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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;"> 香珺苑一期</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="2" colspan="7" datasource="" type="textarea' styles='line-height:37px"><font style="font-size:14pt;"> 1、香珺苑一期香珺苑一期13变频器，已维修完毕，结算金额：6,576.00元；
<br> 2、香珺苑一期香珺苑一期13内选板，已维修完毕，结算金额：5,970.00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>
<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;"> 开始日期：2020-07-30；结束日期：2020-08-01。</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>
<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;"> 1、沈阳远大智能工业集团股份有限公司</font></td>
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<tr style="height:14pt">
<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>
<td style="border-width:0"><font style="font-size:14pt;"></font></td>
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<tr style="height:42pt">
<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08月02日</font></td>
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<tr style="height:14pt">
<td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">六、参与验收人员</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>
<td style="border-width:0"><font style="font-size:14pt;"></font></td>
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<tr style="height:14pt">
<td type="textarea' styles='line-height:37px" colspan="7" datasource="" values="" style="border-width:0" bindtype="0"><font style="font-size:14pt;"> 业主代表、物业方、施工方</font></td>
</tr>
<tr style="height:14pt">
<td style="border-width:0" colspan="2"><font style="font-size:14pt;font-weight:bold;">七、公示时间</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>
<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;"> 2021年01月13日至2021年01月13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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<tr style="height:14pt">
<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">香珺苑13单元1001室</td>
<td align="center">132.1500</td>
<td align="center">470.91</td>
<td align="center">0</td>
<td align="center">470.91</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">2</td>
<td align="center">香珺苑13单元1002室</td>
<td align="center">161.2400</td>
<td align="center">574.59</td>
<td align="center">0</td>
<td align="center">574.59</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">3</td>
<td align="center">香珺苑13单元1101室</td>
<td align="center">132.1500</td>
<td align="center">470.91</td>
<td align="center">0</td>
<td align="center">470.91</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">4</td>
<td align="center">香珺苑13单元1102室</td>
<td align="center">161.2400</td>
<td align="center">574.59</td>
<td align="center">0</td>
<td align="center">574.59</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">5</td>
<td align="center">香珺苑13单元1201室</td>
<td align="center">132.1500</td>
<td align="center">470.91</td>
<td align="center">0</td>
<td align="center">470.91</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">6</td>
<td align="center">香珺苑13单元1202室</td>
<td align="center">161.2400</td>
<td align="center">574.59</td>
<td align="center">0</td>
<td align="center">574.59</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">7</td>
<td align="center">香珺苑13单元1301室</td>
<td align="center">132.1500</td>
<td align="center">470.91</td>
<td align="center">0</td>
<td align="center">470.91</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">8</td>
<td align="center">香珺苑13单元1302室</td>
<td align="center">161.2400</td>
<td align="center">574.59</td>
<td align="center">0</td>
<td align="center">574.59</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">9</td>
<td align="center">香珺苑13单元201室</td>
<td align="center">132.1500</td>
<td align="center">470.91</td>
<td align="center">0</td>
<td align="center">470.91</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">10</td>
<td align="center">香珺苑13单元202室</td>
<td align="center">161.2400</td>
<td align="center">574.59</td>
<td align="center">0</td>
<td align="center">574.59</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">11</td>
<td align="center">香珺苑13单元301室</td>
<td align="center">132.1500</td>
<td align="center">470.91</td>
<td align="center">0</td>
<td align="center">470.91</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">12</td>
<td align="center">香珺苑13单元302室</td>
<td align="center">161.2400</td>
<td align="center">574.59</td>
<td align="center">0</td>
<td align="center">574.59</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">13</td>
<td align="center">香珺苑13单元401室</td>
<td align="center">132.1500</td>
<td align="center">470.91</td>
<td align="center">0</td>
<td align="center">470.91</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">14</td>
<td align="center">香珺苑13单元402室</td>
<td align="center">161.2400</td>
<td align="center">574.59</td>
<td align="center">0</td>
<td align="center">574.59</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">15</td>
<td align="center">香珺苑13单元501室</td>
<td align="center">132.1500</td>
<td align="center">470.91</td>
<td align="center">0</td>
<td align="center">470.91</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">16</td>
<td align="center">香珺苑13单元502室</td>
<td align="center">161.2400</td>
<td align="center">574.59</td>
<td align="center">0</td>
<td align="center">574.59</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">17</td>
<td align="center">香珺苑13单元601室</td>
<td align="center">132.1500</td>
<td align="center">470.91</td>
<td align="center">0</td>
<td align="center">470.91</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">18</td>
<td align="center">香珺苑13单元602室</td>
<td align="center">161.2400</td>
<td align="center">574.59</td>
<td align="center">0</td>
<td align="center">574.59</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">19</td>
<td align="center">香珺苑13单元701室</td>
<td align="center">132.1500</td>
<td align="center">470.91</td>
<td align="center">0</td>
<td align="center">470.91</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">20</td>
<td align="center">香珺苑13单元702室</td>
<td align="center">161.2400</td>
<td align="center">574.59</td>
<td align="center">0</td>
<td align="center">574.59</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">21</td>
<td align="center">香珺苑13单元801室</td>
<td align="center">132.1500</td>
<td align="center">470.91</td>
<td align="center">0</td>
<td align="center">470.91</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:16pt">
<td align="center">22</td>
<td align="center">香珺苑13单元802室</td>
<td align="center">161.2400</td>
<td align="center">574.59</td>
<td align="center">0</td>
<td align="center">574.59</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
<tr style="height:14pt">
<td align="center">23</td>
<td align="center">香珺苑13单元901室</td>
<td align="center">132.1500</td>
<td align="center">470.91</td>
<td align="center">0</td>
<td align="center">470.91</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">24</td>
<td align="center" style="border-width:1px 0 1px 1px">香珺苑13单元902室</td>
<td align="center" style="border-width:1px 0 1px 1px">161.2400</td>
<td align="center" style="border-width:1px 0 1px 1px">574.59</td>
<td align="center" style="border-width:1px 0 1px 1px">0</td>
<td align="center" style="border-width:1px 0 1px 1px">574.59</td>
<td style="border-width:0 0 0 1px"></td>
</tr>
</tbody></table>
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<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: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>
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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>
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<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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