ⷿͬ棨ͨ38ƪ
ǵķʶǿᣬͬʹƵʳƣǩͬҲЧķ֮һôĺͬʲôأСΪռĸⷿͬ棨ͨ38ƪҲοϣҪѡ
ⷿͬ 1
ⷽ¼Ƽ
ⷽ(¼ҷ)
1.ҷķλ__________(ʡ)_________()ⷿ__________ƽףװʩ豸ͬ
2.ҷķڹ_______¡___________________________________ֹҷŵ÷ݽΪ_______________ʹáȨջسⷿݣҷӦڽ
3.˫Э̸÷ÿΪ___________Ԫ;_______________ҷ֧_____µķ_____ԪԼ_____ԪѺΪ___________Ԫ(д______Ǫ____________ʰ_____Ԫ)
4.˫ЭҷڼסӪҵһзá
5.ҷʹóⷿڼ䣬ӰɵľҷеһΡ
6.ڣӦ֤ⷿݵʹðȫ÷ݼʩάɼ(ҷʹò);ҷװװβּɵҷʹòɷݼʩģҷӦ⳥ҷı䷿ݵڲṹװöԷݽṹӰ豸ƹģΧաϵȷüͬʩҷε'ڷݵװСȨѡҷָԭ״;Ȩҷȡָʵʷķá
7.Ϊ֮һģҷȨͬ
(1)ṩݻṩݲԼӰס
(2)δӰסġ
8.ҷֽת˵ʽⰴ֧ҷټӣһ֮ǰ֪֮ͨ˻Ѻҷ
9.ͬʵʩʱӦ֤ݱʩ豸ܹʹ״̬ҷӦַݼʩ豸״̬ƷӰ췿ݵʹáδͬƷȨáʱ˫빲ͬ룬ǩȷϡ
10.ڼ䡣ṩͬԼķݻԭͬģӦ֧ҷͬܶ50%ΥԼ𣬼Ӧճ˻Ѻҷ
11.ɿԭʹܼͬлɵʧס˫е;Ҫķݣʹס˫ʧģеΡԭֹͬģʵʹʱ㣬µİ㣬ٲУɿϵָԤܱⲢܿ˷Ŀ
12.ͬ˫ǩ()Чɼס˫ִ______ݣͬȷЧδˣס˫Эһ£ɶΪͬɲ֣뱾ͬͬȷЧЭ̻ɵģйϽȨԺϡ
ǩ֣________ ________
ҷǩ֣________ ________
ⷿͬ 2
ⷽ______¼Ƽ
֤_______
ⷽ______¼ҷ
֤_______
ݼס˫ԸƽȡĻϣЭһ£Ϊȷ˫֮ȨϵͼϷӵеķݳҷʹãҷˣͬ
һݵַ_______ͨס
Լ
1÷ڹ____¡________________________________ֹ
2ÿ_____Ԫ¸ÿ____ǰѺ_____ԪˮѺ_____ԪѺ______Ԫд__________Ǫ__________ʰ_____ԪݺֹͬʱѺ˻ҷϢ
3ҷŵ÷ݽΪͨסʹáҷҵѺˮѣʵʷͬʱɣסʱˮ֣________ˮ________
4ȨջسⷿݣҷӦڽҷҪ⣬ǰһ֪ͨͬǩͬ
ʹ
1ڣҷӦʹķݼ丽ʩҷʹòɷݼʩģҷӦ辭⳥
2ڣҷӦʹüõע𡢷ҷʹòɵ.Ʋʧһҷ
ġݵתת
1ڼ䣬δͬ⣬ҷת⡢תⷿݡ
塢ҷΥԼĴ涨ڣҷΪ֮һģȨֹͬջظ÷ݣҷӦ֧ͬ20%ΥԼ֧'ΥԼֲʧģҷӦ⳥ֱﵽֲȫʧΪֹ
1δͬ⣬Խת⡢תʹõģ
2δͬ⣬Բı䶯ݽṹݣҾ֪ͨڹ涨δģ
3Ըı䱾ͬ涨;ø÷ݽΥģ
4Ƿۼһϵġ
ЭһʽݣסҸִһݣǩֺЧ
ǩ֣
ҷǩ֣
ϵʽ
ϵʽ________________
ⷿͬ 3
ⷽ
ҷⷽ
йع涨Ϊȷס˫Ȩ˫ЭһǩЭ飺
һ____ţשṹ____ҷΪ____ʹá
____________________________ֹ____ Ԫ/£Ϊ ____д____ ʽ____ ڼ˽Ƿ⣬ȡˮ硢ʩѺ ____ԪЭҷ⣬зú˻ҷ
й
1ЭʱҷȻݣͬ£ҷȨЭǩҷ⣬ڻҷƷҷڻδ巿ߣڣں3ڣӰⷿݣȨҷʣƷˡ
2ҷʹ÷вĵطշѣѡѵȣҷеκΣˮѡõҷʹʱɣɺҷˮȡˮ____ Ԫ/֣ˮ ____Ԫ/֣ ____Ԫ/ȣ͵硢͵ˮԵˮ͵ˮ͵ϴշѵ10ϳ͡ɺҷߵÿ̨____Ԫ/£ǼۣȨҷˮ硢ӷѡ
3ûسд죬ɿȻصɱЭ鲻ʱ˫ΥԼеΣʧеҷߣ˻ҷɵδ`Ѻ
4ҷֻи÷ݵʹȨȨתáת⣬ܽ÷ڵѺ
5ҷⷿڼע
ٰȫõˮ
÷
۱֤ˡСͬס˵İȫ
ܹƷƱܡ
κ¹ʼȫ¹ʣ͵ԱȵȣһзΡΡ¹ʰȫҷгееκΡʧҷռ⳥
ǩ֣ ҷǩ֣
֤ţ ֤ţ
ϵ绰 ϵ绰
ǩڣ______________
ⷿͬ 4
(ⷽ):____________________֤룺___________________________________
ҷ(ⷽ):____________________֤룺___________________________________
ΪʹõȱԸ⽫Ȩ(Ȩ)Լķݳҷ˫_____()йطĹ涨Э̣ضͬԱͬء
һַⷿ_____________________________________С__________¥__________
ڶ______________________ȼ__________________________________________________________________
Ϊ______________________£____________________________________________________________ֹ
Ӧպͬ涨ʱͱķݼʱҷʹþס
ҷÿ___________(¡)___________ԪӦվݡڵ___________ڽ壬ص___________
ⷽⷽı
1.ڼ䣬罫ȨתƸҷͬ⣬Ӧ֪ͨҷȨתƸõΪͬĵȻԭȨеԭ
2.ڼ䣬ҷתøʹãüͬ⡣ȡʹȨĵΪͬĵȻҷԭҷȨеԭҷ
1.δͬ涨ʱҷṩݣӦӳڼҷӦ___________%㣬ҷΥԼ
2.ڼ䣬ⷿݵ'άɼشȻ㵹Σնֲʱҷɣɷվݵ
3.ⷿݵķ˰ʹ÷ɼ
4.ڼ䣬ȷջطǰ___________֪ͨҷͬӦҷΥԼΥԼʣӦܶ___________%㡣
ҷ
1.ҷԼ𣬼ɾգҷӽ;ҷǷӦйڸĹ涨ΥԼҷǷ___________ϣԴҷԼ(ҷԼ)п۳𣬲ջس֮ݡ
2.ڼ䣬ݹѡˮҷ
3.ڼ䣬ҷȷҪ˷ǰ___________֪ͨͬӦΥԼΥԼʣӦܶ___________%㡣
4.ڼ䣬ҷԸı䷿ݵĽṹ;ҷʧ÷ݺ豸ĻӦָԭ״⳥ʧҷװǽüͬ⣬ɹʩҷ÷װǽĸڡǨʱһۼ۸вӦָԭ״
5.ͬҷ밴ʱȫǨ___________ڷΪҷȨɼ
6.ͬҷڲǨҷӦ⳥ܵʧҪʱԺߺִС
ڰͬҷȨ
ھɿȻֺ»𣬱ͬȻֹеΡ
ʮͬδˣ뾭˫Э涨涨뱾ͬͬЧ
ִͬ緢ףӦͨ˫Э̽Э̲ɣ뵱طܲŵԺþ
ͬһʽ___________ݣס˫ִ___________;ͬһʽ___________ݣ___________()ֵܾ֡´ȵλһݡ
(ǩ)____________________________ҷ(ǩ)_______________________________
ϵ绰______________________________ϵ绰_________________________________
________________________________________________________________________
ⷿͬ 5
ⷽ
ⷽ
йع涨ΪȷⷽⷽȨϵ˫Эһ£ǩͬ
һ 䡢豸ʩ
ڶ
ڹ______£ⷽ_________ⷿݽⷽʹã_________ջء
