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["様式第１号（第４条第１項関係）"]
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[null,null,"福島県知事"]
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[{"$nulls":33},"郵便番号",{"$nulls":9},"〒",{"$nulls":8},"－"]
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[{"$nulls":33},"所在地"]
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[{"$nulls":33},"学校名"]
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[{"$nulls":56},"フリガナ"]
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[{"$nulls":33},"代表者名",{"$nulls":9},"（職名）",{"$nulls":12},"（氏名）"]
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[{"$nulls":33},"責任者氏名"]
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[{"$nulls":33},"担当者氏名"]
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[{"$nulls":33},"電話番号"]
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[{"$nulls":33},"ＦＡＸ"]
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["震災と復興を語り継げる人材育成支援事業（伝承館等バス補助）補助金交付申請書"]
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[null,null,"　このことについて、震災と復興を語り継げる人材育成支援事業（伝承館等バス補助）補助金交付要綱第４条の規定に基づき、関係書類を添えて申請します。"]
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["記"]
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[null,null,"１",null,null,"（フリガナ）"]
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[{"$nulls":5},"学校名"]
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[null,null,"２",null,null,"学年または団体種別",{"$nulls":53},"（",{"$nulls":7},"クラス",{"$nulls":5},"）"]
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[null,null,"３",null,null,"予定旅行者数（引率者含む）",{"$nulls":34},"名",null,"（",null,null,null,"生徒",{"$nulls":10},"名",null,null,"教員",{"$nulls":10},"名",null,"）"]
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[null,null,"４",null,null,"所在地区分"]
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[null,null,"５",null,null,"利用するバスの台数（合計）",{"$nulls":42},"台"]
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[null,null,"６",null,null,"交付申請額（予定額）",{"$nulls":42},"円"]
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[null,null,"７",null,null,"対象事業費（予定額）",{"$nulls":42},"円",null,null,"※バス経費"]
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[null,null,"８",null,null,"実施予定年月日",{"$nulls":26},"令和",{"$nulls":8},"年",{"$nulls":8},"月",{"$nulls":6},"日",{"$nulls":6},"（",null,null,null,"泊",null,null,null,"日",null,null,null,"）"]
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[null,null,"９",null,null,"事業目的"]
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[null,null,"１０",null,null,"本補助制度以外の補助制度等の\n申請の有無",{"$nulls":26},"有",null,null,"・",null,null,"無",null,null,"（※有の場合は補助事業名を記載のこと。）"]
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[{"$nulls":32},"補助事業名"]
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[{"$nulls":5},"バス経費への適用の有無",{"$nulls":26},"有",null,null,"・",null,null,"無"]
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[null,null,"１１",null,null,"本補助制度の申請実績",{"$nulls":26},"有",null,null,"・",null,null,"無"]
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[null,null,"１２",null,null,"担当旅行会社の情報",{"$nulls":26},"旅行会社名"]
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[{"$nulls":32},"担当者名"]
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[{"$nulls":32},"電話番号",{"$nulls":23},"ＦＡＸ"]
