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["广东茂名健康职业学院 出差和下乡 开支申请表"]
[" "]
["申请单位（部门）:                               申请人:                         申请时间: 20    年    月     日"]
["出差依据",{"$nulls":11},"领队姓名",{"$nulls":5},"人数"]
["起止时间",null,"20  年  月   日  至20  年  月   日（共    天）",{"$nulls":8},"起止地点",null,null,"                  －－－"]
["往返里程",{"$nulls":5},"车管人员意见",null," 车辆所属单位：                      车牌号码：                  司机姓名："]
[{"$nulls":8}," 用车费用：□包干[      ]元；£据实结算[      ]元/公里；□统一支付。"]
["申请派车",null,"    □是；□否",{"$nulls":5},"                  车管人员签名及日期："]
["1、城市间交通费",{"$nulls":3},"2、住宿费",null,null,"3、伙食补助费",{"$nulls":3},"4、市内交通费",{"$nulls":4},"5、其他费用",null,null,"1—5项合计"]
["预算",{"$nulls":3},"预算",null,null,"预算",{"$nulls":3},"预算",{"$nulls":4},"预算",null,null," ¥："]
["会计审核意见",null,null,"    预算安排： □统管经费 □包干经费 □专项经费 □基建经费 □机动经费 "]
[{"$nulls":3}," 资金总额           元；目前剩余金额         元；本次申请金额            元；"]
[{"$nulls":3}," 本次申请后剩余金额          元 。"]
[{"$nulls":3},"    以上开支建议：□转账  □公务卡  □现金  支付。           签名及日期:"]
["业务处室负责人意见",{"$nulls":9},"分管业务院领导意见"]
["财务处负责人意见",{"$nulls":9},"分管财务院领导意见"]
["院主要领导意见"]
["备注:1、凡开支申请先由会计审核。2、有会议、培训文件且不用车可不填此表。"]
["3、开支标准按《广东茂名健康职业学院开支审批制度（试行）》执行。"]