<div style="text-align: center;">
<div align="center">
<div align="center">
<div align="center">
<table border="1" bordercolor="#ffffff" class="xdLayout" style="border: currentColor; width: 650px; border-collapse: collapse; table-layout: fixed; -ms-word-wrap: break-word;" tabindex="65535" width="650">
	<colgroup>
		<col style="width: 50px;" />
		<col style="width: 53px;" />
		<col style="width: 47px;" />
		<col style="width: 74px;" />
		<col style="width: 65px;" />
		<col style="width: 44px;" />
		<col style="width: 46px;" />
		<col style="width: 35px;" />
		<col style="width: 11px;" />
		<col style="width: 45px;" />
		<col style="width: 34px;" />
		<col style="width: 96px;" />
		<col style="width: 50px;" />
	</colgroup>
	<tbody valign="top">
		<tr style="min-height: 50px;">
			<td bgcolor="#ccffff" colspan="13" style="border: 1pt rgb(0, 0, 0); background-color: transparent;" valign="bottom">
			<div align="center" style="line-height: 1.5;"><br />
			<br />
			<span style="font-size: 26px;"><font face="宋体" style="font-size: 26px;"><span style="font-size: 10px;"><strong><span style="font-size: 26px;">支票申领单</span><br />
			<br />
			<input class="AUTO" datafld="SYS_DATE" hidden="0" name="DATA_36" title="日期" value="{MACRO}" /></strong></span></font></span></div>
			</td>
		</tr>
		<tr style="min-height: 45px;">
			<td bgcolor="#ccffff" rowspan="5" style="border: 1pt rgb(0, 0, 0); background-color: transparent;" valign="middle">
			<div align="center" style="line-height: 1.5;">&nbsp;</div>
			</td>
			<td style="border-width: 1.5pt 1pt 1.5pt 1.5pt; border-style: solid none none solid; border-color: rgb(0, 0, 0);" valign="bottom">
			<div align="left" style="line-height: 1.5;"><font face="宋体" size="4"><strong>&nbsp;&nbsp; </strong>因</font></div>
			</td>
			<td colspan="5" style="border-width: 1.5pt 1pt 1pt; border-style: solid none; border-color: rgb(0, 0, 0);" valign="bottom">
			<div align="left" style="line-height: 1.5;"><input align="left" hidden="0" name="DATA_29" size="30" style="width: 265px; height: 20px;" title="申领原因" /></div>
			</td>
			<td colspan="4" style="border-width: 1.5pt 1pt; border-style: solid none none; border-color: rgb(0, 0, 0);" valign="bottom">
			<div align="left" style="line-height: 1.5;"><font face="宋体" size="4">&nbsp;需要借用支票</font></div>
			</td>
			<td style="border-width: 1.5pt 1.5pt 1pt 1pt; border-style: solid solid solid none; border-color: rgb(0, 0, 0);" valign="bottom">
			<div align="left" style="line-height: 1.5;"><input align="left" hidden="0" name="DATA_30" size="9" style="width: 86px; height: 18px;" title="份数" /></div>
			</td>
			<td bgcolor="#ccffff" rowspan="5" style="border: 1pt rgb(0, 0, 0); background-color: transparent;" valign="middle">
			<div align="center" style="line-height: 1.5;">&nbsp;</div>
			</td>
		</tr>
		<tr style="min-height: 49px;">
			<td colspan="2" style="border-width: 1.5pt 1pt 1.5pt 1.5pt; border-style: none none none solid; border-color: rgb(0, 0, 0);" valign="bottom">
			<div align="left" style="line-height: 1.5;"><font face="宋体" size="4">份，支票号</font></div>
			</td>
			<td colspan="3" style="border-width: 1pt; border-style: solid none; border-color: rgb(0, 0, 0) rgb(0, 0, 0) black;" valign="bottom">
			<div align="left" style="line-height: 1.5;"><input align="left" hidden="0" name="DATA_31" size="21" style="width: 174px; height: 21px;" title="支票号" /></div>
			</td>
			<td colspan="3" style="border: 1pt rgb(0, 0, 0);" valign="bottom">
			<div align="left" style="line-height: 1.5;"><font face="宋体" size="4">,限用金额</font></div>
			</td>
			<td colspan="3" style="border-width: 1pt 1.5pt 1pt 1pt; border-style: none solid solid none; border-color: rgb(0, 0, 0) rgb(0, 0, 0) black;" valign="bottom">
			<div align="left" style="line-height: 1.5;"><input align="left" hidden="0" name="DATA_32" style="width: 161px; height: 21px;" title="金额" /></div>
