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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;"> 天御商业广场</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>
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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、天御商业广场凤宾路9电梯，已维修完毕，结算金额：11,024.00元，审价费用：<br>1000,合计：12,024.00。
<br> 总合计：12,024.00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：2021-05-20；结束日期：2021-05-20。</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、无锡西电电梯销售有限公司</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 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，能够正常使用
<br> 验收时间：2021年05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、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05月20日至2021年05月20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>
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<tr style="height:14pt">
<td align="center">1</td>
<td align="center">天御商业广场9幢101室</td>
<td align="center">227.3600</td>
<td align="center">330.09</td>
<td align="center">0</td>
<td align="center">330.09</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">2</td>
<td align="center">天御商业广场9幢102室</td>
<td align="center">253.7600</td>
<td align="center">368.42</td>
<td align="center">0</td>
<td align="center">368.42</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">3</td>
<td align="center">天御商业广场9幢103室</td>
<td align="center">211.7300</td>
<td align="center">307.39</td>
<td align="center">0</td>
<td align="center">307.39</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">4</td>
<td align="center">天御商业广场9幢105室</td>
<td align="center">64.9300</td>
<td align="center">94.26</td>
<td align="center">0</td>
<td align="center">94.26</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">5</td>
<td align="center">天御商业广场9幢106室</td>
<td align="center">210.4900</td>
<td align="center">305.59</td>
<td align="center">0</td>
<td align="center">305.59</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">6</td>
<td align="center">天御商业广场9幢107室</td>
<td align="center">253.7600</td>
<td align="center">368.42</td>
<td align="center">0</td>
<td align="center">368.42</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">天御商业广场9幢108室</td>
<td align="center">227.4500</td>
<td align="center">330.22</td>
<td align="center">0</td>
<td align="center">330.22</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">天御商业广场9幢201室</td>
<td align="center">851.4100</td>
<td align="center">1,236.12</td>
<td align="center">0</td>
<td align="center">1,236.12</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">9</td>
<td align="center">天御商业广场9幢202室</td>
<td align="center">849.9500</td>
<td align="center">1,234.00</td>
<td align="center">0</td>
<td align="center">1,234.00</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">10</td>
<td align="center">天御商业广场9幢301室</td>
<td align="center">853.5000</td>
<td align="center">1,239.16</td>
<td align="center">0</td>
<td align="center">1,239.16</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">11</td>
<td align="center">天御商业广场9幢302室</td>
<td align="center">869.6600</td>
<td align="center">1,262.62</td>
<td align="center">0</td>
<td align="center">1,262.62</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">12</td>
<td align="center">天御商业广场9幢401室</td>
<td align="center">852.0300</td>
<td align="center">1,237.02</td>
<td align="center">0</td>
<td align="center">1,237.02</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">13</td>
<td align="center">天御商业广场9幢402室</td>
<td align="center">835.6400</td>
<td align="center">1,213.22</td>
<td align="center">0</td>
<td align="center">1,213.22</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">14</td>
<td align="center">天御商业广场9幢501室</td>
<td align="center">852.0300</td>
<td align="center">1,237.02</td>
<td align="center">0</td>
<td align="center">1,237.02</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">15</td>
<td align="center">天御商业广场9幢502室</td>
<td align="center">868.1700</td>
<td align="center">1,260.45</td>
<td align="center">0</td>
<td align="center">1,260.45</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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<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"></td>
<td style="border-width:0"></td>
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<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td align="right" colspan="3" style="border-width:0"><font style="font-size:14pt;">申请人（盖章）</font></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
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<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;">年 月 日</font></td>
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