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{"sheet":"入力フォーム","index":0,"n_rows":18,"n_cols":5,"rows_kept":18,"cut":false,"hidden":false,"merged":[[16,0,17,1],[2,0,2,2],[14,4,15,6],[0,0,0,3],[14,1,15,1],[8,1,9,1],[1,0,1,3],[3,0,3,2],[6,0,15,0],[10,1,13,1],[6,1,7,1],[4,0,5,1]]}
["\n下記項目を入力すると、各申請書の共通事項を記入することができます。\n（入力については，記載例のシートを確認してください。）\n"]
["１．共通事項の入力"]
["団体名"]
["校区名"]
["団体所在地",null,"区"]
[null,null,"区以下"]
["代表者\n\n情 報","住所","区",null,"←選択してください"]
[null,null,"区以下"]
[null,"氏名","フリガナ"]
[null,null,"漢字"]
[null,"生年月日","年号",null,"←選択してください"]
[null,null,"年"]
[null,null,"月"]
[null,null,"日"]
[null,"電話番号","自宅",null,"←ハイフン（-）を入れてください"]
[null,null,"携帯"]
["団体担当者\n（会長以外の場合）",null,"氏名"]
[null,null,"連絡先"]

{"sheet":"入力フォーム 記載例","index":1,"n_rows":18,"n_cols":5,"rows_kept":18,"cut":false,"hidden":false,"merged":[[0,0,0,3],[1,0,1,3],[14,4,15,6],[16,0,17,1],[2,0,2,2],[3,0,3,2],[4,0,5,1],[6,0,15,0],[6,1,7,1],[8,1,9,1],[10,1,13,1],[14,1,15,1]]}
["\n下記項目を入力すると、各申請書の共通事項及び設置意向調査書を記入することができます。\n"]
["１．共通事項の入力"]
["団体名",null,null,"〇〇校区自治協議会"]
["校区名",null,null,"○○校区"]
["団体所在地",null,"区","中央","←選択してください"]
[null,null,"区以下","○○１丁目８番１号"]
["代表者\n\n情 報","住所","区","中央","←選択してください"]
[null,null,"区以下","○○１丁目８番１号"]
[null,"氏名","フリガナ","フリガナ"]
[null,null,"漢字","〇〇　○○"]
[null,"生年月日","年号","昭和","←選択してください"]
[null,null,"年","○○"]
[null,null,"月","○○"]
[null,null,"日","○○"]
[null,"電話番号","自宅","000-000-0000","←ハイフン（-）を入れてください"]
[null,null,"携帯","000-0000-0000"]
["団体担当者\n（会長以外の場合）",null,"氏名","○○　○○"]
[null,null,"連絡先","000-000-0000"]

{"sheet":"委任状","index":2,"n_rows":24,"n_cols":16,"rows_kept":24,"cut":false,"hidden":false,"merged":[[23,5,23,15],[22,5,22,15],[21,5,21,15],[20,5,20,15],[19,5,19,15],[14,7,14,10],[2,3,2,15],[6,7,6,8],[9,5,9,15],[8,5,8,15],[11,5,11,15],[13,7,13,12],[10,5,10,15]]}
[]
[]
[null,null,null,"委　　任　　状"]
[]
[null,null,null,null,null,null,null,null,null,"令和",null,"年",null,"月",null,"日"]
[]
[null,null,null,"（あて先）福 岡 市 長"]
[null,null,null,"【委任者】"]
[null,null,null,"団体名",null,{"$f":"入力フォーム!D3","v":0}]
[null,null,null,"代表者住所"]
[null,null,null,"代表者役職名"]
[null,null,null,"代表者氏名"]
[]
[null,null,"街頭防犯カメラ補助金に関する",null,null,null,null,null,null,null,null,null,null,"について"]
[null,null,"下記の者に委任します。"]
[]
[]
[null,null,null,"記"]
[null,null,null,"【受任者】"]
[null,null,null,"団体名（会社名）"]
[null,null,null,"住所（所在地）"]
[null,null,null,"電話番号"]
[null,null,null,"役職名"]
[null,null,null,"氏名"]

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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（様式第１号）"]
[null,"福岡市街頭防犯カメラ補助金交付申請書（設置費補助金）"]
[]
[null,null,"（あて先）福 岡 市 長",null,null,null,null,null,null,"申 請 日",null,"令和",null,"年",null,"月",null,"日"]
[]
[null,null,"団　体　名",null,{"$f":"入力フォーム!D3","v":0},null,null,null,null,null,null,{"$f":"入力フォーム!$D$4","v":0},null,null,null,null,"校区"]
