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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;"> 瑞江花园</font></td>
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<td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">二、维修项目概况及分摊情况</font></td>
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<td values="" style="border-width:0" bindtype="0" rowspan="14" colspan="7" datasource="" type="textarea' styles='line-height:37px"><font style="font-size:14pt;"> 1、瑞江花园_瑞江花园121,122,123栋楼道防水，已维修完毕，结算金额：8,583.0<br>0元，审价费用：0元,合计：8,583.00元。分摊到楼幢（瑞江花园121,122,123），总户<br>数（72），总面积（8823.02）。详细情况见分摊清册；
<br> 2、瑞江花园_瑞江花园125,上马墩路10-46栋楼道防水，已维修完毕，结算金额：2,<br>861.00元，审价费用：0元,合计：2,861.00元。分摊到楼幢（瑞江花园125,上马墩路10<br>-46），总户数（20），总面积（3506.88）。详细情况见分摊清册；
<br> 3、瑞江花园_瑞江花园141栋楼道防水维修，已维修完毕，结算金额：2,861.00元，<br>审价费用：0元,合计：2,861.00元。分摊到楼幢（瑞江花园141），总户数（24），总<br>面积（4058.86）。详细情况见分摊清册；
<br> 4、瑞江花园_瑞江花园137,138,149,150,149-1--149-16栋楼道防水维修，已维修<br>完毕，结算金额：2,861.00元，审价费用：0元,合计：2,861.00元。分摊到楼幢（瑞江<br>花园125,上马墩路10-46,瑞江花园141,瑞江花园137,138,149,150,149-1--149-16,瑞江<br>花园121,122,123），总户数（136），总面积（19270.10）。详细情况见分摊清册。
<br> 总合计：17,166.00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：2022-06-05；结束日期：2022-07-10。</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、江苏恒固建设集团有限公司</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07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、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;"> 2023年03月02日至2023年03月09日。</font></td>
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<td align="right" colspan="4" style="border-width:0"><font style="font-size:14pt;">申请人:无锡市盛泰物业管理有限公司（盖章）</font></td>
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<td align="center" colspan="4" style="border-width:0"><font style="font-size:14pt;">年 月 日</font></td>
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<td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">附件：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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<td align="center">1</td>
<td align="center">瑞江花园121单元101室</td>
<td align="center">122.1200</td>
<td align="center">273.86</td>
<td align="center">0</td>
<td align="center">273.86</td>
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<td align="center">2</td>
<td align="center">瑞江花园121单元102室</td>
<td align="center">106.1100</td>
<td align="center">237.94</td>
<td align="center">0</td>
<td align="center">237.94</td>
<td style="border-width:0 0 0 1px"></td>
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<td align="center">3</td>
<td align="center">瑞江花园121单元201室</td>
<td align="center">122.1200</td>
<td align="center">273.86</td>
<td align="center">0</td>
<td align="center">273.86</td>
<td style="border-width:0 0 0 1px"></td>
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<tr style="height:14pt">
<td align="center">4</td>
<td align="center">瑞江花园121单元202室</td>
<td align="center">106.1100</td>
<td align="center">237.95</td>
<td align="center">0</td>
<td align="center">237.95</td>
<td style="border-width:0 0 0 1px"></td>
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<tr style="height:14pt">
<td align="center">5</td>
<td align="center">瑞江花园121单元301室</td>
<td align="center">122.1200</td>
<td align="center">273.86</td>
<td align="center">0</td>
<td align="center">273.86</td>
<td style="border-width:0 0 0 1px"></td>
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<td align="center">6</td>
<td align="center">瑞江花园121单元302室</td>
<td align="center">106.1100</td>
<td align="center">237.95</td>
<td align="center">0</td>
<td align="center">237.95</td>
<td style="border-width:0 0 0 1px"></td>
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<td align="center">7</td>
<td align="center">瑞江花园121单元401室</td>
<td align="center">122.1200</td>
<td align="center">273.86</td>
<td align="center">0</td>
<td align="center">273.86</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">8</td>
<td align="center">瑞江花园121单元402室</td>
<td align="center">140.0400</td>
<td align="center">314.06</td>
<td align="center">0</td>
<td align="center">314.06</td>
<td style="border-width:0 0 0 1px"></td>
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<td align="center">9</td>
<td align="center">瑞江花园121单元501室</td>
<td align="center">122.1200</td>
<td align="center">273.86</td>
<td align="center">0</td>
<td align="center">273.86</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">10</td>
<td align="center">瑞江花园121单元502室</td>
<td align="center">140.0400</td>
<td align="center">314.06</td>
<td align="center">0</td>
<td align="center">314.06</td>
<td style="border-width:0 0 0 1px"></td>
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<td align="center">11</td>
<td align="center">瑞江花园121单元601室</td>
<td align="center">187.5000</td>
