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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;"> 嘉禾广场</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>
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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、嘉禾广场嘉禾广场62,63,65至73,75至83,85至88栋屋面，已维修完毕，结算金<br>额：109,978.40元，审价费用：3184,合计：113,162.40。
<br> 总合计：113,162.40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：2020-12-01；结束日期：2020-12-08。</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、江苏顺锐建设工程有限公司</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>
<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;"> 合格
<br> 验收时间：2020年12月10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 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;"> 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;"> 2021年09月02日至2021年09月02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">嘉禾广场62</td>
<td align="center">117.8200</td>
<td align="center">4,111.84</td>
<td align="center">0</td>
<td align="center">4,111.84</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">2</td>
<td align="center">嘉禾广场63单元</td>
<td align="center">85.3800</td>
<td align="center">2,979.71</td>
<td align="center">0</td>
<td align="center">2,979.71</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">3</td>
<td align="center">嘉禾广场65单元</td>
<td align="center">85.3800</td>
<td align="center">2,979.70</td>
<td align="center">0</td>
<td align="center">2,979.70</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">4</td>
<td align="center">嘉禾广场66单元</td>
<td align="center">85.3800</td>
<td align="center">2,979.70</td>
<td align="center">0</td>
<td align="center">2,979.70</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">5</td>
<td align="center">嘉禾广场67单元</td>
<td align="center">103.9900</td>
<td align="center">3,629.18</td>
<td align="center">0</td>
<td align="center">3,629.18</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">6</td>
<td align="center">嘉禾广场68单元</td>
<td align="center">103.9900</td>
<td align="center">3,629.18</td>
<td align="center">0</td>
<td align="center">3,629.18</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">7</td>
<td align="center">嘉禾广场69</td>
<td align="center">103.9900</td>
<td align="center">3,629.18</td>
<td align="center">0</td>
<td align="center">3,629.18</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">8</td>
<td align="center">嘉禾广场70</td>
<td align="center">103.9900</td>
<td align="center">3,629.18</td>
<td align="center">0</td>
<td align="center">3,629.18</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">9</td>
<td align="center">嘉禾广场71</td>
<td align="center">103.9900</td>
<td align="center">3,629.18</td>
<td align="center">0</td>
<td align="center">3,629.18</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">10</td>
<td align="center">嘉禾广场72</td>
<td align="center">103.9900</td>
<td align="center">3,629.18</td>
<td align="center">0</td>
<td align="center">3,629.18</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">11</td>
<td align="center">嘉禾广场73</td>
<td align="center">85.3800</td>
<td align="center">2,979.71</td>
<td align="center">0</td>
<td align="center">2,979.71</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">12</td>
<td align="center">嘉禾广场75单元</td>
<td align="center">102.4600</td>
<td align="center">3,575.79</td>
<td align="center">0</td>
<td align="center">3,575.79</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">13</td>
<td align="center">嘉禾广场76单元</td>
<td align="center">79.9600</td>
<td align="center">2,790.54</td>
<td align="center">0</td>
<td align="center">2,790.54</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">14</td>
<td align="center">嘉禾广场77单元</td>
<td align="center">79.9600</td>
<td align="center">2,790.54</td>
<td align="center">0</td>
<td align="center">2,790.54</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">15</td>
<td align="center">嘉禾广场78单元</td>
<td align="center">94.8800</td>
<td align="center">3,311.25</td>
<td align="center">0</td>
<td align="center">3,311.25</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">16</td>
<td align="center">嘉禾广场79单元</td>
<td align="center">66.4800</td>
<td align="center">2,320.10</td>
<td align="center">0</td>
<td align="center">2,320.10</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">17</td>
<td align="center">嘉禾广场80,86</td>
<td align="center">1243.2500</td>
<td align="center">43,388.57</td>
<td align="center">0</td>
<td align="center">43,388.57</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">18</td>
<td align="center">嘉禾广场81单元</td>
<td align="center">167.3500</td>
<td align="center">5,840.40</td>
<td align="center">0</td>
<td align="center">5,840.40</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">19</td>
<td align="center">嘉禾广场82单元</td>
<td align="center">96.3400</td>
<td align="center">3,362.20</td>
<td align="center">0</td>
<td align="center">3,362.20</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">20</td>
<td align="center">嘉禾广场83单元</td>
<td align="center">84.6200</td>
<td align="center">2,953.17</td>
<td align="center">0</td>
<td align="center">2,953.17</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">21</td>
<td align="center">嘉禾广场85</td>
<td align="center">66.2200</td>
<td align="center">2,311.03</td>
<td align="center">0</td>
<td align="center">2,311.03</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">22</td>
<td align="center">嘉禾广场87,88</td>
<td align="center">77.7400</td>
<td align="center">2,713.07</td>
<td align="center">0</td>
<td align="center">2,713.07</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>
<td style="border-width:0"></td>
<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：无锡市长庆物业管理有限公司 （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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