<div>&nbsp;</div>

<div style="text-align: center;"><span style="font-size: 26px;">固定资产报修单</span>

<table align="center" border="1" bordercolor="#ffffff" class="xdLayout" style="border: currentColor; border-collapse: collapse; table-layout: fixed; -ms-word-wrap: break-word;" tabindex="65535" width="600">
	<colgroup>
		<col style="width: 113px;" />
		<col style="width: 183px;" />
		<col style="width: 125px;" />
		<col style="width: 179px;" />
	</colgroup>
	<tbody valign="top">
		<tr style="min-height: 30px;">
			<td colspan="2" style="border-width: 1pt 1pt 1.5pt; border-style: solid; border-color: rgb(255, 255, 255) rgb(255, 255, 255) black; padding: 1px; vertical-align: middle;">
			<div align="center">&nbsp;</div>
			</td>
			<td style="border-width: 1pt 1pt 1.5pt; border-style: solid; border-color: rgb(255, 255, 255) rgb(255, 255, 255) black; padding: 1px; vertical-align: middle;">
			<div align="right"><strong><font face="宋体" style="font-size: 11pt;">报修日期</font></strong><font face="宋体" style="font-size: 11pt;">:</font></div>
			</td>
			<td style="border-width: 1pt 1pt 1.5pt; border-style: solid; border-color: rgb(255, 255, 255) rgb(255, 255, 255) black; padding: 1px; vertical-align: middle;">
			<div align="center"><font face="宋体" style="font-size: 11pt;"><input class="AUTO" datafld="SYS_DATE" hidden="0" name="DATA_1" style="font-size: 13px;" title="报修日期" type="text" value="{MACRO}" /></font></div>
			</td>
		</tr>
		<tr style="min-height: 30px;">
			<td style="border-width: 1.5pt 1pt 1pt 1.5pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div align="center"><font face="宋体" style="font-size: 11pt;">资产编号</font></div>
			</td>
			<td style="border-width: 1.5pt 1pt 1pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div align="center"><input align="left" hidden="0" name="DATA_2" size="21" style="width: 172px; height: 19px; text-align: left; font-size: 13px;" title="资产编号" type="text" /></div>
			</td>
			<td style="border-width: 1.5pt 1pt 1pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div align="center"><font face="宋体" style="font-size: 11pt;">资产名称</font></div>
			</td>
			<td style="border-width: 1.5pt 1.5pt 1pt 1pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div align="center"><input align="left" hidden="0" name="DATA_3" style="text-align: left; font-size: 13px;" title="资产名称" type="text" /></div>
			</td>
		</tr>
		<tr style="min-height: 30px;">
			<td style="border-width: 1pt 1pt 1pt 1.5pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div align="center"><font face="宋体" style="font-size: 11pt;">规格型号</font></div>
			</td>
			<td style="padding: 1px; border: 1pt solid black; vertical-align: middle;">
			<div align="center"><input align="left" hidden="0" name="DATA_4" size="22" style="width: 171px; height: 19px; text-align: left; font-size: 13px;" title="规格型号" type="text" /></div>
			</td>
			<td style="padding: 1px; border: 1pt solid black; vertical-align: middle;">
			<div align="center"><font face="宋体" style="font-size: 11pt;">故障日期</font></div>
			</td>
			<td style="border-width: 1pt 1.5pt 1pt 1pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div align="center"><input class="AUTO" datafld="SYS_DATE" hidden="0" name="DATA_5" size="11" style="width: 94px; height: 19px; font-size: 13px;" title="故障日期" type="text" value="{MACRO}" /><img align="absMiddle" alt="" border="0" class="DATE" date_format="yyyy-MM-dd" name="DATA_22" src="/static/images/form/calendar.png" title="日期控件:故障日期" value="故障日期" /></div>
			</td>
		</tr>
		<tr style="min-height: 30px;">
			<td style="border-width: 1pt 1pt 1pt 1.5pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div align="center"><font face="宋体" style="font-size: 11pt;">购置日期</font></div>
			</td>
			<td style="padding: 1px; border: 1pt solid black; vertical-align: middle;">
			<div align="center"><input align="left" hidden="0" name="DATA_6" size="18" style="width: 145px; height: 19px; text-align: left; font-size: 13px;" title="购置日期" type="text" /><img align="absMiddle" alt="" border="0" class="DATE" date_format="yyyy-MM-dd" name="DATA_23" src="/static/images/form/calendar.png" title="日期控件:购置日期" value="购置日期" /></div>
			</td>
			<td style="padding: 1px; border: 1pt solid black; vertical-align: middle;">
			<div align="center"><font face="宋体" style="font-size: 11pt;">是否在保修期内</font></div>
			</td>
			<td style="border-width: 1pt 1.5pt 1pt 1pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div align="center"><img alt="" class="RADIO" name="DATA_7" radio_check="是" radio_field="是`否`" src="/static/images/form/radio.png" title="是否在保修期" /></div>
			</td>
		</tr>
		<tr style="min-height: 30px;">
			<td style="border-width: 1pt 1pt 1pt 1.5pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div align="center"><font face="宋体" style="font-size: 11pt;">厂 牌</font></div>
			</td>
			<td colspan="3" style="border-width: 1pt 1.5pt 1pt 1pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div style="text-align: left;"><input align="left" hidden="0" name="DATA_8" size="62" style="width: 472px; height: 19px; text-align: left; font-size: 13px;" title="厂牌" type="text" /></div>
			</td>
		</tr>
		<tr style="min-height: 30px;">
			<td style="border-width: 1pt 1pt 1pt 1.5pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div align="center"><font face="宋体" style="font-size: 11pt;">存放地点</font></div>
			</td>
			<td colspan="3" style="border-width: 1pt 1.5pt 1pt 1pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div style="text-align: left;"><input align="left" hidden="0" name="DATA_9" size="62" style="width: 472px; height: 19px; text-align: left; font-size: 13px;" title="存放地点" type="text" /></div>
			</td>
		</tr>
		<tr style="min-height: 100px;">
			<td style="border-width: 1pt 1pt 1.5pt 1.5pt; border-style: solid; border-color: black black rgb(0, 0, 0); padding: 1px; vertical-align: middle;">
			<div align="center"><font face="宋体" style="font-size: 11pt;">故障情况</font></div>
			</td>
			<td colspan="3" style="border-width: 1pt 1.5pt 1.5pt 1pt; border-style: solid; border-color: black black rgb(0, 0, 0); padding: 1px; vertical-align: middle;">
			<div style="text-align: left;"><textarea cols="52" name="DATA_10" rich="0" rows="3" style="width: 478px; height: 92px; font-size: 13px;" title="故障情况"></textarea></div>
			</td>
		</tr>
		<tr style="min-height: 30px;">
			<td colspan="4" style="border-width: 1.5pt; border-style: solid; border-color: rgb(0, 0, 0) black; padding: 1px; vertical-align: middle;">
			<div align="center"><font face="宋体" style="font-size: 11pt;"><strong>报修人核对及审批情况</strong></font></div>
			</td>
		</tr>
		<tr style="min-height: 100px;">
			<td style="border-width: 1.5pt 1pt 1pt 1.5pt; border-style: solid; border-color: rgb(0, 0, 0) black black; padding: 1px; vertical-align: middle;">
			<div align="center"><font face="宋体" style="font-size: 11pt;">报 修 人</font></div>
			</td>
			<td colspan="3" style="border-width: 1.5pt 1.5pt 1pt 1pt; border-style: solid; border-color: rgb(0, 0, 0) black black; padding: 1px; vertical-align: middle;">
			<div style="text-align: left;"><textarea cols="52" name="DATA_11" rich="0" style="width: 478px; height: 72px; font-size: 13px;" title="报修人核对和补充"></textarea></div>

