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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;"> 康桥丽景</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、康桥丽景_康桥丽景花园57栋57号电梯维修，已维修完毕，结算金额：69,627.2<br>5元，审价费用：2563.64元,合计：72,190.89元。
<br> 总合计：72,190.89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：2022-10-09；结束日期：2022-10-09。</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、无锡市实达电梯工程有限公司</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10月09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、施工</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10月09日至2022年10月09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">康桥丽景57单元202室</td>
<td align="center">133.8000</td>
<td align="center">3,164.87</td>
<td align="center">0</td>
<td align="center">3,164.87</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">康桥丽景57单元1102室</td>
<td align="center">186.4500</td>
<td align="center">4,410.25</td>
<td align="center">0</td>
<td align="center">4,410.25</td>
<td style="border-width:0 0 0 1px"></td>
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<tr style="height:14pt">
<td align="center">3</td>
<td align="center">康桥丽景57幢101室</td>
<td align="center">134.0600</td>
<td align="center">3,171.03</td>
<td align="center">0</td>
<td align="center">3,171.03</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">4</td>
<td align="center">康桥丽景57幢102室</td>
<td align="center">133.8000</td>
<td align="center">3,164.88</td>
<td align="center">0</td>
<td align="center">3,164.88</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">5</td>
<td align="center">康桥丽景57幢201室</td>
<td align="center">134.0600</td>
<td align="center">3,171.03</td>
<td align="center">0</td>
<td align="center">3,171.03</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">6</td>
<td align="center">康桥丽景57幢301室</td>
<td align="center">134.0600</td>
<td align="center">3,171.03</td>
<td align="center">0</td>
<td align="center">3,171.03</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">7</td>
<td align="center">康桥丽景57幢302室</td>
<td align="center">133.8000</td>
<td align="center">3,164.88</td>
<td align="center">0</td>
<td align="center">3,164.88</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">康桥丽景57幢401室</td>
<td align="center">134.0600</td>
<td align="center">3,171.03</td>
<td align="center">0</td>
<td align="center">3,171.03</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">9</td>
<td align="center">康桥丽景57幢402室</td>
<td align="center">133.8000</td>
<td align="center">3,164.88</td>
<td align="center">0</td>
<td align="center">3,164.88</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">10</td>
<td align="center">康桥丽景57幢501室</td>
<td align="center">134.0600</td>
<td align="center">3,171.03</td>
<td align="center">0</td>
<td align="center">3,171.03</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">11</td>
<td align="center">康桥丽景57幢502室</td>
<td align="center">133.8000</td>
<td align="center">3,164.87</td>
<td align="center">0</td>
<td align="center">3,164.87</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">12</td>
<td align="center">康桥丽景57幢601室</td>
<td align="center">134.0600</td>
<td align="center">3,171.03</td>
<td align="center">0</td>
<td align="center">3,171.03</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">13</td>
<td align="center">康桥丽景57幢602室</td>
<td align="center">133.8000</td>
<td align="center">3,164.87</td>
<td align="center">0</td>
<td align="center">3,164.87</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">14</td>
<td align="center">康桥丽景57幢701室</td>
<td align="center">134.0600</td>
<td align="center">3,171.03</td>
<td align="center">0</td>
<td align="center">3,171.03</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">15</td>
<td align="center">康桥丽景57幢702室</td>
<td align="center">133.8000</td>
<td align="center">3,164.87</td>
<td align="center">0</td>
<td align="center">3,164.87</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">16</td>
<td align="center">康桥丽景57幢801室</td>
<td align="center">134.0600</td>
<td align="center">3,171.03</td>
<td align="center">0</td>
<td align="center">3,171.03</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">17</td>
<td align="center">康桥丽景57幢802室</td>
<td align="center">133.8000</td>
<td align="center">3,164.87</td>
<td align="center">0</td>
<td align="center">3,164.87</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">18</td>
<td align="center">康桥丽景57幢901室</td>
<td align="center">134.0600</td>
<td align="center">3,171.03</td>
<td align="center">0</td>
<td align="center">3,171.03</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">19</td>
<td align="center">康桥丽景57幢902室</td>
<td align="center">133.8000</td>
<td align="center">3,164.87</td>
<td align="center">0</td>
<td align="center">3,164.87</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">20</td>
<td align="center">康桥丽景57幢1001室</td>
<td align="center">134.0600</td>
<td align="center">3,171.03</td>
<td align="center">0</td>
<td align="center">3,171.03</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">21</td>
<td align="center">康桥丽景57幢1002室</td>
<td align="center">133.8000</td>
<td align="center">3,164.87</td>
<td align="center">0</td>
<td align="center">3,164.87</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">22</td>
<td align="center">康桥丽景57幢1101室</td>
<td align="center">186.9300</td>
<td align="center">4,421.61</td>
<td align="center">0</td>
<td align="center">4,421.61</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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<td style="border-width:0;width:84pt"></td>
<td style="border-width:0;width:76pt"></td>
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<td align="right" colspan="3" style="border-width:0"><font style="font-size:14pt;">申请人:南京瀚宇物业管理服务有限公司（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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