[null,null,"団体所在地",null,null,"福岡市",null,{"$f":"入力フォーム!D5","v":0},"区",{"$f":"入力フォーム!D6","v":0}]
[null,null,"フリガナ",null,{"$f":"入力フォーム!D9","v":0},null,null,null,null,null,null,"生 年 月 日"]
[null,null,"代表者氏名",null,{"$f":"入力フォーム!D10","v":0},null,null,null,null,null,null,{"$f":"入力フォーム!$D$11","v":0},{"$f":"入力フォーム!D12","v":0},"年",{"$f":"入力フォーム!D13","v":0},"月",{"$f":"入力フォーム!D14","v":0},"日"]
[]
[]
[null,null,"住        所",null,null,"福岡市",null,{"$f":"区","v":0},"区",{"$f":"入力フォーム!D8","v":0}]
[null,null,"電 話 番 号",null,"自宅",{"$f":"入力フォーム!D15","v":0},null,null,null,null,"携帯",{"$f":"入力フォーム!$D$16","v":0}]
[null,null,"団体担当者\n（会長以外の場合）",null,"氏名",{"$f":"入力フォーム!D17","v":0},null,null,null,null,"連絡先",{"$f":"入力フォーム!D18","v":0}]
[]
[null,null,"　福岡市街頭防犯カメラ補助金の交付を受けたいので、福岡市補助金交付規則を承知の上、  関係書類を添えて下記のとおり申請します。"]
[]
[null,null,"記"]
[]
[null,null,"1. 事業実施期間",null,null,null,null,null,"～"]
[]
[null,null,"2. 補助申請台数",null,null,"防犯カメラ\n（録画機能無）",null,null,"台",null,"録画装置\n（レコーダー）",null,null,null,null,"台"]
[]
[null,null,null,null,null,"防犯カメラ\n（録画機能有）",null,null,"台",null,"自立柱\n（ポール）",null,null,null,null,"本"]
[]
[null,null,"3. 設置区分",null,null,"新設"]
[]
[null,null,"4. 資金計画"]
[null,null,null,null,"収入",null,null,null,null,"支出"]
[null,null,null,null,"項目",null,null,"予算",null,"項目",null,null,"予算"]
[null,null,null,null,"自己資金",null,null,null,null,"街頭防犯カメラ設置費用"]
[null,null,null,null,"市補助金"]
[null,null,null,null,"合計",null,null,null,null,"合計"]
[]
[null,null,"5. 補助事業の目的及び内容"]
[null,null,"　  地域における街頭犯罪の抑止や子どもの安全確保を図るため、防犯カメラを\n  設置し、犯罪のない安全で住みよいまちの実現に寄与するために事業を行います。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"←必要に応じて変更してください。"]
[]
[null,null,"6. 防犯カメラの設置が団体の総会等で決定した日・場所"]
[null,null,"決定日",null,null,null,null,"　場所　"]
[]
[null,null,"7. 管理運用規程策定日　※申請前に策定が必要です"]
[]
[]
[null,null,"8. 管理運用責任者及び操作取扱者氏名"]
[null,null," 管理運用責任者",null,null,null,null,"操作取扱者"]

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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（様式第１号）"]
[null,"福岡市街頭防犯カメラ補助金交付申請書（設置費補助金）"]
[]
[null,null,"（あて先）福 岡 市 長",null,null,null,null,null,null,"申 請 日",null,"令和",8,"年",6,"月",15,"日"]
[]
[null,null,"団　体　名",null,null,"〇〇校区自治協議会",null,null,null,null,null,"○○",null,null,null,null,"校区"]
[null,null,"団体所在地",null,null,"福岡市",null,"中央","区","〇〇１丁目１番１号"]
[null,null,"フリガナ",null,"○○○○　○○○○",null,null,null,null,null,null,"生 年 月 日"]
[null,null,"代表者氏名",null,"○○　○○",null,null,null,null,null,null,"昭和","〇〇","年","〇〇","月","〇〇","日"]
[]
[]
[null,null,"住        所",null,null,"福岡市",null,"中央","区","○○２丁目２番２号"]
[null,null,"電 話 番 号",null,"自宅","092-○○○-○○○〇",null,null,null,null,"携帯","○○〇-○○○○-○○○○"]
[null,null,"団体担当者\n（会長以外の場合）",null,"氏名","○○　○○",null,null,null,null,"連絡先","○○〇-○○○○-○○○○"]
[]