<td align="center">420.48</td>
<td align="center">0</td>
<td align="center">420.48</td>
<td style="border-width:0 0 0 1px"></td>
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<td align="center">12</td>
<td align="center">瑞江花园121单元602室</td>
<td align="center">168.1900</td>
<td align="center">377.18</td>
<td align="center">0</td>
<td align="center">377.18</td>
<td style="border-width:0 0 0 1px"></td>
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<tr style="height:14pt">
<td align="center">13</td>
<td align="center">瑞江花园122单元101室</td>
<td align="center">106.1100</td>
<td align="center">237.95</td>
<td align="center">0</td>
<td align="center">237.95</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">14</td>
<td align="center">瑞江花园122单元102室</td>
<td align="center">106.1100</td>
<td align="center">237.94</td>
<td align="center">0</td>
<td align="center">237.94</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">15</td>
<td align="center">瑞江花园122单元201室</td>
<td align="center">106.1100</td>
<td align="center">237.94</td>
<td align="center">0</td>
<td align="center">237.94</td>
<td style="border-width:0 0 0 1px"></td>
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<tr style="height:14pt">
<td align="center">16</td>
<td align="center">瑞江花园122单元202室</td>
<td align="center">106.1100</td>
<td align="center">237.94</td>
<td align="center">0</td>
<td align="center">237.94</td>
<td style="border-width:0 0 0 1px"></td>
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<tr style="height:14pt">
<td align="center">17</td>
<td align="center">瑞江花园122单元301室</td>
<td align="center">106.1100</td>
<td align="center">237.94</td>
<td align="center">0</td>
<td align="center">237.94</td>
<td style="border-width:0 0 0 1px"></td>
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<tr style="height:14pt">
<td align="center">18</td>
<td align="center">瑞江花园122单元302室</td>
<td align="center">106.1100</td>
<td align="center">237.94</td>
<td align="center">0</td>
<td align="center">237.94</td>
<td style="border-width:0 0 0 1px"></td>
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<tr style="height:14pt">
<td align="center">19</td>
<td align="center">瑞江花园122单元401室</td>
<td align="center">106.1100</td>
<td align="center">237.94</td>
<td align="center">0</td>
<td align="center">237.94</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">20</td>
<td align="center">瑞江花园122单元402室</td>
<td align="center">106.1100</td>
<td align="center">237.94</td>
<td align="center">0</td>
<td align="center">237.94</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">21</td>
<td align="center">瑞江花园122单元501室</td>
<td align="center">106.1100</td>
<td align="center">237.94</td>
<td align="center">0</td>
<td align="center">237.94</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">22</td>
<td align="center">瑞江花园122单元502室</td>
<td align="center">106.1100</td>
<td align="center">237.94</td>
<td align="center">0</td>
<td align="center">237.94</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">23</td>
<td align="center">瑞江花园122单元601室</td>
<td align="center">168.1900</td>
<td align="center">377.18</td>
<td align="center">0</td>
<td align="center">377.18</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">24</td>
<td align="center">瑞江花园122单元602室</td>
<td align="center">168.1900</td>
<td align="center">377.18</td>
<td align="center">0</td>
<td align="center">377.18</td>
<td style="border-width:0 0 0 1px"></td>
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<tr style="height:14pt">
<td align="center">25</td>
<td align="center">瑞江花园123单元101室</td>
<td align="center">106.1100</td>
<td align="center">237.94</td>
<td align="center">0</td>
<td align="center">237.94</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">26</td>
<td align="center">瑞江花园123单元102室</td>
<td align="center">116.4800</td>
<td align="center">261.21</td>
<td align="center">0</td>
<td align="center">261.21</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">27</td>
<td align="center">瑞江花园123单元201室</td>
<td align="center">106.1100</td>
<td align="center">237.94</td>
<td align="center">0</td>
<td align="center">237.94</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">28</td>
<td align="center">瑞江花园123单元202室</td>
<td align="center">116.4800</td>
<td align="center">261.21</td>
<td align="center">0</td>
<td align="center">261.21</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">29</td>
<td align="center">瑞江花园123单元301室</td>
<td align="center">106.1100</td>
<td align="center">237.95</td>
<td align="center">0</td>
<td align="center">237.95</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">30</td>
<td align="center">瑞江花园123单元302室</td>
<td align="center">116.4800</td>
<td align="center">261.21</td>
<td align="center">0</td>
<td align="center">261.21</td>