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[{"$nulls":32},"ﾒｰﾙｱﾄﾞﾚｽ"]
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[{"$nulls":5},"添付書類",{"$nulls":11},"①",null,null,"行程表（任意様式）"]
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[{"$nulls":17},"②",null,null,"震災と復興を語り継げる人材育成支援事業（伝承館等バス補助）補助金申請額計算書（様式第２号）及びバス経費の見積書の写し（バス事業所等が発行したもの）"]
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[{"$nulls":20},"※バス１台当たりの代金、台数、税表示が記載してあること"]
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[{"$nulls":17},"③",null,null,"本補助金以外の補助金等を併用する場合は、当該補助金等の交付申請書又は交付決定通知書の写し"]

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[null,"様式第２号（第４条第２項及び第９条第１項関係）"]
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[null,"震災と復興を語り継げる人材育成支援事業（伝承館等バス補助）"]
[null,"補助金申請額計算書"]
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[{"$nulls":10},"※「見積書・実績額証明書」のうち、いずれかを〇で囲むこと"]
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[null,"1　補助対象事業費",null,null,null,"単価（1台あたり）","（税込）","数量","計","（税込）","留意事項"]
[null,"a",null,"バス経費",null,null,"円",null,0,"円"]
[null,"b",null,"他の補助金等による\n「バス経費」への補助額",null,null,"円",null,0,"円","※バス経費への適用がある場合のみ、当該部分の補助金額を記載すること"]
[null,"c",null,"a-b：対象事業費",null,null,"円",null,0,"円"]
[null,"d",null,"高速料金",null,null,"円",null,0,"円"]
[null,"e",null,"駐車場料金",null,null,"円",null,0,"円"]
[null,"f",null,"c＋d＋e:総事業費",null,null,"円",null,0,"円"]
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[null,null,"※  他の補助金等を利用している場合は、以下も記入すること"]
[null,"2　旅行代金",{"$nulls":6},"計","（税込）","留意事項"]
[null,"g",null,"旅行全体経費\n（他の補助金等適用前）",{"$nulls":4},0,"円","※他の補助制度等適用前の総額を記載すること"]
[null,"h",null,"他の補助金等の\n補助額",{"$nulls":4},0,"円","※bを含む総額。\n※補助対象費目を本欄に記載（宿泊費、添乗員等）"]
[null,"i",null,"伝承館等バス補助\n交付申請額",{"$nulls":4},0,"円","※c（補助上限額を限度とする）"]
[null,null,null,"g-(h+i)：旅行全体経費\n（他の補助金等適用後）",{"$nulls":5},"円"]
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[null,"〈誓約事項〉"]
[null,"1.上記内容に関して、福島県等から追加書類の提出及び説明の求めがあった場合は、その求めに応じます。\n"]
[null,"2.上記内容その他、提出書類に記載した情報に虚偽はありません。\n　"]
[null,"3.本補助金の交付後、交付要件を満たさない事実、虚偽、不正等が判明した場合は、補助金の返還等に応じます。"]
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[null,null,"〈作成者〉"]
[null,null,null,"（会社名）",null,null,"（代表者名）"]
[{"$nulls":6},"（担当者名）"]
[{"$nulls":6},"（電話番号）"]
[null,null,"〈申請者〉"]
[null,null,null,"（学校名）",null,null,"（代表者名）"]
[{"$nulls":6},"（担当者名）"]
[{"$nulls":6},"（電話番号）"]
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[null,null,"１２"]
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["様式第３号（第６条関係）"]
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[{"$nulls":53},"令和",{"$nulls":8},"年",{"$nulls":5},"月",{"$nulls":6},"日"]
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[null,null,null,"福島県知事"]
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[{"$nulls":33},"郵便番号",{"$nulls":9},"〒",{"$nulls":8},"－"]
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[{"$nulls":33},"所在地"]
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[{"$nulls":33},"学校名"]
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[{"$nulls":56},"フリガナ"]
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[{"$nulls":33},"代表者名",{"$nulls":9},"（職名）",{"$nulls":12},"（氏名）"]
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[{"$nulls":33},"責任者氏名"]
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[]