[null,null,"　福岡市街頭防犯カメラ補助金の交付を受けたいので、福岡市補助金交付規則を承知の上、  関係書類を添えて下記のとおり申請します。"]
[]
[null,null,"記"]
[]
[null,null,"1. 事業実施期間",null,null,"2026-06-15",null,null,"～","2027-03-31"]
[]
[null,null,"2. 補助申請台数",null,null,"防犯カメラ\n（録画機能無）",null,4,"台",null,"録画装置\n（レコーダー）",null,null,2,null,"台"]
[]
[null,null,null,null,null,"防犯カメラ\n（録画機能有）",null,null,"台",null,"自立柱\n（ポール）",null,null,2,null,"本"]
[]
[null,null,"3. 設置区分",null,null,"新設"]
[]
[null,null,"4. 資金計画"]
[null,null,null,null,"収入",null,null,null,null,"支出"]
[null,null,null,null,"項目",null,null,"予算",null,"項目",null,null,"予算"]
[null,null,null,null,"自己資金",null,null,300000,null,"街頭防犯カメラ設置費用",null,null,1000000]
[null,null,null,null,"市補助金",null,null,700000]
[null,null,null,null,"合計",null,null,{"$f":"H32+H33","v":1000000},null,"合計",null,null,1000000]
[]
[null,null,"5. 補助事業の目的及び内容"]
[null,null,"　  地域における街頭犯罪の抑止や子どもの安全確保を図るため、防犯カメラを\n  設置し、犯罪のない安全で住みよいまちの実現に寄与するために事業を行います。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"←必要に応じて変更してください。"]
[]
[null,null,"6. 防犯カメラの設置が団体の総会等で決定した日・場所"]
[null,null,"決定日","2026-05-15",null,null,null,"　場所　","〇〇公民館"]
[]
[null,null,"7. 管理運用規程策定日　※申請前に策定が必要です"]
[null,null,null,"2026-06-10"]
[]
[null,null,"8. 管理運用責任者及び操作取扱者氏名"]
[null,null," 管理運用責任者",null,null,null,null,"操作取扱者"]
[null,null,null,"〇〇　○○",null,null,null,null,"○○　○○"]

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[]
[null,null,null,null,null,null,null,null,null,null,null,null,"（様式第１号）"]
[null,"9．事業計画",null,null,null,null,null,null,"団 体 名",{"$f":"入力フォーム!D3","v":0}]
[null,"（該当項目に☑）"]
[null,"地図番号","設置区分","設 置 場 所 住 所\n（目印になる建物名を記入）",null,null,null,"設置機器","設置方法","※既設柱に設置する場合"]
[]
[null,"①","新設\n\n\n　取替",null,null,null,null,"　　　カメラ（録画機能有）","既設柱","九電柱"]
[null,null,null,null,null,null,null,null,null,"番号（　　　　　　　）"]
[null,null,null,null,null,null,null,"　　　カメラ（録画機能無）","建　柱","NTT柱"]
[null,null,null,null,null,null,null,null,null,"番号（　　　　　　　）"]
[null,null,null,"道路","民有地","　　　　その他",null,"　　 録画装置（レコーダー）","その他","その他"]
[null,null,null,null,null,"（　　　　　　　）",null,null,"（　　　　　　　　　）","（　　　　 　　　　　）",null,null,null,null,null,null,{"$f":"L12*100+K12*1000+J12*10000","v":{"$error":"#VALUE!"}}]
[null,"②","新設\n\n\n　取替",null,null,null,null,"　　　カメラ（録画機能有）","既設柱","九電柱"]
[null,null,null,null,null,null,null,null,null,"番号（　　　　　　　）"]
[null,null,null,null,null,null,null,"　　　カメラ（録画機能無）","建　柱","NTT柱"]
[null,null,null,null,null,null,null,null,null,"番号（　　　　　　　）"]
[null,null,null,"道路","民有地","　　　　その他",null,"　　 録画装置（レコーダー）","その他","その他"]
[null,null,null,null,null,"（　　　　　　　）",null,null,"（　　　　　　　　　）","（　　　　 　　　　　）",null,null,null,null,null,null,{"$f":"L18*100+K18*1000+J18*10000","v":{"$error":"#VALUE!"}}]
[null,"③","新設\n\n\n　取替",null,null,null,null,"　　　カメラ（録画機能有）","既設柱","九電柱"]
[null,null,null,null,null,null,null,null,null,"番号（　　　　　　　）"]