֮һģ˿ֹͬջطݣ
Խת⡢תûתģ
óⷿݽзǷģ
Ƿۼƴ___µġ
ֹⷿͬʱ˵ȷʵҵݣӦӳޡⷽڲǨⷽȨԺߺִУⷽʧɳⷽ⳥ͬⷽԼⷿݵģⷽȨ
.ıͽޣ___Ĺ涨ִУûͳһ涨ģɳⷽͳⷽЭȷ̧ߣ
ڼ䷿
ɷdz˵˶Էݼ豸Ӧÿ___£꣩顢һΣԱϳ˾סȫʹáάʱӦЭʩȷʵɣͬЭ̺ޣʱ˸ɷüԳɳ˷ڳ
ⷽⷽı
ⷽȨתƸʱͬµķЧ
˳ݣڣǰ֪ͨˡͬ£ȹȨ
Ҫ˻סʱӦóͬ⣻Ӧֳ֧˵ĺҪ
ΥԼ
ⷽδǰͬĹ涨˽ϺҪķݵģ⳥___Ԫ
ⷽδʱⷿݹʹõģΥԼ___Ԫ
ⷽδʱδҪɳⷿݵģΥԼ___ԪɳⷽԱܵ˺ܻٵģ⳥ʧ
ⷽڽģӦʱ⣬Ӧ֧ΥԼ___Ԫ
ⷽΥͬԽⷿתʹõģӦ֧ΥԼ___ԪɳⷿݻٻģӦ⳥
ɿԭ»ɳⷽʧģ˫еΡ
ڰ Ľʽ
ͬ緢飬˫ӦЭ̽Э̲ʱκһ̾־úͬٲίԱٲãҲԺߡ
ھ ͬԼ
ʮ ͬδˣһɰлͬйع涨ͬ˫ͬЭ̣涨涨뱾ͬͬЧ
ͬһʽݣִⷽⷽݣͬ___ݣ___λ
ⷽ£
ַ
֤
ⷽ£
֤
ַ
ˣǩ
ίдˣǩ
У
ʺţ
绰
ң
룺
˴ˣǩ
ίдˣǩ
У
ʺţ
绰
ң
룺
ǩԼص㣺
ǩԼʱ䣺______________
Ч ______________
ⷿͬ 6
ⷽ__________________
ⷽҷ__________________
ݡлͬ______зĹ涨ס˫ƽȡԸƽͳʵõĻϣЭһ£ҷķزˣͬ
1ڱͬͬҷת⣬ҷڣüͬ⣬ɽ÷ݲֻȫתˡͬһסݣ÷ָת⡣
2ҷת÷ݣӦ涨ⷽתͬ涨÷طزĻũϵͳǼDZ
3ڣҷ÷תø˳˳ķݽнüͬ⡣תû÷ݳȨ˻Ӧǩͬбͬ
4ڣ۸÷ݣӦǰ֪ͨҷҷͬȹȨ
5ͬ
ס˫ͬڣ֮һģֹͬ˫еΣ
һ÷ռ÷ΧڵʹȨǰջصġ
÷ṫ汻õģ
÷нҪ뷿ݲǨɷΧģ
ģ÷ݻʧ߱ΪΣշݵģ
壩Ѹ֪ҷ÷ݳǰ趨Ѻֱֵġ
6ס˫ͬ⣬֮һģһ֪ͨ
һͬΥͬһӦһ________֧ΥԼ𣻸˫ʧģ֧ΥԼָһʧģӦ⳥ɵʧΥԼIJ֣
һδʱ÷ݣҷ߸____δģ
ĸ÷ݲϱͬԼʹʵĿĵģķݴȱݡΣҷȫġ
ҷδüͬı䷿;ʹģ
ģҷԭɷṹģ
壩ҷת÷ݡתø÷ݳȨ˽Գķݵģ
ҷڲ֧ۼƳµģ
7ΥԼ
һ÷ݽʱȱݵģӦԽ֮______ڽڲģͬй
δڸúͬи֪ҷ÷ݳǰѵѺȨתܵƣҷʧģӦ⳥
ڼ䣬ʱбͬԼ.άޡΣʹҷƲʧ˺ģӦе⳥Ρ
ģڼ䣬DZͬ涨Խⷿͬǰջظ÷ݵģӦǰջ________ҷ֧ΥԼ֧ΥԼָҷʧģӦ⳥
壩ҷδüͬ߳ͬķΧҪװݻ踽ʩģҪҷ_________ָԭ״/⳥ʧ
ڼ䣬DZͬ涨ҷ;ģҷӦǰ________֧ΥԼΥԼָʧģҷӦ⳥ɴޱ֤еֿֿ֤ۡ۵ģ㲿ҷ֧
8
һڼ䣬Ѻ÷ݣӦ֪ҷҷŵ÷ݵѺЭۼۡʽָ÷ǰ________ѯҷ÷ݵ
ͬ˫ǩ/ǩֺ________ЧЧ15ڣɼ𰴹涨ڵطزĻũϵͳǼDZȡǼDZ֤ͬǼDZֹͬģ________/ҷڱֹ֮ͬ______ڣԭǼǻֹǼDZδǼDZֹǼDZģķɾףɼеһΡ
ͬδˣס˫Эһ£ɶͬΪͬɷָһ֣ͬ䲹ڿոдǦӡ־ͬ
ģס˫ǩ𱾺ͬʱԸԵȨףԸͬ涨ϸִСһΥͬһȨⷿͬ涨⡣
壩ס˫бͬз飬ӦͨЭ̽Э̽ɵģ˫ͬѡе________ַʽ
ύ________ٲίԱٲã
ߣԺߡ
9ͬͬһʽ______ݡУס˫һݣ______/______/أزһݣԼ______һݣͬЧ
________________֤ţ________________
ҷ________________֤ţ________________
ⷿͬ 7
ⷽ¼Ƽ_________________________
ⷽ¼ҷ_________________________
ס˫зݵЭ飺
һ ݻ
ݣ¼Ƹ÷ݣ____________________________ƽףҷ_____ʹá
ڶ ;
÷;Ϊס
˫Լ⣬ҷı䷿;
__________________________________________________ֹڹ_____¡
ͬԼⷿݵģҷӵȳȨ ֹͬʱҷȷʵҵݣЭӳޣҷ֧صá
÷Ϊң____________Ԫ
ڼ䣬йߵ߹涨֮⣬ⷽκ
ʽ
ҷ֧
ҷںͬǩ֮գⷿѺ________Ԫͬʱ____________ǰ7ڽһȼ3ԺԴơѺںͬⷽκǷѰʱ˻
˫κ
һ ⷽ
1 ͬ涨ʱ䡢ݽⷽʹá
2 ڱ֤÷ʹãάޣ֤á
ⷽ
1 ڶԷݼ丽ʩά緢һ¹ʼطþɳⷽе
2 ͬ涨ʱɷ⼰ˮ硢ůҵȷá
3 ⷿݱ밮δⷽͬⲻװޡĽת⡢ô÷ʲɵΥ
4 ⷽýת⣬תûתġ⡢Ӫɻ˵ġ
5 ˲óⷿݽзǷṲ档
6 ںͬǰ֪ͨⷽǷ⣬ص.ǩ
ΥԼ
1 ˫ںͬκһֹͬʱӦԷһµķΪΥԼ
2 ͬⷽ÷ʱ˫Էݵķüʩղӡⷽδʱͬһδ룬ⷽӳⷽһƷΪȨκδ
3 ⷽǷⳬ7ռӳⷽԶֹͬⷽȨջطݲһڰ룬ⷽڲᣬⷽӳⷽһƷΪȨκδ
4 ⷽδⷽͬ˽ڳⷽڽװޡĽ÷ʲɵΥʱⷽȨջطݡⷽڽӵ֪ͨ7ڱ룬ڲᣬⷽӳⷽһƷΪȨκδ
5 ⷽת⣬תûתġ⡢Ӫɻ˵Ļ߽зǷṲӰϢⷽȨջطݲ7ڰ룬ⷽڲᣬⷽӳⷽһƷΪȨκδ
ڰ ݽ嵥
һⷽΪṩƷ£
______________________________________________________________
ǰˮȱ״
ˮΪ_________ȣΪ_________ȣúΪ_________ȡ
ھ ͬз飬ɼס˫Э̽Э̲ʱס˫Ժߡ
ʮ ͬԼס˫ǩ֮Чһʽݣס˫ִһݣͬЧ
_____________________ҷ_____________________
绰_____________________绰_____________________
__________________________________________________
ⷿͬ 8
ⷽ____________________________¼Ƽ
ⷽ____________________________¼ҷ
˫ѺЭ̣ҷΪ________________________________üݣʹⷿ˴Э飺
һͬҷӪ÷___________________ƽףڸù˾Ӫ֮ã÷_________________
÷˫̶Ϊÿ__________Ԫ÷Ϊ__________Ԫ
____________ÿӳһ찴__________Ʒ_________δɣȨջظ÷ݣʵʳٸƷҷȡ
ġҷͬԤ________________ԪΪ֤𣬺ֹͬʱ֡
塢Ϊ______________________________________________________________________________աڴڼ䣬κһҪֹͬǰ֪ͨԷԷ ΥԼתø÷ݣҷȹȨ
ø÷ijطѡãҷе
ߡڳڼ䣬δͬ⣬ҷȨתת÷ݣøı䷿ݽṹ;ҷΪԭɸ÷ݼʩ.ҷе⳥Ρ
ˡ֤÷ȨףҷӪҪҪṩݲȨ֤й֤ϵģӦЭ
šͱͬף˫Э̽Э̲ɣκһȨ________________Ժϣ˾
ʮͬδˣ˫ЭǩЭ飬֤뱾ͬͬȷЧ
