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<!DOCTYPE html>
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<html>
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<head>
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<meta charset="utf-8">
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<title>青岛经汉物流服务有限公司月结费用付费申请单</title>
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</head>
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<body>
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<h1 style="color: #000000;font-family: SimSun;text-align: center;margin-bottom:5px;">青岛经汉物流服务有限公司月结费用付费申请单</h1>
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<hr style="width:690px;border-top: 1px solid #000000;margin: 0 auto 2px;" />
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<hr style="width:690px;border-top: 1px solid #000000;margin-top: 0px;margin: 0 auto;" />
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<div style="width: 1200px;margin: 0 auto;">
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<table style="width: 100%;margin-top: 30px;margin-left:2%;margin-bottom: 5px;">
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<tbody>
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<tr>
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<td nowrap="nowrap" style="width: 25%;color: #000000;font-family: KaiTi;font-size: 14px;">申请人：<b style="font-family: Microsoft YaHei;font-weight:normal;color:#000000;">$OPDEPT$_$OP$</b></td>
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<td nowrap="nowrap" style="width: 25%;color: #000000;font-family: KaiTi;font-size: 14px;">申请单号：<b style="font-family: Microsoft YaHei;font-weight:normal;color:#000000;">$BILLNO$</b></td>
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<td nowrap="nowrap" style="width: 25%;color: #000000;font-family: KaiTi;font-size: 14px;">申请日期：<b style="font-family: Microsoft YaHei;font-weight:normal;color:#000000;">$DATE$</b></td>
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</tr>
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</tbody>
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</table>
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<table style="width:100%;border-collapse:collapse;border: 1px solid #000000;">
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<tbody>
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<tr>
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<td nowrap="nowrap" style="color: #000000;font-family: KaiTi;font-size: 14px;width:15%;height:30px;text-align: center;border-right:1px solid #000000;border-bottom:1px solid #000000;">付费对象</td>
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<td colspan="3" nowrap="nowrap" style="color:#000000;font-size:14px;padding-left:10px;width:35%;border-bottom:1px solid #000000;border-right:1px solid #000000;">$CUSTOMERNAME$</td>
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</tr>
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<tr>
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<td nowrap="nowrap" style="color: #000000;font-family: KaiTi;font-size: 14px;width:15%;height:30px;text-align: center;border-right:1px solid #000000;border-bottom:1px solid #000000;">美金账户</td>
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<td nowrap="nowrap" style="color:#000000;font-size:14px;padding-left:10px;width:35%;border-bottom:1px solid #000000;border-right:1px solid #000000;">$USDCUSTBANKCOUNT$</td>
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<td nowrap="nowrap" style="color: #000000;font-family: KaiTi;font-size: 14px;width:15%;height:30px;text-align: center;border-right:1px solid #000000;border-bottom:1px solid #000000;">人民币账户</td>
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<td nowrap="nowrap" style="color:#000000;font-size:14px;padding-left:10px;width:35%;border-bottom:1px solid #000000;">$CUSTBANKCOUNT$</td>
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</tr>
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<tr>
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<td nowrap="nowrap" style="color: #000000;font-family: KaiTi;font-size: 14px;width:15%;height:70px;text-align: center;border-right:1px solid #000000;border-bottom:1px solid #000000;">付费用途</td>
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<td colspan="3" style="color:#000000;font-size:14px;padding-left:10px;width:35%;border-bottom:1px solid #000000;border-right:1px solid #000000;">$PAYREASON$</td>
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</tr>
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<tr>
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<td colspan="4" nowrap="nowrap" style="color: #000000;font-family: KaiTi;font-size: 14px;height:30px;text-align: center;border-right:1px solid #000000;border-bottom:1px solid #000000;">付费合计</td>
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</tr>
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<tr>
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<td nowrap="nowrap" style="color: #000000;font-family: KaiTi;font-size: 14px;width:15%;height:30px;text-align: center;border-right:1px solid #000000;border-bottom:1px solid #000000;">美金合计</td>
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<td nowrap="nowrap" style="color:#000000;font-size:14px;padding-left:10px;width:35%;border-bottom:1px solid #000000;border-right:1px solid #000000;">$USDAMOUNT$</td>
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<td nowrap="nowrap" style="color: #000000;font-family: KaiTi;font-size: 14px;width:15%;height:30px;text-align: center;border-right:1px solid #000000;border-bottom:1px solid #000000;">人民币合计</td>
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<td nowrap="nowrap" style="color:#000000;font-size:14px;padding-left:10px;width:35%;border-bottom:1px solid #000000;">$RMBAMOUNT$</td>
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</tr>
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<tr>
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<td nowrap="nowrap" style="color: #000000;font-family: KaiTi;font-size: 14px;width:15%;height:30px;text-align: center;border-right:1px solid #000000;border-bottom:1px solid #000000;">备注</td>
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<td colspan="3" style="color:#000000;font-size:14px;padding-left:10px;width:35%;border-bottom:1px solid #000000;border-right:1px solid #000000;">$REMARK$</td>
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</tr>
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</tbody>
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</table>
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<table style="width:100%;border-collapse:collapse;margin-top:5px;margin-left:2%;">
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<tbody>
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<tr>
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<td nowrap="nowrap" style="width: 25%;color: #000000;font-family: KaiTi;font-size: 14px;">领取人：<b style="font-family: Microsoft YaHei;font-weight:normal;color:#000000;"></b>$OP$</td>
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<td nowrap="nowrap" style="width: 25%;color: #000000;font-family: KaiTi;font-size: 14px;">财务经理：<b style="font-family: Microsoft YaHei;font-weight:normal;color:#000000;"></b></td>
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<td nowrap="nowrap" style="width: 25%;color: #000000;font-family: KaiTi;font-size: 14px;">总经理：<b style="font-family: Microsoft YaHei;font-weight:normal;color:#000000;"></b></td>
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</tr>
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</tbody>
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</table>
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</div>
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</body>
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</html>
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