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["                        ",null," 支  付  单"]
[]
["单位(部门）："]
["日期:   年   月   日",null,null,"   　　　    单位：元"]
["  序号"," 姓   名","       内   容"," 实付金额","签  收"]
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[9]
[10]
[11]
[12]
[13]
[14]
[15]
[null,"小     计",null,0]
["院长:","              主管院长：                   财务处长：                 "]
[]
[null,"分院院长（部门负责人）：                   "]
[null,"                                      制表："]