ʮһͬ˫ͬϿɲ֤Ч
ǩ֣_______________________ҷǩ֣_______________________
ϵ绰_______________________ϵ绰_______________________
__________________________________________________________
ⷿͬ 9
һ ͬ
ˣ
ˣҷ
ݹҡʡйطɡ漰йع涨˫ƽȡԸԭЭһ¶ͬͬء
ڶ ͬ⽫____ ____·_______֣ ____ŵķززȨ֤_________ҷ ____;ʹãʹã____ ƽף̯ý____ ƽס
˫Эޡ£
ע20ģЧ
¡꣩㣬ҷÿ ¡꣩ĵ____ǰ ____ʽɸ
ҷɣ ң ____Ԫ֤𣨿ȡӦ֮ͬս֤ ˻ҷֳ
˫Ҫְ
1˫ӦСͨлͬ㶫ʡз涨йطɷĹ涨ҲԸı䷿ݹ滮;
2˫ӦЭйز÷ޡݰȫȫΰġƻۼðαƷIJ鴦
Ȩ
1պͬԼݼ豸ҷʹáδԼṩݵģÿһգ밴____ %ҷ֧ΥԼ
2Ӧ
3ڼתø÷ʱǰ ֪ͨҷѺ÷ǰ ____֪ͨҷ
4ҷԸı䷿ݽṹ;ʹܵʧ'ҷǷ6ϵģɽͬջطݣҪ⳥ʧ
ҷȨ
1ʱڽģÿһգҷ밴 ____%֧ΥԼ
2ҷӦΣ
3ڽӦԭⷿݽؼⷿݣӦǰ____Э̣˫ǩͬ
ڰ Լ
ھ κһδбͬΥйطɡ棬߸ںδеģɵʧηе
ʮ ڣɿʹͬʱ˫Ӧйطɹ涨ʱЭ̴
ʮһ ͬһʽݣ˫һݣһݸ֣ݹı
ʮ ͬ緢飬˫ӦЭ̽Э̲ʱԺߣ_________ٲίԱٲ
ʮ ͬ˫ǩ֮Ч
ǩ£ ҷǩ£
ˣ ˣ
ίдˣ ίдˣ
ַ ַ
ϵ绰 ϵ绰
____________________________
ⷿͬ 10
ⷽ()______________ⷽ(ҷ)______________
֤룺_______________֤룺________________
绰______________________绰______________________
ַ______________________ַ______________________
˫ݡлͬлȨطĹ涨ƽЭ̡ݻԭͷˣǩͬԱ㹲ͬء
һⷿλü
ⷿλ_______________·__________С_____¥_____ݽ_____ƽףȨ֤ţ_______________
ڶ;
1Ϊ_____꣬______________________________ֹͬǰ_____£ҷ⣬˫ǩͬͬҷȨ
2ҷھס
֧ʽ
1÷Ϊ_____Ԫ/(д__________)ˮ硢ҵȸơ
2֧ʽ֧ҷӦںͬǩһ֧𣬲֧Ѻ_____Ԫ(д__________)
1֤ͬ³ⷿûвȨףδõѺǰˮ硢ҵȸȫ;
2ӦṩʹõķݼʩڽʱȷŴˮȸʩȫ嵥1;
3ڼ䣬Էݼ丽ʩÿ¼顢һΣķݴɼе;
4ͬںҷģ÷ѺֿӦҷеķüҷӦеΥԼ⳥Σʣಿ֣Ӧҷ;
5_______________
ҷ
1ҷӦʱ֧ڼڷˮ硢ҵȸ;
2ڼ䣬ҷø÷ݽзǷṫ;δͬ⣬ҷԸı䷿;תⷿ;
3ڣҷӦƱܺͺʹ÷ݼ丽ʩʹòݼ丽ʩҷӦάе⳥;
4ҷģӦǰ_____֪ͨǰа뷿;
5_______________
ͬĽ
1˫Эһ£Խͬ
2֮һģֹͬ˫еΥԼΣԤյѺӦ˻
(1)÷нҪ뷿ݲǨΧ;
(2)𡢻ֵȲɿʹݻʧʧġ
3֮һģҷȨͬ
(1)δԼʱ佻÷ݴ_____ϵ;
(2)ķݲϺͬԼӰҷʹõġ
4ҷ֮һģȨͬջظ÷ݣ
(1)֧߲Լ֧_____ϵ`;
(2)Ըı÷;ΥͬԼת;
(3)Բı䶯ṹ;
(4)ø÷ݴΥġ
ΥԼ
1ԭºͬģӦ˻ʣѺ𣬲ҷ֧൱_____ΥԼ;
2ҷԭºͬģҷ֧Ѻ˻ʧģҷӦге⳥;
3ڽݵģÿһգӦҷ֧_____%ΥԼ𣬱ͬʼӦ˳;
4ҷ⣬δǰ뷿ݵģÿռһգӦ֧൱_____ķʹ÷;
5ΥԼΡ
ڰͬʽ
ڼ緢ף˫Э̽Э̲ɣκһڵԺߡ
ھ֪ͨʹ
1˫ͨͬϵʽ֮κһ֣ͱͬйԷ֪ͨȣΪЧʹ֪ԷʼʹַͬʱΪЧ˾ʹַ
2һ֪ͨͨѶַӦԱ֮_____ڣʽ֪ͨԷ;δ֪ͨеɴ˶Ρ
ʮ
1ͬһʽ_____ݣҷִ_____ݣ˫ǩ֮Ч
2ЭĸЭΪЭЧɲ֣Լ˫зԼ
______________________ҷ______________________
ڣ________________ڣ________________
ⷿͬ 11
(ⷽ)______
֤룺________________
סأ
ҷ(ⷽ)______
֤룺________________
סأ
˫Э̼λ______________________________ݳҷסʹá
һⷿ_______________________ֹ
Ϊ____ԪΪ____֧һΣ(д)_________Ԫ(____Ԫ)ԺӦǰ___֧
Լ
1ҷסʱӦʱءʹò֡硢ֺȷȻֺʧҷ
2ҷȨת⡢ת衢ת÷ݣڼҾҵ磬ԸĶݽṹʩΪԭʧӦάãռ⳥÷𣬷©ˮ̨ڷšİȫʧԸ
3ҷ밴ʱɷ⣬ΪҷΥԼЭֹ
4ҷӦؾסڸƶȣʱˮ硢ˡ绰ҵȷáҷ֤________Ԫҷ˷ʱˮ磬˺ҵȷüʩҾߡҵˮܵ©˻֤
5֤÷ȨסǨҷѽδ˻
6ע______
ġͬһʽݣ˫һݣ˫ǩ֮Ч
ˮ_____֣____磺___
ⷽǩ
______________
绰
ҷǩ(ⷽ)
绰
______________
ⷿͬ 12
ⷽ(³Ƽ)
ⷽ(³ҷ)
ҹͬйطɡ֮涨ס˫ƽȡԸЭһµĻϣйط˴Э飺
һΧ;
ͬ⽫λ___________________________________________(ַ̾Է֤бʾΪ)ü״̬ҷΪ______________ʹã̵ĽΪ_______O
ڶޣ
Ϊ_____꣬____________________ֹ
ÿΪ_____________Ԫ(д________);һһԸ壬ҷǩ֮ͬһԸһ귿⣬Ժÿڵ_____________ǰһԸ塣յӦҷշƾ֤
ʩóе
1ڼ.һз(˰)ҷ
2ҷܲʹãʹ÷ݼ丽Ʒ豸ʩϵ'.ҷӦάе⳥Ρ
κ
1֤̲Ȩоףɼ
2ǩ֮ͬʱݽҷʹá
ҷκ
1ҷӦͬĹ涨ʱ֧ãҺϷʹ÷ݣôΥҼͻ
2δйزͬ⣬ҷýݵ`ṹκθĶҷԸ÷ݵװӦԲ÷ṹʩΪԭ
3ڣɱֵ¹ʧҷΪ¹ʣݵģҷ
4ҷδΥԼǰ£Ȩ÷ݡҪ⣬ڱͬǰ룬˫ˡ
ⷽ(ǩ)______
ⷽ(ǩ)______
ڣ__________
ⷿͬ 13
ⷽ_____________________
ⷽҷ_____________________
һ˫̶_________________________________________ʹΪ_______ƽķҷʹã___________________________________________________________¡
ÿΪ_______Ԫҷһθ_______ϼ_______Ԫڶθǰһ֪ͨڲҷӦȨջػͨϽ
ڼ֤ⷿκεѺծףøԤҷסӪˮ硢úҵѡ绰ΰáߵҷ֧