			<div style="text-align: right;"><input class="AUTO" datafld="SYS_USERNAME_DATE" hidden="0" name="DATA_12" style="font-size: 13px;" title="报修人签字" type="text" value="{MACRO}" /></div>
			</td>
		</tr>
		<tr style="min-height: 100px;">
			<td style="border-width: 1pt 1pt 1pt 1.5pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div align="center"><font face="宋体" style="font-size: 11pt;">部门经理</font></div>
			</td>
			<td colspan="3" style="border-width: 1pt 1.5pt 1pt 1pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div style="text-align: left;"><img alt="" class="RADIO" name="DATA_13" radio_field="同意`不同意`" src="/static/images/form/radio.png" title="部门经理意见" /></div>

			<div style="text-align: left;"><textarea cols="48" name="DATA_14" rich="0" rows="1" style="width: 476px; height: 53px; font-size: 13px;" title="部门经理意见补充"></textarea></div>

			<div style="text-align: right;"><input class="AUTO" datafld="SYS_USERNAME_DATE" hidden="0" name="DATA_15" style="font-size: 13px;" title="部门经理签字" type="text" value="{MACRO}" /></div>
			</td>
		</tr>
		<tr style="min-height: 100px;">
			<td style="border-width: 1pt 1pt 1pt 1.5pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div align="center"><font face="宋体" style="font-size: 11pt;">主管部门</font></div>
			</td>
			<td colspan="3" style="border-width: 1pt 1.5pt 1pt 1pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div style="text-align: left;"><img alt="" class="RADIO" name="DATA_16" radio_field="同意`不同意`" src="/static/images/form/radio.png" title="主管部门意见" /></div>

			<div style="text-align: left;"><textarea cols="52" name="DATA_17" rich="0" rows="1" style="width: 478px; height: 56px; font-size: 13px;" title="主管部门意见补充"></textarea></div>

			<div style="text-align: right;"><input class="AUTO" datafld="SYS_USERNAME_DATE" hidden="0" name="DATA_18" style="font-size: 13px;" title="主管部门负责人签字" type="text" value="{MACRO}" /></div>
			</td>
		</tr>
		<tr style="min-height: 100px;">
			<td style="border-width: 1pt 1pt 1.5pt 1.5pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div align="center"><font face="宋体" style="font-size: 11pt;">财 务 部</font></div>
			</td>
			<td colspan="3" style="border-width: 1pt 1.5pt 1.5pt 1pt; border-style: solid; border-color: black; padding: 1px; vertical-align: middle;">
			<div style="text-align: left;"><img alt="" class="RADIO" name="DATA_19" radio_field="同意`不同意`" src="/static/images/form/radio.png" title="财务部意见" /></div>

			<div style="text-align: left;"><textarea cols="52" name="DATA_20" rich="0" rows="1" style="width: 480px; height: 55px; font-size: 13px;" title="财务部意见补充"></textarea></div>

			<div style="text-align: right;"><input class="AUTO" datafld="SYS_USERNAME_DATE" hidden="0" name="DATA_21" style="font-size: 13px;" title="财务部负责人签字" type="text" value="{MACRO}" /></div>
			</td>
		</tr>
	</tbody>
</table>
</div>