[null,null,null,null,null,null,null,"　　　カメラ（録画機能無）","建　柱","NTT柱"]
[null,null,null,null,null,null,null,null,null,"番号（　　　　　　　）"]
[null,null,null,"道路","民有地","　　　　その他",null,"　　 録画装置（レコーダー）","その他","その他"]
[null,null,null,null,null,"（　　　　　　　）",null,null,"（　　　　　　　　　）","（　　　　 　　　　　）",null,null,null,null,null,null,{"$f":"L24*100+K24*1000+J24*10000","v":{"$error":"#VALUE!"}}]
[null,"④","新設\n\n\n　取替",null,null,null,null,"　　　カメラ（録画機能有）","既設柱","九電柱"]
[null,null,null,null,null,null,null,null,null,"番号（　　　　　　　）"]
[null,null,null,null,null,null,null,"　　　カメラ（録画機能無）","建　柱","NTT柱"]
[null,null,null,null,null,null,null,null,null,"番号（　　　　　　　）"]
[null,null,null,"道路","民有地","　　　　その他",null,"　　 録画装置（レコーダー）","その他","その他"]
[null,null,null,null,null,"（　　　　　　　）",null,null,"（　　　　　　　　　）","（　　　　 　　　　　）",null,null,null,null,null,null,{"$f":"L30*100+K30*1000+J30*10000","v":{"$error":"#VALUE!"}}]
[null,null,"・公道等の公共空間を撮影すること"]
[]
[]
[null,"10.　関係書類"]
[null,"（1）三業者からの設置費用見積書"]
[null,"（2）設置箇所及び撮影範囲を明記した図面"]
[null,"（3）設置する防犯カメラ、録画装置の概要がわかるカタログ等"]
[null,"（4）設置する場所の所有者等の権利者から、許可が得られていることがわかる書類"]
[null,"（5）団体規約・役員名簿"]
[null,"（6）その他市長が指示する書類"]
[]
[null,"　　　","　本件申請にあたり市に提出した個人情報について、市が暴力団排除のため警察への照会確認に使用する"]
[null,"　","ことに同意します。"]
[null,"　","　また、暴力団員若しくは暴力団員と密接な関係を有する者に該当するときは、市が補助金を交付しない"]
[null,null,"こと、又は補助金の交付の決定を取り消すことに同意します。"]

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[]
[null,null,null,null,null,null,null,null,null,null,null,null,"（様式第１号）"]
[null,"9．事業計画",null,null,null,null,null,null,"団 体 名",{"$f":"入力フォーム!#REF!","v":{"$error":"#REF!"}}]
[null,"（該当項目に☑）"]
[null,"地図番号","設置区分","設 置 場 所 住 所\n（目印になる建物名を記入）",null,null,null,"設置機器","設置方法","※既設柱に設置する場合"]
[]
[null,"①","新設\n\n\n　取替","中央区天神〇-〇-〇",null,null,null,"　　　カメラ（録画機能有）","既設柱","九電柱"]
[null,null,null,null,null,null,null,null,null,"番号（123ア123）"]
[null,null,null,null,null,null,null,"　　　カメラ（録画機能無）","建　柱","NTT柱"]
[null,null,null,null,null,null,null,null,null,"番号（　　　　　　　）"]
[null,null,null,"道路","民有地","　　　　その他",null,"　　 録画装置（レコーダー）","その他","その他"]
[null,null,null,null,null,"（　　　　　　　）",null,null,"（　　　　　　　　　）","（　　　　 　　　　　）",null,null,null,null,null,null,{"$f":"L12*100+K12*1000+J12*10000","v":{"$error":"#VALUE!"}}]
[null,"②","新設\n\n\n　取替","中央区天神〇-〇-〇地先",null,null,null,"　　　カメラ（録画機能有）","既設柱","九電柱"]
[null,null,null,null,null,null,null,null,null,"番号（　　　　　　　）"]
[null,null,null,null,null,null,null,"　　　カメラ（録画機能無）","建　柱","NTT柱"]
[null,null,null,null,null,null,null,null,null,"番号（　　　　　　　）"]
[null,null,null,"道路","民有地","　　　　その他",null,"　　 録画装置（レコーダー）","その他","その他"]
[null,null,null,null,null,"（　　　　　　　）",null,null,"（　　　　　　　　　）","（　市街路灯1-23-456　）",null,null,null,null,null,null,{"$f":"L18*100+K18*1000+J18*10000","v":{"$error":"#VALUE!"}}]
[null,"③","新設\n\n\n　取替","中央区天神〇-〇-〇",null,null,null,"　　　カメラ（録画機能有）","既設柱","九電柱"]
