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[null,"工程项目专项资金使用计划申请支付确认表--材料表(第 期）"]
["项目名称：",{"$nulls":8},"项目地点："]
["合同金额：                 审计金额：",{"$nulls":8},"     中标日期：    年  月  日            申办日期：    年  月  日                    单位：元 "]
[{"$nulls":9},"      ",{"$nulls":8},"单位：元"]
["申 请 确 认 人 填 写",{"$nulls":16},"公司财务人员填写"]
["序号","收款单位",{"$nulls":3},"款项用途","合同金额","本期支付金额","累计支付金额","收款单位开户行",null,"收款单位账号",{"$nulls":4},"收款单位电话","扣应收费用","实际付款金额"]
[1]
[2]
[3]
[4]
[5]
["合  计：",{"$nulls":6},0,0,{"$nulls":8},0,0]
["审 批 流 程 及 意 见"]
["项目经济责任\n承包人申请确认",null,null,"地区业务拓展人确认",null,"公司工程部意见",null,"公司财务部意见",null,"公司分管领导意见",{"$nulls":5},"公司领导意见",null,null,"付款记录"]
[{"$nulls":18},"出纳："]
[]
[{"$nulls":18},"会计："]
["公司财务人员填写","付款单位",{"$nulls":4},"付款单位开户行",{"$nulls":5},"付款单位账号"]
[null,"本期工程款到账时间",{"$nulls":4},"本期工程款到账金额",null," ￥                                            元",{"$nulls":6},"佰    拾    万    仟    佰    拾    元    角    分"]
[null,"本期提供发票",{"$nulls":3},"应收费用合计",null,"1、行政管理费",null,"2、建造师及五大员费",{"$nulls":4},"3、人员社保费",null,null,"4、巡查费"]
[null,"5、差旅费",{"$nulls":3},"6、建账费",null,"7、税费",null,"8、税金",{"$nulls":5},"9、应收其他费用"]
["填表说明：以下申请确认人须勾选"]
["一：每一笔付款（伍万元及以上）必须附相关合同、发票、工资发放表等原件；二：本表一式两份，公司财务部，工程生产部各一份。"]
["三：必备材料（提供勾选）：                                                                                 "]
[" 1、支付工程进度款（含工程预付款、履约保证金）：□招标文件、□投标文件、□工程量清单(含报价软件版）、□中标通知书、□施工合同、□施工图纸（含电子版）、□开工报告、□施工许可证 、□意外保险合同及发票    □特种设备年检合格证、□内部生产合同、□劳务合同、□材料合同、□机械合同、□本次劳务款领款承诺书及工资花名册、□本次材料款收款结算单与送货单、□本次机械租赁款收款结算单、□本次款项支付确认单、□本次工程进度款申报表（向业主要款申报表）"]
["2、支付尾款及质保金： □竣工验收备案档案材料、□竣工验收备案表、□送审报告（含电子版）、□审计报告、□结算清单（含电子版）、□承包人签署承诺书  □业主出具的无拖欠民工工资、材料款与设备款证明、             "]
["□竣工图纸、□完工登报申明"]
["                          "]
["                            "]