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["花蓮縣家庭教育中心補助(委辦)經費結報表"]
["學校(機構)名稱："]
["計畫(活動)名稱："]
["核定函日期文號："]
["計畫期程："]
["計畫完成日期："]
["經費項目","核定（撥）數","實支數","計畫結餘款","傳票號碼"]
[]
[null,null,null,0]
[null,null,null,0]
[null,null,null,0]
[null,null,null,0]
[null,null,null,0]
[null,null,null,0]
[null,null,null,0]
[null,null,null,0]
[null,null,null,0]
[null,null,null,0]
[null,null,null,0]
[null,null,null,0]
[null,null,null,0]
[null,null,null,0]
["合計",null,null,0]
[]
["結餘款繳回數",0]
["契約罰鍰"]
["承辦單位：",null,"會計單位：",null,"校長(機構負責人)："]
["填表說明："]
["1.本表請附本中心核定函影本，以利逐案控管經費。"]
["2.本表「核定數」、「撥付數」及「實支數」請填寫該項目之總額。"]
["3.本表一式4份，請於活動/計畫辦理結束後二十日內查填，函送2份到本中心辦理核銷，"]
["  正本2份留學校備查（1份由學校承辦人存查、1份交學校會計單位存查）。"]
["4.「結餘款繳回數」指本中心核撥款項尚有結餘應繳回，請依規定開立支票隨結報表繳回，"]
["  不得挪為他用。如有契約罰鍰亦請分別開立支票繳回。"]
["5.本表請由各校業務承辦單位填報後，再由會計人員會核。"]
["注意事項：本表經查倘有填報不實或未填報者，追究相關人員責任。"]

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