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<html lang="en">
<head>
  <meta charset="UTF-8"/>
  <meta name="viewport" content="width=device-width, initial-scale=1.0"/>
  <title>\u6574\u6539\u8BA1\u5212</title>
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      text-align: center;
      color: #000000;
      font-family: SimSun;
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      font-size: 32px;
      font-family: SimSun;
      margin-bottom: 30px;
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    .top{
      text-align: left;
      margin-bottom: 30px;
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    .bold{
      font-weight: bold;
    }
    .text-center{
      text-align: center;
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      text-align: left;
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      margin-bottom: 16px;
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    .twoMl{
      padding-left: 24px;
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      margin-bottom: 8px;
      margin-top: 12px;
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    .twoTit{
      padding-left: 24px;
      margin-bottom: 8px;
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      padding-left: 24px;
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      text-align: center;
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<body>
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      <tr>
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        <td colspan="3" style="text-align: left">
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        </td>
      </tr>
      <tr>
        <td  style="width: 23%;text-align: center">\u6574\u6539\u8BA1\u5212</td>
        <td colspan="3">
              <div>
                  <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>
                  <p style="padding-top: 100px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\uFF08\u53EF\u53E6\u9644\u9875\uFF09</p>
                  <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>
                   <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>
                    <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>
                     <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>
                  <p style="padding-top: 100px;text-align: right">\u6574\u6539\u5355\u4F4D\uFF08\u76D6\u7AE0\uFF09</p>
                  <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>
              </div>
        </td>
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      <tr>
        <td  style="width: 23%;text-align: center">\u6574\u6539\u5B8C\u6210\u60C5\u51B5</td>
        <td colspan="3">
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                  <p>&nbsp;&nbsp;</p>
                  <p>&nbsp;&nbsp;</p>
                  <p>&nbsp;&nbsp;</p>
                   <p>&nbsp;&nbsp;</p>
              </div>
        </td>
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      <tr>
        <td  style="width: 23%;text-align: center"><p style="text-align: center;">\u7B54\u590D\u4EBA\u5458(\u7B7E\u5B57)</p></td>
        <td style="width:27%"> <p>&nbsp;&nbsp;</p> <p>&nbsp;&nbsp;</p></td>
        <td  style="width: 23%;text-align: center"><p style="text-align: center;">\u7B54\u590D\u65F6\u95F4</p></td>
        <td style="width:27%;text-align: right">&nbsp;&nbsp;\u5E74&nbsp;\u6708&nbsp;\u65E5</td>
      </tr>
     </tbody>
   </table>
</div>
</div>
</body>
</html>
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