ġҷӦԾʩδͬ⣬ת⡢ת衢תı䷿ݽṹƷˮּ֡ΪΥΪɸʧҷеջסȨޡ
塢;ֹͬҪ˫⳥ҷµ`ҷ;𡣹ռػǨҷӦ˻µ``˫ΥԼ
ҷڳû˵ǩԼռţϵжϣջش˷һкҷϿԸ
ߡЭһʽ_______ݣס˫ִ_______ݣ˫֤ӡ
ˡЭδ˵˫Э̡
10ͬһʽ______ݣס˫ִ______ݣ˫ǩ֮Ч
ⷽ_______________________
ⷽ_______________________
__________________________
__________________________
ⷿͬ 14
ⷽ_________
֤ţ_______________
ⷽҷ_________
֤ţ_______________
ݼס˫ԸƽȡĻϣЭһ£Ϊȷ˫֮ȨϵͼϷӵеķݳҷʹãҷˣͬ
һݻ
λ_______________________________________ڵһ䵥䡣________________
Լ
1÷ڹ______ꡣ______________________________________ֹ
2ÿ___________Ԫ¸ÿǰ________츶Ѻ___________Ԫ_______________Ԫ.д__________Ǫ__________ʰ_____ԪֹѺ˻ҷϢ
3ҷŵ÷ݽΪͨסʹá
4ȨջسⷿݣҷӦڽҷҪ⣬ǰ______֪ͨͬǩͬ
ʹ
1ڣӦ֤ⷿݵʹðȫҷӦʹķݼ丽ʩҷʹòɷݼʩģҷӦ辭⳥
2÷ݼʩάγ˫ڱͬԼ⣬ɼ𡣼άǰ______֪ͨҷҷӦЭϡ
3ҷʹҪڲӰ췿ݽṹǰ£ԶԷݽװװΣƹģΧաϵȷӦüͬʩڷݵװСҷװװβּɵ
ġݵ.תת
1ڼ䣬δͬ⣬ҷת⡢תⷿݡ
2ͬҷתⷿݵģӦЭ飬ҷӦЭתⷿݡ
塢ҷΥԼĴ涨
ڣҷΪ֮һģȨֹͬջظ÷ݣҷӦ֧ͬ______%ΥԼ֧ΥԼֲʧ.ҷӦ⳥ֱﵽֲȫʧΪֹ
1δͬ⣬Խת⡢תʹõġ
2δͬ⣬Բı䶯ݽṹݣҾ֪ͨڹ涨δġ
3Ըı䱾ͬ涨;ø÷ݽΥġ
4Ƿۼ______ϵġ
Эһʽ______ݣסҸִ______ݣǩֺЧ˵ˮɼ˫ⷽƽ䡣סʱˮ֣________ˮ________
ǩ֣_____________
ҷǩ֣_____________
ϵ绰_________________
ϵ绰__________________
______________________
______________________
ⷿͬ 15
ⷽ¼Ƽ__________________
֤룺______________________________
ⷽ¼ҷ__________________
֤룺______________________________
ס˫ͨѺЭ̣ͷ˴Э£
һص㼰ʩ
1ַ______________________________________________________סƽ_______________ƽף
2ڸʩ
a________________________________________________
bҾߣ________________________________________________
Լ
1ޣͬҷ_________ꣻ__________________________________________________գ
2ÿ________________Ԫң
3ʽ________֧Ѻ________________ԪֹⷿѺ˻ҷϢһθ________________Ԫң
4ڵˮ硢ú绰ߵӡΰҷ֧ҵɵȷɼ֧
5ڣҷ֮һļֹͬջطʹȨҷ赣ȫΣ⳥ʧ
ҷԽת⡢תûתģ
ҷóⷿݽзǷģ
ҷǷ________죻
²зõġ
˫μ
1ҷ밴ʱˮ硢ú绰ȷãؽϷʵලϷã
2κ£ҷܽѺתΪ
3ڣȷҷ.סýҷõķתκεߣڷӼۣ
4ҷʹãӦǰ_______ɸʵͬ¸ȣ
5ڣס˫һЭģǰ________֪ͨԷЭ̺Э飻
6ҷסҵӦΧ÷жȰȫ緢¹ҷӦȫΣ
7ҷԸıڽṹϧʹʩΪĽӦ⳥緢ȻӦʱ֪ͨϼʱ
ġδˣɼ˫Э̽Э̲ɰйзύйٲûؽٲá
Эһʽݣס˫ִҼݣǩֺЧ
塢˵
ˮ____________֣磺____________ȡ
ͬһʽ____ݣס˫ִ____ݣÿݾͬȷЧ
ǩ£_________________
ҷǩ£_________________
绰룺_____________________
绰룺_____________________
_________________________
_________________________
ⷿͬ 16
ˣ³Ƽ_______
ϵ绰____________
֤룺_______________
ˣ³ҷ_______
ϵ绰____________
֤룺_______________
ҷΪϷӪҪüˣ˫Э̣Э
һݼ;
Ը____________________ԼΪ________ƽķҷ____________ʹáҷԸݣ֤ԼΧʹ÷ݣýΥӪΧ»
ҷΪ_________________________
Ϊ________Ԫд___________ԪǩЭʱһԽ
ġȨ
1ȨԼȡüҳе..á
2ӦԼʱݽҷʹá
塢ҷ.Ȩ
1ҷӦԼ;ʹõķݲʱӦеķá
2ҷԷݽκװӰݽṹȫ.Ӧüͬ⣬ݽṹ
3ҷóⷿݽΥ澭ӪΥ档
Լ
1ЭǰֹģҷδԼڼʱƽ`Ȩֱӽⷿݲҷȣɴһкҷе
2ҷڼ䣬һзҷеҷǰԼ˻
3ҷڼ䷢һΪ¹ʣҷге
ߡЭ龭˫ǩֺЧЭһʽݣ˫һݡ
ˡԼ
ȡů˫Э̣ߵӷҷе
ǩ֣_____________ҷǩ֣_____________
________________________
ⷿͬ 17
(³Ƽ)
֤ţ
ϵ绰
(³ҷ)
֤ţ
ϵ绰
ҷΪϷס֮Ҫüˣ˫Э̣һЭ
һP;
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ڼ
ҷݵΪ _____ _______________ _____ _____ֹ
˫ЭͬЭǰֹģڼ䲻ǰơ
ü
ҷüݵΪ___Ԫ/£ȡȸʹõԭ(ÿȰ¼)ҷǩЭͬʱһ___Ԫʹãһȵʣ___Ԫ1230ǰһԽɸ;Ժڵǰڽһȵͬʱҷ֧___ǪԪΪݼҵѺ𣬴˱ʿݼҵΪɼȫϢ˻ҷ
ҷˮ硢úܡҷгеʱɣͣˮͣģҷеȫΡ
ġȨ
1ȨԼȡüҷӦеķ;
2ӦԼʱݽҷʹ;
塢ҷȨ
1ҷӦԼ;ʹõ.ݲʱӦеķá
2ҷԷݽκװӰݽṹȫģӦüͬ⣬ƻݽṹ
3ҷóⷿݽΥ澭ӪΥ档
4ҷӦְ𣬺ʹüķݡʩйزƲ
5ҷԼлκΪ
6ҷתáѺƲԼƲΪṩ
ЭĽֹΥԼ
ЭԼʱЭֹ˫Эͬڵ`úЭԶڡ
ЭйУ˫һͬǰֹЭģЭǰ
ϱЭԼģЭֹС
ҷΥЭģȨЭǰֹЭУ ҷɵķѺ˻
ߡԼ
1Эڼ䣬ⷿҷճάҷʹøݼڼҵ֮⣬ڷΪɵݼڼҵӦʱάԱ֤ʹãطɼе