[{"$nulls":33},"担当者氏名"]
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[]
[{"$nulls":33},"電話番号"]
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[{"$nulls":33},"ＦＡＸ"]
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["震災と復興を語り継げる人材育成支援事業（伝承館等バス補助）補助金変更（中止）承認申請書"]
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[]
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[]
[]
["　このことについて、下記により事業内容を変更（中止）したいので、震災と復興を語り継げる人材育成支援事業（伝承館等バス補助）補助金交付要綱第６条の規定に基づき申請します。"]
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["記"]
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[null,null,"３",null,null,null,"変更（中止）の理由\n（具体的に記載してください）"]
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[{"$nulls":33},"変更後",{"$nulls":19},"円"]
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[null,null,"５",null,null,null,"対象事業費　※バス経費",{"$nulls":26},"変更前",{"$nulls":19},"円"]
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["様式第４号（第８条関係）"]
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[null,null,null,"福島県知事"]
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[{"$nulls":33},"郵便番号",{"$nulls":9},"〒",{"$nulls":8},"－"]
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[{"$nulls":33},"所在地"]
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[{"$nulls":33},"学校名"]
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[{"$nulls":56},"フリガナ"]
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[{"$nulls":33},"代表者名",{"$nulls":9},"（職名）",{"$nulls":12},"（氏名）"]
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[{"$nulls":33},"責任者氏名"]
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[{"$nulls":33},"担当者氏名"]
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[{"$nulls":33},"電話番号"]
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[{"$nulls":33},"ＦＡＸ"]
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["震災と復興を語り継げる人材育成支援事業（伝承館等バス補助）完了報告書"]
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[null,null,"　このことについて、震災と復興を語り継げる人材育成支援事業（伝承館等バス補助）補助金交付要綱第８条の規定に基づき、下記のとおり報告します。"]
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["記"]
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[null,null,"１",null,null,null,"補助金交付決定指令の番号",{"$nulls":25},"当　初",{"$nulls":11},"福島県指令",{"$nulls":13},"文ス第",{"$nulls":18},"号"]
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[{"$nulls":32},"変更後",{"$nulls":11},"福島県指令",{"$nulls":13},"文ス第",{"$nulls":18},"号"]
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[]
[]
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[null,null,"２",null,null,null,"補助金の交付決定年月日",{"$nulls":25},"当　初",{"$nulls":11},"令和",{"$nulls":9},"年",{"$nulls":7},"月",{"$nulls":7},"日"]
[]
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[{"$nulls":32},"変更後",{"$nulls":11},"令和",{"$nulls":9},"年",{"$nulls":7},"月",{"$nulls":7},"日"]
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[]
[]
[]
[null,null,"３"]
[{"$nulls":6},"交付決定額",{"$nulls":25},"当　初"]
[{"$nulls":55},"円"]
[]
[]
[]
[{"$nulls":32},"変更後"]
[{"$nulls":55},"円"]
[]
[]
[]
[]
[]
[null,null,"４",null,null,null,"着手年月日",{"$nulls":25},"令和",{"$nulls":9},"年",{"$nulls":7},"月",{"$nulls":7},"日"]
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[]
[]
[]