<td style="border-width:0 0 0 1px"></td>
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<tr style="height:14pt">
<td align="center">31</td>
<td align="center">瑞江花园123单元401室</td>
<td align="center">106.1100</td>
<td align="center">237.94</td>
<td align="center">0</td>
<td align="center">237.94</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">32</td>
<td align="center">瑞江花园123单元402室</td>
<td align="center">116.4800</td>
<td align="center">261.21</td>
<td align="center">0</td>
<td align="center">261.21</td>
<td style="border-width:0 0 0 1px"></td>
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<tr style="height:14pt">
<td align="center">33</td>
<td align="center">瑞江花园123单元501室</td>
<td align="center">106.1100</td>
<td align="center">237.94</td>
<td align="center">0</td>
<td align="center">237.94</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">34</td>
<td align="center">瑞江花园123单元502室</td>
<td align="center">116.4800</td>
<td align="center">261.21</td>
<td align="center">0</td>
<td align="center">261.21</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">35</td>
<td align="center">瑞江花园123单元601室</td>
<td align="center">168.1900</td>
<td align="center">377.18</td>
<td align="center">0</td>
<td align="center">377.18</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">36</td>
<td align="center">瑞江花园123单元602室</td>
<td align="center">168.1900</td>
<td align="center">377.18</td>
<td align="center">0</td>
<td align="center">377.18</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">37</td>
<td align="center">瑞江花园125单元301室</td>
<td align="center">125.8700</td>
<td align="center">242.76</td>
<td align="center">0</td>
<td align="center">242.76</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">38</td>
<td align="center">瑞江花园125单元302室</td>
<td align="center">125.8700</td>
<td align="center">242.76</td>
<td align="center">0</td>
<td align="center">242.76</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">39</td>
<td align="center">瑞江花园125单元401室</td>
<td align="center">125.4300</td>
<td align="center">241.89</td>
<td align="center">0</td>
<td align="center">241.89</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">40</td>
<td align="center">瑞江花园125单元402室</td>
<td align="center">125.4300</td>
<td align="center">241.89</td>
<td align="center">0</td>
<td align="center">241.89</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">41</td>
<td align="center">瑞江花园125单元501室</td>
<td align="center">125.4300</td>
<td align="center">241.90</td>
<td align="center">0</td>
<td align="center">241.90</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">42</td>
<td align="center">瑞江花园125单元502室</td>
<td align="center">125.4300</td>
<td align="center">241.89</td>
<td align="center">0</td>
<td align="center">241.89</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">43</td>
<td align="center">瑞江花园125单元601室</td>
<td align="center">200.6300</td>
<td align="center">386.94</td>
<td align="center">0</td>
<td align="center">386.94</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">44</td>
<td align="center">瑞江花园125单元602室</td>
<td align="center">192.4700</td>
<td align="center">371.21</td>
<td align="center">0</td>
<td align="center">371.21</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">45</td>
<td align="center">瑞江花园141单元101室</td>
<td align="center">150.5300</td>
<td align="center">256.91</td>
<td align="center">0</td>
<td align="center">256.91</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">46</td>
<td align="center" style="border-width:1px 0 1px 1px">瑞江花园141单元102室</td>
<td align="center" style="border-width:1px 0 1px 1px">151.9400</td>
<td align="center" style="border-width:1px 0 1px 1px">259.31</td>
<td align="center" style="border-width:1px 0 1px 1px">0</td>
<td align="center" style="border-width:1px 0 1px 1px">259.31</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:557pt">
<tbody><tr style="height:0px"><td style="border-width:0;width:43pt"></td>
<td style="border-width:0;width:163pt"></td>
<td style="border-width:0;width:81pt"></td>
<td style="border-width:0;width:90pt"></td>
<td style="border-width:0;width:78pt"></td>
<td style="border-width:0;width:64pt"></td>
<td style="border-width:0;width:31pt"></td>
</tr><tr style="height:14pt">
<td align="center">47</td>
<td align="center">瑞江花园141单元201室</td>
<td align="center">153.8000</td>
<td align="center">262.49</td>
<td align="center">0</td>
<td align="center">262.49</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">48</td>
<td align="center">瑞江花园141单元202室</td>
<td align="center">155.1000</td>
<td align="center">264.71</td>
<td align="center">0</td>
<td align="center">264.71</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">49</td>
<td align="center">瑞江花园141单元301室</td>
<td align="center">153.8000</td>