2ЭǰֹģҷδԼڼʱƽģȨֱӽⷿݲҷȣɴһкҷе
3ЭǨơƲǼԭЭģӦǰһ֪ͨҷֹЭУ˫еΥԼΣ˫ʵҷӦеķá
4Ʋƽ嵥ΪЭɲ;ҷй֤ļӰӡΪЭĸ
5
ˡЭвģ˫Э̽;Э̲ɵģɷڵԺϽ
šЭ龭˫ǩֻºЧ
ʮЭһʽݣ˫ִһݡ
________________
ⷿͬ 18
ⷽ_______
ϵʽ_______
ⷽҷ_______
ϵʽ_______
һͬĿ
ס˫Ըҷеķһ£ɱͬ
ڶͬļ;
λ______·___ŵķݳҷӼʹã;
ͬ
__________________________________________ա
ⷿ㷽ʽ֧ʽ
1Ϊÿ_______Ԫ_____Ԫ
2ͬڡһԣⷿΪڽģ㡣ڽⷿģҷӦһڼסǰһڽ
3ⷿԽ
4ҷӦ֧Ѻ_______ԪѺͬʱݡʩȫ˻ء
Ȩγе
1ҷӦʱ֧ⷿҷӽ_______죬Ȩͬҿ۳ҷ_______%ⷿѺΪΥԼ
2ÿȨҷԼʱͬһηݼ飬ҷԭͬΪҷΥԼڼУҷΥͬ`ýʵͬ
3ҷȨڽʹ÷ݡԼļҾߡںͬйзǾҷͬ˽ԴЩҾߡʩְȫɻûͬҷЭ̲
4ҷȨڼͬļҾߣҷԼеȨҷҷӦЭ̴
5ڼ.ˮѡѡȼѡ绰ѡҵԼҷסķҷʱҷϸáȨⷿѺԿ۳ұԷóֵȨ
6ڼ䣬ҷøı䷿;Ҳڲת⣩ݴΥΪΪҲöԽ˺š
7ҷԼʩ岻øı䣬ڼҾߡҵ粻ΥҷӦеΡ
8ҷȷõ磬ˮʱע𣬷¹ʣ֤Լ˵ͲƲȫСĹ涨
9ҷҪģӦǰ1յҷҪͬ£ҷ.Ȩ
10ҷΥͬģȨʱͬͬӴʱԼ֪ͨҷ.ʱΪ֪ͨʽڵ绰šŵȣҼȨҷɵ⳥⳥ΧΪ֧ϷѡʦѼã
ͬս
1ͬ
2˫Э̾
3ҷΥͬԼʱͬ
4Լԭͬǰ֪ͨҷ˻ҷⷿѺͬʱҷ֧_____ԪΥԼ
1δ˫ɲͬĺͬ뱾ͬͬȷЧ
2ͬҾߡʩ嵥1һݣñ嵥Ϊ
3ͬǩ֮úˮ
4ͬһʽݣס˫ִҼݣ˫ǩֻӡ֮Ч
_______
ҷ_______
_____________________
ⷿͬ 19
()
ҷ()
ͬйع涨Ϊȷס˫ȨϵƶͬԹء
һͬ⽫е`_____ķ75ƽ׳ҷΪס
ͬǩʱҷӦһԸѺ__Ϣԭɿܵ`ȻֺԵʶֹͬͬʱһϢ˻
ҷʹúҷڿʼ֮Ӧ𰴺ͬɡˮѵȾҷге
ġ____________գ֮ͬΪ______տʼÿΪ__
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ҷڽʹñʱҲʱҷ⣬ǰҼЭ̣ͬ£ҷȳȨʱҷӦʱ˳ҾߡƷȣδʱ˳ɼҷ顣
ߡڼ䡢ȫҷȫԸ¥¥棬ӰϢڱⷿڽдΥΥͻΣṫ֮¡
ˡҷԽݵȫֳ衢ת⡢ûʹá
šΥԼΣ
ҷδǰҼ֪ͨԲģȨûѺȫˣδǰҼ֪ͨҷԲҷģ˻ҷȫѺ֮⣬ҷҼ
ҷԼǷǷʱ__ϣͬջطݣȨҷǷ
ڼ䣬һȷԭҪͬʱǰҼ֪ͨԷͬһӦ֧ҼµΪΥԼ
ʮͬһʽݣס˫ִһݡǩ֮Ч
ʮһ____________________________
(ǩ)
ǩڣ
ҷ(ǩ)
֤ţ
סַ
ʱ䣺
ⷿͬ 20
ⷽ______________֤룺____________________________
ҷⷽ______________֤룺____________________________
ȨԼķݳҷ칫֮ãס˫йطĹ涨˫ѺЭ̣ضͬͬأ
һд¥ַ
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ڶ
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1Ϊ__________Ԫ/m2ÿΪ_______________Ԫд____________________Ԫҷÿ½һǰ_____ɡÿ_____%
2װΪ2£ݼΪ_______________________ա
ҵѡˮѡůѡάѼõĽɰ취
1ҵ±Ϊ______Ԫ/m2ҷÿҵŽɷã
2ˮѣ̯ҷÿҵŽɷã
3绰ѣҷ벢ɷã
4άѣڼ䣬ҷԭµ뷿йص`ʩ٣ɼάޣ֤ҷʹãɼе
˫Ȩ
1֤ṩķݼ֤ʵϷԱ֤ⷿʵϷ֤ʹá
2ṩҷӪҵִյ֤ЭҷӪҵִա
3סκһҪǰֹͬԷǰһֹ֪ͨͬ
4ҷԼãǷȨջطݡ
5ҷڼ䣬ԸıݵĽṹ;ȷҪ辭ͬɽСҷݼ豸ĻӦָԭ״
6ͬҷ밴ʱڵ'ȫ豸ʩõ.ࡢ״£Ȼ۾ɳ⣩
7ҷ֤Ϊ칫ʹãлͱĸߣΥӪ
ͬ⣬ڼͬһ£ҷȨָ䶯ʵҷͬ⡣
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ڰͬвˣ뾭˫Э̲涨涨ͬͬЧ
ִͬ緢ףӦͨ˫ѺЭ̽Э̲ɣ뵱ع̹ŻԺþ
ͬ˫ǩºЧʧЧͬһʽݣס˫ִһݡ
ǩ£______________ҷǩ£______________
ϵ绰___________________ϵ绰___________________
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ⷿͬ 21
ⷽ____________ϵ绰____________
ⷽͣҷ____________ϵ绰____________
мһףַ____________Ըҷʹá
˫ѺЭ̣Э飺
һݶҼꡣ____________________________________________________ֹȸס
ڷҼ12ң________ҷҼһθǷҷת⣬תǰ֪ͨͬⷽת⡣粻ͬ⣬ҷȨת⡣ҷǷʮ첻Ȩֹͬջ`.ݣҷԸ
ҷڵѡˮѡůѡӷѵҪķõȡ谴ʱɣ絽ʱǷãѺп۳Ȩֹͬջسⷿݡ
ġҷṩ֤ӡ
塢ס˫粻⣬ӦǰҼ֪ͨԷͬ£ҷȨ
ҷķݽṹװ꣬辭ͬⷽɡ
ߡڵ`ȫҷ緢ּȫ¹ɵ`ʧӦҷ𣬲⳥
ˡⷿѺΪҷǪԪҷڲ⣬ȫϣ轫Ѻ˻ҷ
ţҷǰҪ֪ͨգԭݣʩˮ磬úůҵȷýӣѺ˻
ʮⷿڼɿأ磺滮Ǩȣҷعʱͼϵ˫Э̣Ȩ㲢˻ҷ𡢽Э顣
ʮһδˣ˫Э̽Эһʽݣס˫ִһݣǩ֮Чס˫ͬأΥԼ
ʮⷿ緢飬ס˫ӦЭ̽
ʮѺѺվΪ
1ˮ________֣
2________ȣ
________֤룺________
ҷ________֤룺________
Эڣ__________________________
ⷿͬ 22
ⷽ¼Ƽ
֤룺
ⷽ¼ҷ
֤룺
ݡлͬйطɡ涨ƽȡԸЭһµĻϣס˫гЭ飺
һ֣ݸſ
1ػó________¥________ƽס÷ӵкϷӪȨҷѶԸ÷˳ֵ˽⣬Ը⡣
2;óؽҷ¹ҵƷĿۡҷڸóչϻҪľӪĿ³;ΥȼΧĻ˫Լij⣩
ڶ֣
3________________________˷ݽҷʹã________________________ջأڹ________¡
4ҷ֮һģֹͬջطݡ
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óⷿݽΥģ
Ƿ1»չ1µ`
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ڳⷿڴ²ϻҪ;Ӫ
ڳⷿڴΥȼ涨ij;;Ӫ
֣ޡ˰Ѻ˰ѽɷʽ
5֤
