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["【质保金】结算报告单 "]
[{"$nulls":5},"20   年   月   日"]
["单位（部门）",{"$nulls":4},"供货年份",{"$nulls":3}," "]
["供货商\n（全称）",{"$nulls":4},"供货人\n及电话"]
["业务内容"]
["合同金额","￥","质保金",null,"￥","质保期限",null,"年    月至     年   月"]
["资产使用情况"]
["使用情况简述"]
["是否存在问题"]
["供货商售后服务情况"]
["验收人员\n及部门资产管理员签字","   签字：                                                               月   日"]
["单位（部门）负责人\n签字","   签字：                   月   日"]
["后勤保障部\n签字","   签字：                   月   日"]
["备注"]
["★★★注：\n1.质保金结算为资产购置后最后一次结算，各单位各部门要本着实事求是，客观公正的原则如实填报，严格遵守学校廉政建设和资产管理规定，违规办理将严肃追责问责；\n2.此单一式二份，后勤保障部留存1份，供货商1份（结算用）。"]
[]
[]
["印刷要求：A4 一式两份，无碳复写，每本50份，每本100页，不加封皮，10本"]

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