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<p style="text-align: center;"><span style="font-size: 18px;"><strong><br/></strong></span></p><p><span style="font-size: 18px;"><strong>费用支出报销单</strong></span><br/></p><center><table data-sort="sortDisabled" style="border: none; border-collapse: collapse;"><tbody><tr class="firstRow"><td valign="top" colspan="6" rowspan="1" style="border-color: rgb(0, 0, 0); word-break: break-all;">编号:</td></tr><tr><td valign="top" style="word-break: break-all; text-align: center; border-color: rgb(0, 0, 0);" width="133">填报单位:</td><td valign="top" style="border-color: rgb(0, 0, 0);" width="116"><br/></td><td valign="top" style="word-break: break-all; text-align: center; border-color: rgb(0, 0, 0);" width="118">填报日期:</td><td valign="top" style="border-color: rgb(0, 0, 0); word-break: break-all;" width="136"><input type="text" value="" id="TB_EW" name="TB_EW" data-key="EW" data-name="ew" data-type="Text" class="form-control" leipiplugins="text" style="width:120px" placeholder=""/></td><td valign="top" style="word-break: break-all; text-align: center; border-color: rgb(0, 0, 0);" width="82">填报人员:</td><td valign="top" style="border-color: rgb(0, 0, 0);" width="111"><br/></td></tr><tr><td valign="top" style="word-break: break-all; text-align: center; border-color: rgb(0, 0, 0);" rowspan="1" colspan="2" width="263">用途</td><td valign="top" style="word-break: break-all; text-align: center; border-color: rgb(0, 0, 0);" width="117">金额</td><td valign="top" style="word-break: break-all; text-align: center; border-color: rgb(0, 0, 0);" rowspan="1" colspan="3" width="357">备注</td></tr><tr><td valign="top" rowspan="1" colspan="2" style="border-color: rgb(0, 0, 0);" width="19"><input type="text" value="" id="TB_ChongFenDe" name="TB_ChongFenDe" data-key="ChongFenDe" data-name="充分的" data-type="Text" class="form-control" leipiplugins="text" style="width:120px"/>充分的</td><td valign="top" style="border-color: rgb(0, 0, 0);" width="118"><br/></td><td valign="top" rowspan="1" colspan="3" style="border-color: rgb(0, 0, 0);" width="357"><textarea id="TB_DaSuDa" name="TB_DaSuDa" data-key="DaSuDa" data-name="大苏打" data-type="Textarea" leipiplugins="textarea" value="" orgrich="0" orgfontsize="12" orgwidth="600" orgheight="80" style="font-size: 12px; width: 528px; height: 59px; margin: 0px;" placeholder=""></textarea>大苏打</td></tr><tr><td valign="top" rowspan="1" colspan="2" style="border-color: rgb(0, 0, 0);" width="19"><br/></td><td valign="top" style="border-color: rgb(0, 0, 0);" width="118"><br/></td><td valign="top" rowspan="1" colspan="3" style="border-color: rgb(0, 0, 0);" width="357"><br/></td></tr><tr><td valign="top" rowspan="1" colspan="2" style="border-color: rgb(0, 0, 0);" width="19"><br/></td><td valign="top" style="border-color: rgb(0, 0, 0);" width="118"><br/></td><td valign="top" rowspan="1" colspan="3" style="border-color: rgb(0, 0, 0);" width="357"><br/></td></tr><tr><td valign="top" style="word-break: break-all; text-align: center; border-color: rgb(0, 0, 0);" width="133">合计:</td><td valign="top" rowspan="1" colspan="2" style="border-color: rgb(0, 0, 0);" width="246"><br/></td><td valign="top" style="word-break: break-all; text-align: center; border-color: rgb(0, 0, 0);" width="136">金额大写:</td><td valign="top" rowspan="1" colspan="2" style="border-color: rgb(0, 0, 0);" width="78"><br/></td></tr><tr><td valign="top" colspan="1" rowspan="1" style="word-break: break-all; text-align: center; border-color: rgb(0, 0, 0);" width="133">附件上传:</td><td valign="top" colspan="5" rowspan="1" style="border-color: rgb(0, 0, 0);" width="75"><br/></td></tr><tr><td valign="top" style="word-break: break-all; border-color: rgb(0, 0, 0); text-align: center;" width="133">部门负责人签字:<br/>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</td><td valign="top" style="border-color: rgb(0, 0, 0);" width="NaN"><br/></td><td valign="top" style="word-break: break-all; border-color: rgb(0, 0, 0);" width="118">财务部经理签字:</td><td valign="top" style="border-color: rgb(0, 0, 0);" width="136"><br/></td><td valign="top" style="word-break: break-all; border-color: rgb(0, 0, 0);" width="82">出纳:</td><td valign="top" style="border-color: rgb(0, 0, 0);" width="NaN"><br/></td></tr></tbody></table></center><p><br/></p><p><br/></p>