ҷԺͬǩ֮һԽɷݱ֤𣬺ϼ________Ԫ
ںֹͬͬʱ칫ʩȷҷύ˷ǼDZʮպһڽݱ֤˻ҷ
6
1________Ԫ/ÿƽף
ټ˫Լ𰴼֧ҷԺͬǩ֮߸һԽ________________________________________________յ`𣬺ϼ________Ԫüǰ߸ս¼ȷһָ֧˻տҷʽվݡڷ˰ѣ˫ѺЭ̣ɷ˰Žɡ
¸˫Լ֧ҷԺͬǩ֮һԽ________________________________________________յ𣬺ϼ________Ԫǰս·һָ֧˻տҷʽվݡڷ˰ѣ˫ѺЭ̣ɷ˰Žɡ
7֧ʽֽ/֧Ʊ/תˣܳжһƱ
8Ϣ
У________
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IJ֣װʱԷݽṹԼ
9װԼ
ҷװӦطϷҪ䱸Ӧ豸ͬʱ밴ȫͨ
װʱҷԭṹ̶ʩͳһ滮ı䷿ݵڲṹװԷݽṹӰ豸װ豸ѡüͬ⣬ҷܿʼʩͶʷҷ
10ʱҷòڽṹϵװƻ¥Ľṹ
岿֣ڼط
11ˮѣ________Ԫ/
ڵѣ________Ԫ/
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ܹҵ________Ԫ/
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ѣԼ
12Ϸãɸʵеۡ
ǩ֣_________ҷǩ֣_________
__________________________________
ⷿͬ 23
ⷽ¼Ƽ_______________________
ˣ¼ҷ___________________
˫ͷЭ飺
һλ____________________________________________
÷ݵΪ_______Ԫ
ҷڣҷסˮ硢ůú绰ҵȷҷеʱҷӦ֧Ƿ
ġҷͬԤΪ֤Ϊֹͬʱ.ֳ䡣
塢÷Ϊ__________________ڴڼ䣬κһͬǰ֪ͨԷ֧ԷΥԼתø÷ҷȹȨ
ⷿݶijطѡ.ҷе
ߡڣδͬ⣬ҷȨת裻ݵ`ṹ;øı䡣ҷΪԭɷݼʩ`ҷӦе⳥Ρ
ˡ֤ȨףҷҵҪҪṩȨ֤֤ϵ`ӦЭ
šͬκӦ˫Э̽Э̲ɵģκһȨ___ԺϣѰ˾
ʮͬһʽ___ݣ˫ִ___
_________________绰_________________
֤_______________________________
ҷ_________________绰_________________
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ڣ_______
ⷿͬ 24
ⷽ__________
ⷽҷ__________
ݡл䡷йطɡĹ涨˫ƽȡԸĻϣͷй˴Э£
һݻ
÷____________________С________________Ԫ________÷ݽ________ƽףʹ________ƽס
ڶ;
÷;Ϊ칫סޡҷ֤δüͬԼ涨йزǰԸı÷ݵ`;
1________________________________գ________
2Ȩջظ÷ݡҷ`Ӧǰ____ͷҪͬ˫ǩͬ
Ϊ________Ԫ£긶________Ԫ
ݼʩ`ά
1ڣӦϸ÷ݼ丽ʩúͰȫ״̬ҷָ÷ݼ丽ʩʱӦʱ֪ͨ
Ӧڽӵҷ֪ͨ____ڽάޡڲάģҷɴΪάޣɼеάӰҷʹõģӦӦӳޡ
2ҷװޡƺеά
3ҷӦʹò÷ݼ丽ʩҷܲʹãʹ÷ݼ丽ʩϵģҷӦάе⳥Ρҷܲάܲе⳥εģɴΪάҷе
4ڸ÷ݼ丽ʩȻԻʹöµģҷеΡ
ͬ˫ǩָºЧͬһʽݣмִ1ݣҷִ1ݣرһݡ
ͬЧ˫ԺͬݵıӦȡʽΪͬĸ뱾ͬͬȵķЧ
ⷽǩ£__________ⷽҷǩ£__________
________________
ⷿͬ 25
ⷽ (¼Ƽ)
ⷽ (¼ҷ)
Ϊ˼ǿԾɵྭӪйطɡ棬20_329о20_410վɵҷ룬ͬ ҷʹáΪȷ˫ְͱڽĹ˫Э̣ͬǩºͬ
һơʱ䡢ʽ
1ƣ
2ʱ20_41220_411ֹ20_ꡣ
3Ϊÿ¼Ǫ۾ʰԪƽ(93.80Ԫ)
4Ҽʰ.ΪʰҼ½ǪԪ(16900Ԫ)
5ʽҷӦǩͬ(һԸ)δڹ涨.ʱڽ𣬼Ȩջطݣͬ
ְ
1ӦͬǩṩݣȨල
2ҽ滮ҪǰҼʱ֪ͨҷȨֹ֪ͬͨҷǨ벢سⷿݡ
ҷ'ְ
1طϷӪϽڳⷿھڶIJºͷΥΥ¼۹ҷɷֹIJƷ
2øı䷿ݽṹʩ
3ݣȷ࣬ڷŵӰۡͬʱˮʩͷʩҪϧͰӦʱ
4䷢άҷ
5Χǽܱߵ.ҷн⡣
6Ҫʱķ(Χǽ)İȫڼһаȫ¹ʾҷ
7ҷڳⷿΥƻΥһкҷге
ġ
1ڳڵĵѡˮѡ˰Ѽΰ۵ȷþҷе
2ͬҷ⣬ǰһ֪ͨͬʱҷȳȨ
3ͬǩ֮ЧзЧ˫빲ͬءδˣ˫Э̽
4ͬһʽݣס˫ִҼݡ
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1Ժڳҷ
2ںҷӦڰиƷպҷԶ
()_________ ҷ()_________
(ǩ)_________ (ǩ)_________
_________________ _________________
ⷿͬ 26
ⷽ______________
֤룺______________________________
ⷽҷ______________
֤룺______________________________
ס˫ͷˣЭ飺
һλ____ֵ__С_¥____ŵķݳҷסʹã____________գ_¡
Ϊ__Ԫ//㡣ÿ³/ÿ/ÿ_ڣҷ֧ȫ//
ҷڼ䣬ˮѡѡȡůѡȼѡ绰ѡҵԼҷסķҷʱҷ뽻Ƿѡ
ġҷͬԤ___ԪΪ֤𣬺ֹͬʱ֡
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ø÷.طѡãҷе
ⷽ£ⷽ£
_____________________
ⷿͬ 27
ⷽ()֤ţ
ⷽ(ҷ)֤ţ
ס˫Эͬ⣬Ը__¥__סһҷ
һ____________ֹΪ__ꡣ
˫Э̣ýһΪ__ԪԺг仯Ϊÿ____ǰڶ귿⡣ͬҷӦַݺʩýҷ⳥ãںͬǰ30죬ǩ
ڼ䣬ˮ硢ůҷйزš
ġڼ䣬ҷȨתˣ뾭ͬ⣬ԭ÷ʱӦǰ30ҷҷӦϣʱ
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ҷ.ݣڲƻݽṹʩӰ..£ҷԼװޣͬҷԲ뱣֤ݡݶǽڡࡢʩá
ߡͬδɼס˫Э̽뱾ͬͬЧ
ˡͬһʽݡסҸһݡ
绰
ҷ
绰
ǩԼڣ
ⷿͬ 28
ⷽ()___________֤룺______________________________
ⷽ(ҷ)___________֤룺______________________________
˫Э̣źϷԸԭͼҷ˴Э£
