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- <!DOCTYPE html>
- <html>
- <head>
- <meta charset="utf-8">
- <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
- <title>table_four</title>
- <meta name="description" content="">
- <meta name="keywords" content="">
- <link href="" rel="stylesheet">
- </head>
- <body>
- <div id="print">
- <table cellspacing="0" cellpadding="0" width="980" align="center">
- <tbody>
- <tr>
- <td colspan="4">
- <table cellspacing="0" cellpadding="0" width="900" align="center">
- <tbody>
- <tr>
- <td>
- <h2 class="orderTitle1"><center>海勃湾区房屋征收安置补贴单</center></h2>
- </td>
- <td>
- <span style="float:right"><h2 class="orderTitle1"></h2></span>
- </td>
- </tr>
- </tbody>
- </table>
- </td>
- </tr>
- </tbody>
- </table>
- <table cellspacing="0" cellpadding="0" width="980" align="center">
- <tbody>
- <tr>
- <td width="500">
- 项目名称：
- </td>
- <td width="500">编号：</td>
- </tr>
- </tbody>
- </table>
- <table border="1" cellspacing="0" cellpadding="0" width="980" align="center" style="margin-top:10px;">
- <tr height="50">
- <td width="140" align="center">被征收人姓名</td>
- <td align="center" colspan="2">必填</td>
- <td width="140" align="center">被征收房屋地址</td>
- <td colspan="3">必填</td>
- </tr>
- <tr height="50">
- <td width="140" align="center">联系电话</td>
- <td align="center" colspan="2">必填</td>
- <td width="140" align="center">被征收人身份证号</td>
- <td colspan="3">必填</td>
- </tr>
- <tr height="50">
- <td width="140" align="center" colspan="2" rowspan="2">临时安置费</td>
- <td width="140" align="center" >面积（㎡）</td>
- <td width="140" align="center">标准</td>
- <td width="140" align="center">月数</td>
- <td width="140" align="center">金额</td>
- <td width="140" align="center"></td>
-
- </tr>
- <tr height="50">
- <td width="140" align="center" >X(手填）</td>
- <td width="140" align="center">X(手填）</td>
- <td width="140" align="center">X(手填）</td>
- <td width="140" align="center">A=X*Y*Z（保留整数）</td>
- <td width="140" align="center">元</td>
- </tr>
- <tr height="50">
- <td width="140" align="center" colspan="2">搬迁费</td>
- <td align="center" colspan="4">B（手填）</td>
- <td width="140" align="center" colspan="1">元</td>
- </tr>
- <tr height="50">
- <td width="140" align="center" colspan="2">低保补贴</td>
- <td align="center" colspan="4">C（手填）</td>
- <td width="140" align="center" colspan="1">元</td>
- </tr>
- <tr height="50">
- <td width="140" align="center" colspan="2">其他</td>
- <td align="center" colspan="4">D（手填）</td>
- <td width="140" align="center" colspan="1">元</td>
- </tr>
- <tr height="50">
- <td width="140" align="center">补贴总金额</td>
- <td align="center" width="140" colspan="4" >E=A+B+C+D大写</td>
- <td align="center" width="140" >小写</td>
- <td align="center" width="140" >元</td>
- </tr>
- <tr height="50">
- <td width="140" align="center" rowspan="2" >征收实施单位（章）</td>
- <td width="140" align="center" >被征收人（签字）</td>
- <td width="140" align="center" colspan="2"></td>
- <td width="140" align="center" >代理人（签字）</td>
- <td width="140" align="center" colspan="2"></td>
- </tr>
- <tr height="50">
- <td width="140" align="center" >签约时间</td>
- <td align="center" colspan="5" ></td>
- </tr>
- </table>
- <table cellspacing="0" cellpadding="0" width="980" align="center" >
- <tr border="0" height="50">
- <td colspan="2" >核算（签字):</td>
- <td width="140" colspan="3" align="center" >初审（签字）：</td>
- <td width="140" align="center" colspan="2" > 监审（签字）： </td>
- </tr>
- <tr border="0">
- <td colspan="7" >复核（签字):</td>
- </tr>
- </table>
- </div>
- <div align="center">
- <input class="print_button" type="button" id="datasubmit" value="确认打印" name="submit" onclick="javascrīpt:window.print()">
- </div>
- <style>
- .print_button{height:40px;background:#369 none repeat scroll 0 0;border:2px solid #efefef;border-radius:5px;width:100px;color:#fff;font-size:13px;font-weight:700;}
- </style>
- </body>
- <html>
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