[null,null,null,null,null,null,null,null,null,"番号（　　　　　　　）"]
[null,null,null,null,null,null,null,"　　　カメラ（録画機能無）","建　柱","NTT柱"]
[null,null,null,null,null,null,null,null,null,"番号（　〇〇幹123　）"]
[null,null,null,"道路","民有地","　　　　その他",null,"　　 録画装置（レコーダー）","その他","その他"]
[null,null,null,null,null,"（　　　　　　　）",null,null,"（　　　　　　　　　）","（　　　　 　　　　　）",null,null,null,null,null,null,{"$f":"L24*100+K24*1000+J24*10000","v":{"$error":"#VALUE!"}}]
[null,"④","新設\n\n\n　取替","中央区天神〇-〇-〇（〇〇ビル）",null,null,null,"　　　カメラ（録画機能有）","既設柱","九電柱"]
[null,null,null,null,null,null,null,null,null,"番号（　　　　　　　）"]
[null,null,null,null,null,null,null,"　　　カメラ（録画機能無）","建　柱","NTT柱"]
[null,null,null,null,null,null,null,null,null,"番号（　　　　　　　）"]
[null,null,null,"道路","民有地","　　　　その他",null,"　　 録画装置（レコーダー）","その他","その他"]
[null,null,null,null,null,"（　　　　　　　）",null,null,"（　　　　　　　　　）","（　私有地内既設柱　）",null,null,null,null,null,null,{"$f":"L30*100+K30*1000+J30*10000","v":{"$error":"#VALUE!"}}]
[null,null,"・公道等の公共空間を撮影すること"]
[]
[]
[null,"10.　関係書類"]
[null,"（1）三業者からの設置費用見積書"]
[null,"（2）設置箇所及び撮影範囲を明記した図面"]
[null,"（3）設置する防犯カメラ、録画装置の概要がわかるカタログ等"]
[null,"（4）設置する場所の所有者等の権利者から、許可が得られていることがわかる書類"]
[null,"（5）団体規約・役員名簿"]
[null,"（6）その他市長が指示する書類"]
[]
[null,"　　　","　本件申請にあたり市に提出した個人情報について、市が暴力団排除のため警察への照会確認に使用する"]
[null,"　","ことに同意します。"]
[null,"　","　また、暴力団員若しくは暴力団員と密接な関係を有する者に該当するときは、市が補助金を交付しない"]
[null,null,"こと、又は補助金の交付の決定を取り消すことに同意します。"]

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[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（様式第４号）"]
[null,"福岡市街頭防犯カメラ補助金交付（内示）変更申請書（設置費補助金）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申請日",null,null,"令和",null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,"（あて先）福 岡 市 長"]
[]
[null,null,"団体名",null,null,null,null,null,{"$f":"入力フォーム!D3","v":0}]
[null,null,"団体所在地",null,null,null,null,null,"福岡市",null,null,null,{"$f":"入力フォーム!D5","v":0},null,null,"区",null,{"$f":"入力フォーム!D6","v":0}]
[null,null,"代表者氏名",null,null,null,null,null,{"$f":"入力フォーム!$D$10","v":0}]
[null,null,"代表者住所",null,null,null,null,null,"福岡市",null,null,null,{"$f":"入力フォーム!$D$7","v":0},null,null,"区",null,{"$f":"入力フォーム!$D$8","v":0}]
[null,null,"電話番号",null,null,null,null,null,"自宅",null,null,{"$f":"入力フォーム!$D$15","v":0},null,null,null,null,null,null,null,null,null,"携帯",null,null,{"$f":"入力フォーム!$D$16","v":0}]
[]
[null,null,"令和",null,null,"　",null,"年",null,null,null,"月",null,null,null,"日付　　　　第",null,null,null,null,null,null,null,null,"号で補助金の交付決定（内示）の"]
[null,"　通知を受けた事業について、下記のとおり変更したいので申請します。"]
[null,null,"１．変更内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"当初",null,null,null,null,null,null,"変更後"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補助台数"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"設置費用"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補助申請金額"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"団体負担額",null,null,null,null,null,{"$f":"W19-W20","v":0},null,null,null,null,null,null,{"$f":"AD19-AD20","v":0}]
