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["平成　　　年　　　月　　　日"]
[]
["研究経費立替申請書"]
[]
["演習林長",{"$nulls":9},"殿"]
[{"$nulls":19},"［所　属］",{"$nulls":16},"農学研究院長","吉　村　　淳　　　　　"]
[{"$nulls":19},"［職　名］",{"$nulls":16},"生物環境利用推進センター長","松　岡　　健"]
[{"$nulls":19},"［氏　名］",{"$nulls":14},"印","　","熱帯農学研究センター長","緒方　一夫"]
[{"$nulls":36},"有体物管理センター長","久　原　　哲　"]
["研究計画遂行上、下記のとおり研究資金の交付又は収納前に支出を行いたいので、資金の立替えを申請します。",{"$nulls":35},"農場長","大久保　敬"]
[{"$nulls":34},"□新規　・　□増額（　　回目：既立替承認額　　　　　　　　　　円）",null,"演習林長","吉田　茂二郎"]
["研究資金の概要",null,"研究資金名・種目"]
[null,null,"研究課題"]
[null,null,"契約の相手方"]
[null,null,"研究（契約）予定期間"]
[null,null,"交付（契約）予定額",{"$nulls":6}," 直接経費",{"$nulls":7},"  間接経費・一般管理費",{"$nulls":8},"交付（契約）予定額計"]
[{"$nulls":16},"円",{"$nulls":7},"円",{"$nulls":8},"円"]
[null,null,"交付（入金）回数\n及び予定時期",{"$nulls":6}," 全額精算払 ・ 一部概算払（ 　回払）",{"$nulls":15},"入金予定時期",{"$nulls":7},"頃"]
["立替申請額",{"$nulls":8}," 直接経費",{"$nulls":7},"  間接経費・一般管理費",{"$nulls":8},"立替申請額計"]
[{"$nulls":16},"円",{"$nulls":7},"円",{"$nulls":8},"円"]
["※交付(入金)されなかった\n 場合の補填財源",{"$nulls":33},"※第２条第２項ハに該当する資金のみ記載"]
["立替理由及び\n使用計画の概要"]
[]
[]
[]
["「使用する費目の区分及び内訳」も記載して下さい。"]
[]
[]
[null,null,"（注）上記内容を確認出来る、交付又は採択等に関する関係書類の写しを添付してください。"]
[]
[]
["以下は事務部で記入します。"]
[]
["事務長",null,null,null,"事務長補佐",null,null,null,"総務係長",null,null,null,"総務係",{"$nulls":12},"平成　　　年　　　月　　　日"]
[]
[]
[]
[]
[null,0,{"$nulls":6},"殿",{"$nulls":13},"演習林長"]
[{"$nulls":25},"吉田　茂二郎"]
[]
[]
["上記の研究資金立替申請について、下記のとおり決定しましたのでお知らせいたします。"]
[]
[null,null,null,"□承認",{"$nulls":5},"□一部承認",{"$nulls":6},"□否認 "]
[null,null,null,"承認額",{"$nulls":5},"直接経費",{"$nulls":7},"間接経費・一般管理費",{"$nulls":7},"合計"]
[{"$nulls":9},"所管コード：",{"$nulls":7},"所管コード："]
[null,null,null,"今回承認額",{"$nulls":12},"円",{"$nulls":7},"円",{"$nulls":7},"円"]
[null,null,null,"既立替承認額",{"$nulls":12},"円",{"$nulls":7},"円",{"$nulls":7},"円"]
[null,null,null,"立替承認額累計",{"$nulls":12},"円",{"$nulls":7},"円",{"$nulls":7},"円"]
[]
[null,null,"【一部承認又は否認の理由】"]