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<div class="container">
<div class="form_body">
<div class="head_er line">预支工资申请书</div>
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<div class="form_group">
<div class="form_row">
<div class="text_li" style="width: 180px"><span class="text_gray" style="width: 100px">申请人：</span> <span class="text_stlye1" style="width: 180px"><span class="text_stlye11" style="width: 180px">{DATA_1}</span></span></div>
<div class="text_li" style="margin-left: 40px; width: 180px"><span class="text_gray" style="width: 100px">单 位：</span> <span class="text_stlye1" style="width: 180px"><span class="text_stlye11" style="width: 180px">{DATA_2}</span></span></div>
<div class="text_li" style="float: right; width: 180px"><span class="text_gray" style="width: 100px">申请日期：</span> <span class="text_stlye1" style="width: 180px"><span class="text_stlye11" style="width: 170px">{DATA_3}</span></span></div>
</div>
</div>
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<div class="form_group">
<div class="form_row form_textarea">
<div class="text_li" style="width: 629px"><span class="textarea_gray" style="margin-top: 0px; width: 100px">借款原因</span>
<div class="textarea_6" style="height: 90px; width: 628px">
<div class="textarea_top">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a">{DATA_4}</div>
<div class="textarea_bottom">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
</div>
</div>
<!-- 表单元素分组线 -->
<div class="form_group">
<div class="form_row">
<div class="text_li" style="width: 270px"><span class="text_gray" style="width: 120px">申请金额：</span> <span class="text_stlye1" style="width: 160px"><span class="text_stlye11" style="width: 160px">{DATA_5}<span style="color: #7e97ad">元</span></span></span></div>
<div class="text_li" style="margin-left: 80px; width: 268px"><span class="text_gray" style="width: 100px">偿还日期:</span>
<div class="left" style="float: left"><span class="text_gray" style="margin-top: -2px; width: 100px">自本月份起分</span></div>
<div class="center"><span class="text_stlye1" style="width: 100px"><span class="text_stlye11" style="width: 100px">{DATA_6}</span></span></div>
<span class="text_gray" style="margin-top: -2px;">&#160;月还请</span></div>
</div>
</div>
<!-- 表单元素分组线 -->
<div class="form_group"><span class="text_gray" style="text-align: left; width: 627px">连带保证人</span>
<div class="form_row" style="float: left; width: 418px">
<div class="text_li" style="width: 208px"><span class="text_gray" style="width: 60px">姓名:</span> <span class="text_stlye1" style="width: 180px"><span class="text_stlye11" style="width: 180px">{DATA_7}</span></span></div>
<div class="text_li" style="width: 208px"><span class="text_gray" style="width: 60px">单位:</span> <span class="text_stlye1" style="width: 180px"><span class="text_stlye11" style="width: 180px">{DATA_8}</span></span></div>
<div class="text_li" style="margin-top: 8px; width: 208px"><span class="text_stlye1" style="width: 180px"><span class="text_stlye11" style="width: 180px">{DATA_9}</span></span></div>
<div class="text_li" style="margin-top: 8px; width: 208px"><span class="text_stlye1" style="width: 180px"><span class="text_stlye11" style="width: 180px">{DATA_10}</span></span></div>
</div>
<div class="form_row" style="float: left; width: 208px"><span class="text_gray" style="text-align: left; width: 200px">无借支或为同事担保行为记录</span>
<div class="text_li" style="width: 200px"><span class="text_stlye1" style="width: 200px"><span class="text_stlye11" style="width: 200px">{DATA_11}</span></span></div>
<div class="text_li" style="margin-top: 8px; width: 200px"><span class="text_stlye1" style="width: 200px"><span class="text_stlye11" style="width: 200px">{DATA_12}</span></span></div>
</div>
<div class="clear">&#160;</div>
</div>
<!-- 表单元素分组线 -->
<div class="form_group">
<div class="form_row form_textarea">
<div class="text_li" style="float: left; width: 313px"><span class="textarea_gray" style="margin-top: 0px; width: 100px">核准：</span>
<div class="textarea_6" style="width: 308px;height:105px;">
<div class="textarea_top" style="width: 308px">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a" style="width: 308px">{DATA_13}</div>
<div class="textarea_bottom" style="width: 308px">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
<div class="text_li" style="float: right; width: 313px"><span class="textarea_gray" style="margin-top: 0px; width: 150px">职工福利委员会审议：</span>
<div class="textarea_6" style="width: 308px;height:105px;">
<div class="textarea_top" style="width: 308px">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a" style="width: 308px">{DATA_14}</div>
<div class="textarea_bottom" style="width: 308px">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
</div>
</div>
<div class="form_row form_textarea">
<div class="text_li" style="float: left; width: 313px"><span class="textarea_gray" style="margin-top: 0px; width: 100px">借支记录</span>
<div class="textarea_6" style="width: 308px;height:105px;">
<div class="textarea_top" style="width: 308px">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a" style="width: 308px">{DATA_15}</div>
<div class="textarea_bottom" style="width: 308px">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
<div class="text_li" style="float: right; width: 313px"><span class="textarea_gray" style="height: 32px; margin-top: 0px; width: 107px">单位主管意见：</span>
<div class="textarea_6" style="width: 308px;height:105px;">
<div class="textarea_top" style="width: 308px">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a" style="width: 308px">{DATA_16}</div>
<div class="textarea_bottom" style="width: 308px">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
</div>
<div class="clear">&#160;</div>
</div>
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</div>
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<div>&#160;</div>