һ________________ֵ________С________¥________ŵķӳҷԼ________ƽףΪ______£ʱ__________________ʼ__________________ա
________Ԫ/£֧ʽѺ________________֧Ѻ________Ԫҷ˷ʱˮ硢ҵѡ̯ˮѵȷüʩҾߡҵˮܵ©˻Ѻ
ڣҷӦԾʩøı䷿ݽṹת⡢ɴɵ.`һкҷеȨջⷿ
ġڣҷиȫ֤𡢷ȫˮõ磬ڼ䣬ҷԱΥΥΪ鷢ҷ
塢ҷҪޣǰ1ͬޣǩͬͬ£ҷ.Ȩ
ҷӦؾסڸƶȣʱˮ硢ҵѡ̯ˮѵȷá
ߡЭһʽ________ݣ˫ִ________ݣͬȷЧ˫ǩ֮Ч
ˡע
(1)ˮΪ________
(2)Ϊ________
(3)úΪ________ȡ
ͬһʽ_____ݣס˫_____ݣ֤_____ݣͬȷЧ
_________________________
ҷ_________________________
_________________________
ⷿͬ 29
ⷽ()_______________(֤)_______________
ⷽ(ҷ)_______________(֤)_______________
ݹйع涨ס˫ԸƽȡĻϾͼϷӵеķݳҷʹõйˣºͬ
һⷿ
ҷķ_______Ϊ_______ƽסΪ_______ṹ
ں
1װޡ豸װ______£____________________ֹװڼѡ
2_______________________ֹ_______ꡣ
3ȨջسⷿݣҷӦڹ黹ҷ.Ӧǰ£Ҫͬǩͬͬ£ҷȨ
֧ʽ
1ס˫Լ÷Ϊ_______Ԫ
2֧ʽ
3ҷڣ䡣ҷޣЭ
ġ
1ڼ䣬ҷе侭Ӫصˮ硢ͨѶȷ;
2ҷӦеӪľӪ˰ѵȷá
塢ʹҪά
1ڼ䣬ҷָ÷ݼ丽ʩʱӦʱ֪ͨ;Ӧڽӵҷ֪ͨ5ڽάޡڲά.ҷɴΪάޣɼе
2ڼ䣬ҷӦʹò÷ݼ丽ʩҷʹòʹãʹ÷ݼ丽ʩϵģҷӦάޡҷܲάޣɴΪάޣҷе
3ҷװ踽ʩ豸ģӦü.ͬ⣬涨йزģӦɼйزɽС
ת黹
1ҷڼ䣬罫óת⣬üͬ⣬;תתã˻
2÷ݹ黹ʱӦʹ״̬
ߡԼ
1ڼ䣬ס˫Ӧعҵķɷ棬ø÷зǷ
2ڼ䣬ȨٲЭҷȫ
3ڼ䣬÷õȲɿܵԭɱͬУ˫еΡӦ˻ҷδڵãҷԷѰװʩ豸вʩǨƷѵģӦ֧ҷ
4ڼ䣬ǰֹͬΥԼ˻δ⣬Ӧ⳥ҷڼ䣬ҷǰΥԼӦ⳥
šͬδˣס˫ͬЭ̽
ʮͬһʽݣ˫ִݣͬǩֺЧ
ⷽ_______________ⷽ_______________
绰_______________绰_______________
ǩԼص㣺__________
ǩԼڣ______________
ⷿͬ 30
ⷽ_____________֤ţ_____________
н鷽_____________˾
ⷽ_____________֤ţ_____________
н鷽ܣⷽԸⷽṩ·;ΪȷΣǩͬ
һݼ
ݵַ_____¥ңݽṹ_______________ƽף_____䣬ʩ(ǩʩ嵥)ݲȨ_____֤_____ΰ֤_____
Լ
1ǰһⷽЭ̻ͨн鷽ͳһ
2ÿΪ_____Ԫ_____ʽⷽⷽн鷽֧_____Ԫг֧ⷽ_____Ԫ֧ⷽ_____Ԫ
3סԱ_____ˣ_____ˣŮ_____ˣ16¶ͯ_____ˣڼ䣬ⷽ˼;סһ֣ɳⷽн鷽֪Ų鴦
4ڼ䣬ˮѡѡ绰ѡҵѡߵӷѣгⷽˮ_____֣_____ȣú_____ȣ绰_____ӷ_____ҵ_____֧ʽԼ֡
5ڼ䣬ⷽǰӦȷʩʹãⷽӦ_______________֮ǰԳⷿʩգⷽһʩǩʩ嵥ⷽ˺ⷽӦ֧ⷽ_____ԪѺ
6ڼ䣬ⷽԸı䷿ݽṹǽڡƺڲװ;ʩı䣬óⷽͬ⣬ⷽǩЭɶɿԭ`ⷽн鷽еΡ
7ⷽýת⡢תûתˣⷽȨίн鷽ջز䷿龭ȫΪΥԼ
8ڼ䣬ⷽⷽԱͬһֹͬʱӦǰһ֪ͨԷһ·
9ⷽڼ䣬ڷһǰ֧ڷ⣬Ƿܽ15ԲⷽȨⷽ˷ɿһΪΥԼ
1⡢⼰н鷽Ӧعҷɡ桢ʡݼɽ`йط涨ΥΪģйعԴ;ɷ.Ρ
2⡢⼰н鷽Ӧܡ̡ίƻۡ˰ŵļල顣
3ⷽӦṫ£ƴϵסլСƶȡ
ġίй
ڼ䣬ⷽίн鷽Ϊճ`˫ӦǩίйЭ;ⷽӦн鷽֧һίй;н鷽ӦʵרְԱйعƶȣʵкίйκΰΡ
塢Լ
ʽ
ͬЭ̽Э̲ɿѡ
1ٲίԱٲá
2Ժߡ
ߡͬһʽݣ⡢˫н鷽ִһݡ
ⷽ_____ⷽ_____н鷽_____
λ()_____λˣ__________
ַ__________ַ__________ַ__________
ˣ_____ˣ_____ˣ_____
ˣ_____ίдˣ_____ίдˣ_____
ϵ绰_____ϵ绰_____ϵ绰_____
ǩص㣺____________________
ⷿͬ 31
ⷽ()_______
֤_____________________
ⷽ(ҷ)_______
֤_____________________
ݡͬطɷĹ涨˫ƽԸϣͼݳҷʹãҷˣΪȷ˫ȨЭһ£ͬ
һ
ַ________________________________________
ӵʩ________________________________________
ڶ
Ϊ____ꡣ______________________________ա
ҷ÷ݽΪճͥסʹá
Ȩջش˳ķݣҷӦڹ黹ҷҪ⣬ǰ֪ͨͬҷڽڶȫͬʱǩͬͬҷȳȨ
ͬʽ
Ϊֽȸáҷһȫ_____ԪΪͬǩպЧա
ڼ
ҷڸΪĵѡˮѡҵѡȡůѡߵӷԼӦԼãҷи
˫Ȩ
(һ)˫ںͬڼȨֹкͬӦ˫ЭһºнЭ̲ʱӰִͬ()
()ҷھסڼӦά÷ݽṹ豸ƷŴ.ں֮ͬǰָԭòɴķҷ
()ҷסڼ䲻ðѴ˷ת衢תʹáøı;ô˷ݽΥʵ.øı䷿ݽṹݡ
Ȩֹͬ`ִУҲ˻ҷѽɵҷɵʧҷе⳥
ͬδˣ˫Э̽
ͬҳһʽݣɼס˫һ
(ǩ)_____________
ҷ(ǩ)_______________
绰___________________
绰_____________________
____________________
____________________
ⷿͬ 32
ⷽ_________________(Ƽ)
ⷽ_________________(ҷ)
ס˫ͨЭ̣ͷһ´Э飺
һҷṩзݵַ_________________13Ԫ606Ϊסʹá
ΪҼǪԪ/(Сд__________________________________1500Ԫ)Ϊһһ֧Ѻ20____________Ԫ´νǰ15졣
ˮѡѡ߷ѡҵѵҷ֧
ġݶ2꣬Э̡
塢һʩҷ˷ʱ뱣ԭҷعҷɷƶȣڷڴκηǷκ¡Ρ
֤ϷݾкϷг־ףɼеһΥԼʧҷת⣬Ȩֹͬҷ⳥ΥԼ_____Ԫ
ߡЭһʽݣס˫ִһݣǩ֮Чס˫Ծ(_______________ճΪ_________________ˮ֣ȣȼ)
ǩ֣_________________ҷǩ֣_________________
֤룺_________________֤룺_________________