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[null,null,"５",null,null,null,"完了年月日",{"$nulls":25},"令和",{"$nulls":9},"年",{"$nulls":7},"月",{"$nulls":7},"日"]

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["様式第５号（第９条関係）"]
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[]
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[{"$nulls":54},"令和",{"$nulls":8},"年",{"$nulls":5},"月",{"$nulls":5},"日"]
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[null,null,null,"福島県知事"]
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[]
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[{"$nulls":33},"郵便番号",{"$nulls":9},"〒",{"$nulls":8},"－"]
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[{"$nulls":33},"所在地"]
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[{"$nulls":33},"学校名"]
[]
[]
[{"$nulls":56},"フリガナ"]
[]
[{"$nulls":33},"代表者名",{"$nulls":9},"（職名）",{"$nulls":12},"（氏名）"]
[]
[]
[]
[{"$nulls":33},"責任者氏名"]
[]
[]
[{"$nulls":33},"担当者氏名"]
[]
[]
[{"$nulls":33},"電話番号"]
[]
[]
[{"$nulls":33},"ＦＡＸ"]
[]
[]
["震災と復興を語り継げる人材育成支援事業（伝承館等バス補助）補助金実績報告書"]
[]
[]
[]
[]
[null,null,"　このことについて、震災と復興を語り継げる人材育成支援事業（伝承館等バス補助）補助金交付要綱第９条の規定に基づき、関係書類を添えて報告します。"]
[]
[]
[]
[]
[]
["記"]
[]
[]
[null,null,"１",null,null,"（フリガナ）"]
[]
[]
[{"$nulls":5},"学校名"]
[]
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[null,null,"２",null,null,"学年または団体種別",{"$nulls":53},"（",{"$nulls":7},"クラス",{"$nulls":5},"）"]
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[null,null,"３",null,null,"実績旅行者数（引率者含む）",{"$nulls":34},"名",null,"（",null,null,null,"生徒",{"$nulls":10},"名",null,null,"教員",{"$nulls":10},"名",null,"）"]
[]
[]
[]
[]
[null,null,"４",null,null,"所在地区分"]
[]
[]
[]
[null,null,"５",null,null,"利用したバスの台数（合計）",{"$nulls":42},"台"]
[]
[]
[]
[null,null,"６",null,null,"補助金交付決定額",{"$nulls":42},"円",null,null,"※交付決定通知に記載の金額\n（変更申請を行った場合は変更後の交付決定額）"]
[]
[]
[]
[null,null,"７",null,null,"補助金確定額（実績額）",{"$nulls":42},"円"]
[]
[]
[]
[null,null,"８",null,null,"対象事業費（実績額）",{"$nulls":42},"円",null,null,"※バス経費"]
[]
[]
[]
[null,null,"９",null,null,"実施年月日",{"$nulls":26},"令和",{"$nulls":8},"年",{"$nulls":8},"月",{"$nulls":6},"日",{"$nulls":6},"（",null,null,null,"泊",{"$nulls":4},"日",null,null,"）"]
[]
[]
[]
[null,null,"１０",null,null,"本補助制度以外の補助制度等の\n活用の有無",{"$nulls":26},"有",null,null,"・",null,null,"無",null,null,"（※有の場合は補助事業名を記載のこと。）"]
[]
[]
[]
[{"$nulls":32},"補助事業名"]
[]
[]
[]
[{"$nulls":5},"バス経費への適用の有無",{"$nulls":26},"有",null,null,"・",null,null,"無"]
[]
[]
[]
[]
[{"$nulls":5},"添付書類",{"$nulls":11},"①",null,null,"実際に催行された行程表（任意様式）"]
[]
[]
[{"$nulls":17},"②",null,null,"震災と復興を語り継げる人材育成支援事業（伝承館等バス補助）補助金申請額計算書（様式第２号）及びバス経費の請求書又は領収書又は実績額を証する書類の写し（バス事業所等が発行したもの）"]
[]
[]
[]
[]
[]
[{"$nulls":20},"　※バス１台当たりの代金、台数、税表示が記載してあること"]
[]
[{"$nulls":17},"③",null,null,"本補助金以外の補助金等を併用した場合は、当該補助金等の実績報告書又は補助金等の額の確定通知書又は補助実績額を証する書類の写し"]

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["様式第６号（第９条関係）"]
[]
[]
[]
[]
[{"$nulls":53},"令和",{"$nulls":8},"年",{"$nulls":5},"月",{"$nulls":5},"日"]
[]
[]
[]
[null,null,null,"福島県知事"]
[]
[]
[]
[{"$nulls":32},"郵便番号",{"$nulls":9},"〒",{"$nulls":8},"－"]
[]
[{"$nulls":32},"所在地"]
[]
[]
[{"$nulls":32},"学校名"]
[]
[]
[{"$nulls":55},"フリガナ"]
[]
[{"$nulls":32},"代表者名",{"$nulls":9},"（職名）",{"$nulls":12},"（氏名）"]
[]
[]
[]
[{"$nulls":32},"責任者氏名"]
[]
[]
[{"$nulls":32},"担当者氏名"]
[]
[]
[{"$nulls":32},"電話番号"]
[]
[]
[{"$nulls":32},"ＦＡＸ"]
[]
[]