[null,null,"２．変更理由\n\n変更理由を具体的に記入してください"]
[null,null,"３．変更内容について団体\n　　の総会等で決定した日"]
[null,null,"４．添付書類",null,null,null,null,null,null,null,null,null,null,null,null,null,"（１）変更後の業者からの設置費用見積書\n（２）変更後の設置箇所及び撮影範囲を明記した図面\n（３）変更後の事業計画\n（４）その他市長が指示する書類"]

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[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（様式第４号）"]
[null,"福岡市街頭防犯カメラ補助金交付（内示）変更申請書（設置費補助金）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申請日",null,null,"令和",null,null,8,null,"年",10,null,"月",1,null,"日"]
[null,null,"（あて先）福 岡 市 長"]
[]
[null,null,"団体名",null,null,null,null,null,"〇〇校区自治協議会"]
[null,null,"団体所在地",null,null,null,null,null,"福岡市",null,null,null,"中央",null,null,"区",null,"○○１丁目１番１号"]
[null,null,"代表者氏名",null,null,null,null,null,"〇〇　〇〇"]
[null,null,"代表者住所",null,null,null,null,null,"福岡市",null,null,null,"中央",null,null,"区",null,"〇〇２丁目２番２号"]
[null,null,"電話番号",null,null,null,null,null,"自宅",null,null,"092-〇〇〇-〇〇○○",null,null,null,null,null,null,null,null,null,"携帯",null,null,"〇〇〇-○○○○-○○○○"]
[]
[null,null,"令和",null,null,8,null,"年",null,8,null,"月",null,22,null,"日付　　　　第",null,null,null,null,null,"〇〇〇",null,null,"号で補助金の交付決定（内示）の"]
[null,"　通知を受けた事業について、下記のとおり変更したいので申請します。"]
[null,null,"１．変更内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"当初",null,null,null,null,null,null,"変更後"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補助台数",null,null,null,null,null,4,null,null,null,null,null,null,2]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"設置費用",null,null,null,null,null,1000000,null,null,null,null,null,null,500000]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補助申請金額",null,null,null,null,null,700000,null,null,null,null,null,null,350000]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"団体負担額",null,null,null,null,null,300000,null,null,null,null,null,null,150000]
[null,null,"２．変更理由\n\n変更理由を具体的に記入してください",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〇〇に2台設置予定だったが、所有者の同意が得られなかったため"]
[null,null,"３．変更内容について団体\n　　の総会等で決定した日",null,null,null,null,null,null,null,null,null,null,null,null,null,"2026-09-20"]
[null,null,"４．添付書類",null,null,null,null,null,null,null,null,null,null,null,null,null,"（１）変更後の業者からの設置費用見積書\n（２）変更後の設置箇所及び撮影範囲を明記した図面\n（３）変更後の事業計画\n（４）その他市長が指示する書類"]

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[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（様式第10号）"]
[null,"福岡市街頭防犯カメラ補助金交付申請取下書（設置費補助金）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申請日",null,null,"令和",null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,"（あて先）福 岡 市 長"]
[]