			</td>
		</tr>
		<tr style="min-height: 44px;">
			<td colspan="11" style="border-width: 1pt 1.5pt 1.5pt; border-style: none solid solid; border-color: rgb(0, 0, 0);" valign="bottom">
			<div align="left" style="line-height: 1.5;"><font face="宋体" size="4">元。</font></div>
			</td>
		</tr>
		<tr style="min-height: 42px;">
			<td bgcolor="#ccffff" style="border-width: 1px 1pt 1pt; border-color: rgb(0, 0, 0); background-color: transparent;" valign="bottom">
			<div align="left" style="line-height: 1.5;"><span style="font-size: 12px;"><font face="宋体">审核人：</font></span></div>
			</td>
			<td bgcolor="#ccffff" colspan="2" style="border-width: 1.5pt 1pt 1pt; border-style: solid none; border-color: rgb(0, 0, 0) rgb(0, 0, 0) black; background-color: transparent;" valign="bottom">
			<div align="left" style="line-height: 1.5;"><font face="宋体"><input class="AUTO" datafld="SYS_USERNAME" hidden="0" name="DATA_33" style="width: 106px;" title="审核人" value="{MACRO}" /></font></div>
			</td>
			<td bgcolor="#ccffff" style="border-width: 1px 1pt 1pt; border-color: rgb(0, 0, 0); background-color: transparent;" valign="bottom">
			<div align="left" style="line-height: 1.5;"><span style="font-size: 12px;"><font face="宋体">财务复核：</font></span></div>
			</td>
			<td bgcolor="#ccffff" colspan="3" style="border-width: 1.5pt 1pt 1pt; border-style: solid none; border-color: rgb(0, 0, 0) rgb(0, 0, 0) black; background-color: transparent;" valign="bottom">
			<div align="left" style="line-height: 1.5;"><input class="AUTO" datafld="SYS_USERNAME" hidden="0" name="DATA_34" style="width: 113px;" title="财务复核" value="{MACRO}" /></div>
			</td>
			<td bgcolor="#ccffff" colspan="2" style="border-width: 1.5pt 1pt 1pt; border-style: solid none none; border-color: rgb(0, 0, 0); background-color: transparent;" valign="bottom">
			<div align="left" style="line-height: 1.5;"><span style="font-size: 12px;"><font face="宋体">申请人：</font></span></div>
			</td>
			<td bgcolor="#ccffff" colspan="2" style="border-width: 1.5pt 1pt 1pt; border-style: solid none; border-color: rgb(0, 0, 0); background-color: transparent;" valign="bottom">
			<div align="left" style="line-height: 1.5;"><input class="AUTO" datafld="SYS_USERNAME" hidden="0" name="DATA_35" style="width: 116px;" title="申请人" value="{MACRO}" /></div>
			</td>
		</tr>
		<tr style="min-height: 4px;">
			<td bgcolor="#ccffff" style="border: 1pt rgb(0, 0, 0); background-color: transparent;" valign="bottom">
			<div align="left" style="line-height: 1.5;">&nbsp;</div>
			</td>
			<td bgcolor="#ccffff" colspan="2" style="border-width: 1pt; border-style: solid none none; border-color: black rgb(0, 0, 0) rgb(0, 0, 0); background-color: transparent;" valign="middle">
			<div align="left" style="line-height: 1.5;">&nbsp;</div>
			</td>
			<td bgcolor="#ccffff" style="border: 1pt rgb(0, 0, 0); background-color: transparent;" valign="bottom">
			<div align="left" style="line-height: 1.5;">&nbsp;</div>
			</td>
			<td bgcolor="#ccffff" colspan="3" style="border-width: 1pt; border-style: solid none none; border-color: black rgb(0, 0, 0) rgb(0, 0, 0); background-color: transparent;" valign="bottom">
			<div align="left" style="line-height: 1.5;">&nbsp;</div>
			</td>
			<td bgcolor="#ccffff" colspan="2" style="border: 1pt rgb(0, 0, 0); background-color: transparent;" valign="bottom">
			<div align="left" style="line-height: 1.5;">&nbsp;</div>
			</td>
			<td bgcolor="#ccffff" colspan="2" style="border-width: 1pt; border-style: solid none none; border-color: rgb(0, 0, 0); background-color: transparent;" valign="bottom">
			<div align="left" style="line-height: 1.5;">&nbsp;</div>
			</td>
		</tr>
	</tbody>
</table>
</div>

<div align="center"><br />
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