ϵ绰_________________ϵ绰_________________
_________
ⷿͬ 33
ⷽ__________֤룺____________________
ⷽҷ__________֤룺____________________
ס˫ͷˣЭ飺
һλ____________________ҷסʹãӽԿĵҷס____________________________________________________________աⷿͬ__________һǩ
Ϊ__________Ԫ㣬ҷ֧һµķΪѺϰ°꣬__________¼㡣
ҷڼ䣬ˮѡԼ漰ⷿڼԭɵµ'ҷеʱҷ뽻Ƿѣڽʱֵʩʹõ`ҷάλҷ귿黹ҷסʱ__________Ѻ
ġṩʩ£յ3̨ˮ1̨̫ˮ1̨ӻ2̨̨̻1ף3ţ1ţɳ1ţд̨1ԼּҾߡʩ֤ʹãҷϿǩЧҷʩҷںͬòʹý⳥ҷʹùҷʱҷ뽫ʩָԭ״ҷʩװ죬üͬ⣬еװá
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ڼ䣬κһֹͬǰҼ֪ͨԷ˫Э̺ǩֹͬ顣
ߡ飬ס˫ѺЭ̽
ˡͬһʽݣס˫ִһݣ˫ǩ֮Чҷ__________4·֧һԪⷿ
__________ҷ__________
ǩڣ______________________________
ⷿͬ 34
˳Ƽ________________֤ţ_____________
˳ҷ________________֤ţ_____________
ס˫ѺЭ̣ͬЭ飺_________________
һ__________________ݣƾҷ
ⷿͬΪ__________꣬____________________________________________________________գÿ___________Ԫڶθǰʰ츶壬Ƿ⣬Ȩջطݣһкҷҷ_____________˷
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֣_________________ˮ___________֡_____________ȡú___________
ġҷƻһʩӦ⳥ҷδͬ⣬ԽװΣһкҷеôӰϢί棬Ȩֹͬҷ跿ڼ䣬зǷΪƲȫһкҷеءƾڼδͬҷýתȨջطݣҷΥԼеΥԼΡҷͬδڣѺݲ˻Ѻ˻ʽ_________________ҷͬδɼʾ֤ƾ֤´ⷿΪѺãͬ˻
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ҷ֧Ѻ_____________Ԫͬû飬Ӧ˻ѺҷͬδڣѺˡ˻
˳Ƽ________________֤ţ_____________
˳ҷ________________֤ţ_____________
ⷿͬ 35
ⷽ_________________(¼Ƽ)
ⷽ_________________(¼ҷ)
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ҷԼ`ƲưʹãάޣӦռ⳥
ġڼ䣬ˮѡѡҵѡ̡˰աݳ˰ѵһзҷɡ
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Ч
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ˡ֮ͬգҷѺ_____Ԫ(д_________________)ͬҷûΥԼѺ黹ҷ
šͬǩ֮ǰһծɼи𣬱ͬǩ֮һծҷе
ͬһʽݣס˫ִһݣǩ֮Ч
___________
ҷ___________
______________
ⷿͬ 36
ⷽ_____
֤ţ____________________
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ʽҷÿ_____Ӧ_________________Ԫÿǰ_____ڽ塣
ġͬǩ֮գҷ_________________ԪΪѺ𣬴ӦѺϢ˻ҷ
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ڼ䣬˫ýʽͬһҪͬʱǰ______֪ͨԷԷͬ⣬ͬ黹ݣ⳥ΥԼ______¡ɿԭ֡߱仯ȣڴ
ߡҷҪ____סø÷֮зǷҷҪгеɴ`һзΣŲȨǰֹͬ
ˡڼڣҷ;øתסã辭ͬ⣬˽ת⡣
šڼ䣬ҷӦˮѡ绰ѡѡѡ
ʮڼ䣬ҷӦϧһ豸ʧ÷ݼʩӦָݼʩԭ״ָӦ⳥
ʮһҷӦʱݹ黹ҷ⣬ǰ______Э̣ͬ£ҷȳȨҷ˳ʱмҾȲòߣΪɼҷ顣
ʮͬǩ֮յĵΪ______ˮΪ______úΪ______
ʮͬδˣɼס˫Э̽ⶨЭ顣
ͬǩ֮ЧͬҼʽݣס˫һݣҼݣݶͬȷЧ
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ǩ£____________
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______________________
ⷿͬ 37
(ⷽ)___________()_______
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һݻ
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ڶ;
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ҷӦڱͬЧ֧֮()____Ԫ()()()㣬ҷÿ()()()ĵ____µ____ս
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ⷿͬ 38
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һ˫Э̣еԼƽ¥ҷΪ꾭Ӫ
Ϊ______ꡣ__________________ʼ__________________ֹÿΪ______Ԫ֧ʽΪһһΪƾ
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ġڼ䣬װů豸ůȡůѡˮѡҵѡѵȾҷге
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šڼҷԷʹȨתתãݳۣҷӣֹͬ
ʮڼԹůڼ¶δﵽҹ涨18ҷȨȡůѣȡůء
ʮһͬδˣ˫ɹͬЭ̣ǩЭ顣ͬһʽݣ
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