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[{"$nulls":5},"2024　年度助成物品等申請書",{"$nulls":17},"様式１"]
[{"$nulls":23},"（A4判）"]
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["公益財団法人萬田記念財団 理事長　殿",{"$nulls":17},2025,null,null,"年",null,"月",null,"日"]
["法人の名称　",{"$nulls":17},"法人設立年月日"]
[{"$nulls":18},"明・大・昭・平  年  月  日"]
["法人の所在地",{"$nulls":5},"〒□□□‐□□□□",{"$nulls":11},"TEL　　　（　　）"]
[{"$nulls":18},"FAX　　　（　　）"]
["代表者職氏名印",{"$nulls":5},"　　　　　　　　　　　　　　　　　㊞　　　　　　　　　　　　　　　　　　　　",{"$nulls":10},"担当者職氏名"]
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["法人の事業の種類・名称"]
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["申請施設の種類・名称"]
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["申請施設の所在地",{"$nulls":5},"〒□□□‐□□□□",{"$nulls":11},"TEL　　　（　　）"]
[{"$nulls":18},"FAX　　　（　　）"]
["現在の施設の規模構造",{"$nulls":5},"(定員   名)",null,null,null,"( 棟     ㎡)",null,null,null,"(構造　　　　　　　　　　　　　　　　   ）"]
["現在の土地の状況",{"$nulls":5},"所有地　　　　　　㎡",{"$nulls":5},"借地　　　　　　　㎡",{"$nulls":7},"計　　　　　　　　㎡"]
["要望事項"]
["要望理由"]
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[]
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["物品等取得年月日(予定)",{"$nulls":5},"2025年　　月　　日"]
["申請金額",{"$nulls":5},"　",{"$nulls":4},"万円",null,"資金計画","県・市・町・村補助金",{"$nulls":10},"円"]
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["※推せん金額",{"$nulls":10},"万円",null,"※決　定　金　額",{"$nulls":10},"万 円"]
["※印の欄は申請団体で記入しないで下さい。"]
[]
["財団点検欄（本用紙の各欄記入事項及び添付書類の内容）"]
["受付日",null,null,"2025年　　月　　日",{"$nulls":5},"法人に指示した事項等"]
["点検日",null,null,"2025年　　月　　日"]
["点検者"]
[]
[{"$nulls":13},"※財団使用欄",{"$nulls":5},"交付決定番号"]