<br />
<table class="xdLayout" tabindex="65535" border="1" bordercolor="#ffffff" width="640" align="center" style="border-bottom: medium none; border-left: medium none; border-collapse: collapse; word-wrap: break-word; table-layout: fixed; border-top: medium none; border-right: medium none">
    <colgroup><col style="width: 160px" /><col style="width: 160px" /><col style="width: 160px" /><col style="width: 160px" /></colgroup>
    <tbody valign="top">
        <tr style="min-height: 49px">
            <td colspan="4" style="border-bottom: #000000 1.5pt solid; border-left: #000000 1.5pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 1.5pt solid; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div align="center"><font size="5" face="微软雅黑"><strong>报销申请单</strong></font></div>
            </td>
        </tr>
        <tr style="min-height: 30px">
            <td style="border-bottom: black 1pt solid; border-left: #000000 1.5pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 1.5pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">采购单编号</font></div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 1.5pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">{DATA_1}</font></div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 1.5pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">付款方式</font></div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 1.5pt solid; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">现金</font></div>
            </td>
        </tr>
        <tr style="min-height: 30px">
            <td style="border-bottom: black 1pt solid; border-left: #000000 1.5pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">申请人</font></div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">{DATA_2}</font></div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">申请日期</font></div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">{DATA_3}</font></div>
            </td>
        </tr>
        <tr style="min-height: 30px">
            <td style="border-bottom: black 1pt solid; border-left: #000000 1.5pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">银行卡开户行变更为</font></div>
            </td>
            <td colspan="3" style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div><font color="#ff0000" face="微软雅黑" style="font-size: 9pt"><strong>注：银行账号如有变更，请填写此项</strong></font></div>
            <div><font size="3" face="微软雅黑">{DATA_4}</font></div>
            </td>
        </tr>
        <tr style="min-height: 30px">
            <td style="border-bottom: black 1pt solid; border-left: #000000 1.5pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">银行卡账号变更为</font></div>
            </td>
            <td colspan="3" style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div><font color="#ff0000" face="微软雅黑" style="font-size: 9pt"><strong>注：银行账号如有变更，请填写此项，请务核对准确！</strong></font></div>
            <div><font size="3" face="微软雅黑">{DATA_5}</font></div>
            </td>
        </tr>
        <tr style="min-height: 62px">
            <td style="border-bottom: black 1pt solid; border-left: #000000 1.5pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">申请人说明</font></div>
            </td>
            <td colspan="3" style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: top; border-top: black 1pt solid; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div style="line-height: 1.5"><font color="#ff0000" face="微软雅黑" style="font-size: 9pt"><strong>注：提交申请后，请及时将发票交给行政经理，未提交的不予报销</strong></font></div>
            <div style="line-height: 1.5"><font size="3" face="微软雅黑">{DATA_8}</font></div>
            </td>
        </tr>
        <tr style="min-height: 43px">
            <td rowspan="2" style="border-bottom: black 1pt solid; border-left: #000000 1.5pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">报销明细</font></div>
            </td>
            <td colspan="3" style="border-bottom: #000000 1pt; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div><font size="3" face="微软雅黑">{DATA_6}</font></div>
            </td>
        </tr>
        <tr style="min-height: 25px">
            <td colspan="3" style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 1pt; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div style="text-align: right"><font size="3" face="微软雅黑">报销总额：{DATA_7}</font></div>
            </td>
        </tr>
        <tr style="min-height: 47px">
            <td rowspan="2" style="border-bottom: black 1pt solid; border-left: #000000 1.5pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">上级主管审批</font></div>
            </td>
            <td colspan="3" style="border-bottom: #000000 1pt; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: top; border-top: black 1pt solid; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div><font size="3" face="微软雅黑">{DATA_9}<br />
            {DATA_10}</font></div>
            </td>
        </tr>
        <tr style="min-height: 25px">
            <td colspan="3" style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 1pt; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div style="text-align: right"><font size="3" face="微软雅黑">{DATA_11}</font></div>
            </td>
        </tr>
        <tr style="min-height: 47px">
            <td rowspan="2" style="border-bottom: black 1pt solid; border-left: #000000 1.5pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">部门总监审批</font></div>
            </td>
            <td colspan="3" style="border-bottom: #000000 1pt; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: top; border-top: black 1pt solid; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div style="line-height: 1.5"><font size="3" face="微软雅黑">{DATA_12}<br />
            {DATA_13}</font></div>
            </td>
        </tr>
        <tr style="min-height: 25px">
            <td colspan="3" style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 1pt; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div style="text-align: right"><font size="3" face="微软雅黑">{DATA_14}</font></div>
            </td>
        </tr>
        <tr style="min-height: 47px">
            <td rowspan="2" style="border-bottom: #000000 1pt solid; border-left: #000000 1.5pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">CEO审批</font></div>
            </td>
            <td colspan="3" style="border-bottom: #000000 1pt; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: top; border-top: black 1pt solid; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div style="line-height: 1.5"><font size="3" face="微软雅黑">{DATA_21}<br />
            {DATA_22}</font></div>
            </td>
        </tr>
        <tr style="min-height: 25px">
            <td colspan="3" style="border-bottom: #000000 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 1pt; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div style="text-align: right"><font size="3" face="微软雅黑">{DATA_23}</font></div>
            </td>
        </tr>
        <tr style="min-height: 47px">
            <td rowspan="2" style="border-bottom: #000000 1.5pt solid; border-left: #000000 1.5pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="3" face="微软雅黑">财务办理情况</font></div>
            </td>
            <td colspan="3" style="border-bottom: #000000 1pt; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: top; border-top: black 1pt solid; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div style="line-height: 1.5"><font size="3" face="微软雅黑">{DATA_26}</font></div>
            </td>
        </tr>
        <tr style="min-height: 25px">
            <td colspan="3" style="border-bottom: #000000 1.5pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 1pt; border-right: #000000 1.5pt solid; padding-top: 1px">
            <div style="text-align: right"><font size="3" face="微软雅黑">{DATA_27}</font></div>
            </td>
        </tr>
        <tr style="min-height: 30px">
            <td colspan="4" style="border-bottom: #000000 1pt; border-left: #000000 1pt; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 1.5pt solid; border-right: #000000 1pt; padding-top: 1px">
            <div><font size="3" face="微软雅黑">注：用于个人申请报销</font></div>
            </td>
        </tr>
    </tbody>
</table>
<div style="text-align: center">{DATA_24}{DATA_25}</div>