<td align="center">262.49</td>
<td align="center">0</td>
<td align="center">262.49</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">50</td>
<td align="center">瑞江花园141单元302室</td>
<td align="center">155.1000</td>
<td align="center">264.71</td>
<td align="center">0</td>
<td align="center">264.71</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">51</td>
<td align="center">瑞江花园141单元401室</td>
<td align="center">153.8000</td>
<td align="center">262.49</td>
<td align="center">0</td>
<td align="center">262.49</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">52</td>
<td align="center">瑞江花园141单元402室</td>
<td align="center">155.1000</td>
<td align="center">264.71</td>
<td align="center">0</td>
<td align="center">264.71</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">53</td>
<td align="center">瑞江花园141单元501室</td>
<td align="center">153.8000</td>
<td align="center">262.49</td>
<td align="center">0</td>
<td align="center">262.49</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">54</td>
<td align="center">瑞江花园141单元502室</td>
<td align="center">155.1000</td>
<td align="center">264.72</td>
<td align="center">0</td>
<td align="center">264.72</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">55</td>
<td align="center">瑞江花园141单元601室</td>
<td align="center">236.4600</td>
<td align="center">403.58</td>
<td align="center">0</td>
<td align="center">403.58</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">56</td>
<td align="center">瑞江花园141单元602室</td>
<td align="center">254.9000</td>
<td align="center">435.04</td>
<td align="center">0</td>
<td align="center">435.04</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">57</td>
<td align="center">瑞江花园150单元101室</td>
<td align="center">153.7400</td>
<td align="center">45.66</td>
<td align="center">0</td>
<td align="center">45.66</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">58</td>
<td align="center">瑞江花园150单元102室</td>
<td align="center">153.7400</td>
<td align="center">45.66</td>
<td align="center">0</td>
<td align="center">45.66</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">59</td>
<td align="center">瑞江花园150单元201室</td>
<td align="center">157.3500</td>
<td align="center">46.73</td>
<td align="center">0</td>
<td align="center">46.73</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">60</td>
<td align="center">瑞江花园150单元202室</td>
<td align="center">157.3600</td>
<td align="center">46.73</td>
<td align="center">0</td>
<td align="center">46.73</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">61</td>
<td align="center">瑞江花园150单元301室</td>
<td align="center">157.3500</td>
<td align="center">46.73</td>
<td align="center">0</td>
<td align="center">46.73</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">62</td>
<td align="center">瑞江花园150单元302室</td>
<td align="center">157.3500</td>
<td align="center">46.73</td>
<td align="center">0</td>
<td align="center">46.73</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">63</td>
<td align="center">瑞江花园150单元401室</td>
<td align="center">157.3500</td>
<td align="center">46.73</td>
<td align="center">0</td>
<td align="center">46.73</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">64</td>
<td align="center">瑞江花园150单元402室</td>
<td align="center">157.3500</td>
<td align="center">46.73</td>
<td align="center">0</td>
<td align="center">46.73</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">65</td>
<td align="center">瑞江花园150单元501室</td>
<td align="center">157.3500</td>
<td align="center">46.73</td>
<td align="center">0</td>
<td align="center">46.73</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">66</td>
<td align="center">瑞江花园150单元502室</td>
<td align="center">157.3500</td>
<td align="center">46.73</td>
<td align="center">0</td>
<td align="center">46.73</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">67</td>
<td align="center">瑞江花园150单元601室</td>
<td align="center">240.6300</td>
<td align="center">71.46</td>
<td align="center">0</td>
<td align="center">71.46</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">68</td>
<td align="center">瑞江花园150单元602室</td>
<td align="center">240.6300</td>
<td align="center">71.46</td>
<td align="center">0</td>
<td align="center">71.46</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">69</td>
<td align="center">瑞江花园10幢46单元</td>
<td align="center">303.4400</td>
<td align="center">495.11</td>
<td align="center">0</td>
<td align="center">495.11</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">70</td>
<td align="center">瑞江花园10幢48单元</td>
<td align="center">303.4400</td>
<td align="center">495.11</td>
<td align="center">0</td>
<td align="center">495.11</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" colspan="2"><font style="font-size:14pt;"></font></td>
</tr>
</tbody></table>
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