" colspan="3" style="border-width:0"><font style="font-size:14pt;">申请人:上海上实物业管理有限公司无锡分公司（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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