["震災と復興を語り継げる人材育成支援事業（伝承館等バス補助）\n仕入れに係る消費税相当額報告書"]
[]
[]
[]
[]
["　このことについて、震災と復興を語り継げる人材育成支援事業（伝承館等バス補助）補助金交付要綱第９条の規定に基づき、下記のとおり報告します。"]
[]
[]
[]
[]
[]
["記"]
[]
[]
[]
[{"$nulls":8},"補助金交付決定指令の番号",{"$nulls":29},"福島県指令",{"$nulls":13},"文ス第",{"$nulls":13},"号"]
[]
[]
[]
[{"$nulls":8},"補助金の交付決定年月日",{"$nulls":29},"令和",{"$nulls":9},"年",{"$nulls":8},"月",{"$nulls":8},"日"]
[]
[]
[]
[{"$nulls":8},"補助金の額の確定額",{"$nulls":57},"円"]
[]
[]
[]
[]
[]
[{"$nulls":8},"補助金の確定時に減額した\n仕入れに係る消費税相当額（Ａ）",{"$nulls":57},"円"]
[]
[]
[]
[]
[]
[{"$nulls":8},"消費税の申告により確定した\n仕入れに係る消費税相当額（Ｂ）",{"$nulls":57},"円"]
[]
[]
[]
[]
[]
[{"$nulls":8},"補助金返還相当額（Ｂ）－（Ａ）",{"$nulls":57},"円"]

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["様式第７号（第10条関係）"]
[]
[]
[{"$nulls":53},"令和",{"$nulls":8},"年",{"$nulls":5},"月",{"$nulls":5},"日"]
[]
[]
[null,null,null,"福島県知事"]
[]
[]
[{"$nulls":32},"郵便番号",{"$nulls":9},"〒",{"$nulls":8},"－"]
[]
[{"$nulls":32},"所在地"]
[]
[]
[{"$nulls":32},"学校名"]
[]
[]
[{"$nulls":55},"フリガナ"]
[]
[{"$nulls":32},"代表者名",{"$nulls":9},"（職名）",{"$nulls":12},"（氏名）"]
[]
[]
[]
[{"$nulls":32},"責任者氏名"]
[]
[]
[{"$nulls":32},"担当者氏名"]
[]
[]
[{"$nulls":32},"電話番号"]
[]
[]
[{"$nulls":32},"ＦＡＸ"]
[]
[]
["震災と復興を語り継げる人材育成支援事業（伝承館等バス補助）補助金交付請求書"]
[]
[]
[]
[]
["　このことについて、震災と復興を語り継げる人材育成支援事業（伝承館等バス補助）補助金交付要綱第10条の規定に基づき、下記のとおり請求します。"]
[]
[]
[]
[]
[]
["記"]
[]
[]
[null,null,"１",null,null,null,"補助金交付決定指令の番号",{"$nulls":26},"当　初",{"$nulls":10},"福島県指令",{"$nulls":14},"文ス第",{"$nulls":12},"号"]
[]
[]
[]
[{"$nulls":33},"変更後",{"$nulls":10},"福島県指令",{"$nulls":14},"文ス第",{"$nulls":12},"号"]
[]
[]
[]
[null,null,"２",null,null,null,"補助金の交付決定年月日",{"$nulls":26},"当　初",{"$nulls":11},"令和",{"$nulls":9},"年",{"$nulls":7},"月",{"$nulls":7},"日"]
[]
[]
[]
[{"$nulls":33},"変更後",{"$nulls":11},"令和",{"$nulls":9},"年",{"$nulls":7},"月",{"$nulls":7},"日"]
[]
[]
[]
[null,null,"３",null,null,null,"請求額",{"$nulls":28},"円"]
[]
[]
[]
[]
[null,null,"４",null,null,null,"振込口座"]
[]
[]
[{"$nulls":6},"金融機関名",{"$nulls":23},"銀行",{"$nulls":22},"本　　　店",{"$nulls":8},"預金種別",null,null,null,"普通"]
[]
[{"$nulls":30},"信用金庫",{"$nulls":22},"支　　　店"]
[]
[{"$nulls":30},"信用組合",{"$nulls":22},"出 張 所"]
[{"$nulls":66},"当座"]
[{"$nulls":30},"協同組合",{"$nulls":22},"(",{"$nulls":7},")"]
[]
[{"$nulls":30},"(",{"$nulls":9},")"]
[]
[{"$nulls":6},"口座番号",{"$nulls":43},"※口座番号は7桁記入願います。\n　　（例　1234　→　0001234）"]
[]
[]
[]
[{"$nulls":6},"（カタカナ）"]
[]
[]
[{"$nulls":6},"口座名義"]
[]
[]
[]
[]
[]
[{"$nulls":6},"※",null,null,"補助金の振込口座は、学校の代表者名義の口座とすること。"]
[]
[{"$nulls":6},"※",null,null,"上記の口座以外の口座(例：学年、部活動、PTA名義の口座等)、若しくは旅行業者又はバス会社等"]
[]
[{"$nulls":9},"の団体名義の口座へ振込を希望する場合には、必ず下段の「委任欄」に委任する旨を記載すること。\nただし、個人名義の口座は不可とする。"]
[]
[]
[{"$nulls":6},"※",null,null,"金融機関名、口座番号、口座名義人カナの分かる書類（通帳の写し等）を必ず添付すること。"]
[]
[]
[]
[]
[{"$nulls":6},"委任欄",{"$nulls":8},"令和",{"$nulls":9},"年",{"$nulls":6},"月",{"$nulls":6},"日"]
[]
[]
[]
[{"$nulls":18},"委任者",{"$nulls":7},"所在地"]
[]
[]
[{"$nulls":26},"学校名"]
[]
[]
[{"$nulls":26},"代表者名"]
[{"$nulls":60},"印"]
[]
[]
[{"$nulls":15},"私は、本請求に基づく補助金に関する受領を下記代理人に委任します。"]
[]
[]
[{"$nulls":18},"代理人",{"$nulls":7},"所在地",{"$nulls":6},"〒",{"$nulls":8},"‐"]
[]
[]
[]
[]
[{"$nulls":26},"団体名"]
[]
[]
[{"$nulls":26},"電話番号",{"$nulls":24},"フリガナ"]
[]
[]
[{"$nulls":26},"代表者名",{"$nulls":6},"（役職）",{"$nulls":17},"（氏名）"]
[]
[]
[{"$nulls":6},"※",null,null,"委任欄は委任者が全て記載すること。"]