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["（様式17）"]
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["請　　求　　書"]
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[]
[]
[]
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[{"$nulls":6},"請求額",null,null,null,"金",{"$nulls":5},"0","0","0","円"]
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[]
[]
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[{"$nulls":6},"ただし、平成25年度地域型住宅ブランド化事業補助金として、"]
[{"$nulls":6},"上記の金額を請求いたします。"]
[]
[]
[{"$nulls":15},"平成",null,null,null,"年",null,null,"月",null,null,"日"]
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[{"$nulls":17}," ↑様式10の報告日と同日としてください。"]
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["地域型住宅ブランド化事業実施支援室  殿"]
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[null,"請求者"]
[{"$nulls":12}," ↓アルファベット（Ｂ又はＴ）がこの欄になります。"]
[null,null,"事業者番号"]
[]
[{"$nulls":6}," ↑「補助金交付決定通知書」に記載の番号を正確に記入してください。"]
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[null,null,null,"補助事業者住所"]
[]
[]
[]
[null,null,null,"補助事業者名",{"$nulls":16},"代表者印"]
[]
[]
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[null,null,null,"代表者の職名・氏名"]
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[]
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[{"$nulls":20},"様式10で使用した印を ↑\n押印してください。\n（本社の代表印）"]
[]
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[null,"対象住宅"]
[{"$nulls":6}," ↓アルファベット（Ｂ又はＴ）がこの欄になります。"]
[null,null,"対象住宅番号"]
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[{"$nulls":6}," ↑「補助金交付決定通知書」に記載の番号を正確に記入してください。"]
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["振込先、口座名義、口座番号などは、別紙実績報告書記載のとおりです。"]
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[null,null,"（注）","この請求書は、対象住宅毎に作成してください。１回の実績報告において複数の対象住宅がある場合は、"]
[null,null,null,"請求書が複数枚必要となります。（請求日は全て同日です。）"]
[]
[]
["（注）この用紙の大きさは、日本工業規格Ａ４とすること。",{"$nulls":13},"【H25】地域型住宅ブランド化事業　請求書"]