[null,null,"団体名",null,null,null,null,null,{"$f":"入力フォーム!D3","v":0}]
[null,null,"団体所在地",null,null,null,null,null,"福岡市",null,null,null,{"$f":"入力フォーム!D5","v":0},null,null,"区",null,{"$f":"入力フォーム!D6","v":0}]
[null,null,"代表者氏名",null,null,null,null,null,{"$f":"入力フォーム!$D$10","v":0}]
[null,null,"代表者住所",null,null,null,null,null,"福岡市",null,null,null,{"$f":"入力フォーム!$D$7","v":0},null,null,"区",null,{"$f":"入力フォーム!$D$8","v":0}]
[null,null,"電話番号",null,null,null,null,null,"自宅",null,null,{"$f":"入力フォーム!$D$15","v":0},null,null,null,null,null,null,null,null,null,"携帯",null,null,{"$f":"入力フォーム!$D$16","v":0}]
[]
[null,null,"　",null,null,"　",null,"年",null,null,null,"月",null,null,null,"日付で提出した福岡市街頭防犯カメラ補助金交付申請"]
[null,"　 ついては、下記の理由により実施しないので補助金交付の取下を申請します。"]
[]
[null,null,null,"1. 補助申請（決定）台数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"台"]
[]
[null,null,null,"2.補助申請（決定）金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[]
[null,null,null,"3.取り下げ理由"]

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[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（様式第10号）"]
[null,"福岡市街頭防犯カメラ補助金交付申請取下書（設置費補助金）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申請日",null,null,"令和",null,null,8,null,"年",12,null,"月",20,null,"日"]
[null,null,"（あて先）福 岡 市 長"]
[]
[null,null,"団体名",null,null,null,null,null,"〇〇校区自治協議会"]
[null,null,"団体所在地",null,null,null,null,null,"福岡市",null,null,null,"中央",null,null,"区",null,"○○１丁目１番１号"]
[null,null,"代表者氏名",null,null,null,null,null,"〇〇　〇〇"]
[null,null,"代表者住所",null,null,null,null,null,"福岡市",null,null,null,"中央",null,null,"区",null,"〇〇２丁目２番２号"]
[null,null,"電話番号",null,null,null,null,null,"自宅",null,null,"092-〇〇〇-〇〇○○",null,null,null,null,null,null,null,null,null,"携帯",null,null,"〇〇〇-○○○○-○○○○"]
[]
[null,null,"令和",null,null,8,null,"年",null,5,null,"月",null,15,null,"日付で提出した福岡市街頭防犯カメラ補助金交付申請"]
[null,"　 ついては、下記の理由により実施しないので補助金交付の取下を申請します。"]
[]
[null,null,null,"1. 補助申請（決定）台数",null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"台"]
[]
[null,null,null,"2.補助申請（決定）金額",null,null,null,null,null,null,null,null,null,700000,null,null,null,null,null,"円"]
[]
[null,null,null,"3.取り下げ理由",null,null,null,null,null,null,null,null,"予定していた設置場所が〇〇によって設置が困難となり、代替地が見つからないため"]

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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（様式第11号）"]
[null,null,"福岡市街頭防犯カメラ補助金実績報告書（設置費補助金）"]
[]
[null,null,"（あて先）福 岡 市 長",null,null,null,null,null,null,null,null,null,"申 請 日",null,null,"令和",null,null,"年",null,null,"月",null,"日"]
[]
[null,null,"団　体　名",null,{"$f":"入力フォーム!D3","v":0}]
[null,null,"団体所在地",null,"福岡市",null,{"$f":"入力フォーム!D5","v":0},null,null,null,"区",null,{"$f":"入力フォーム!D6","v":0}]
[null,null,"フリガナ",null,{"$f":"入力フォーム!D9","v":0}]
[null,null,"代 表 者 氏 名",null,{"$f":"入力フォーム!D10","v":0}]
[null,null,"住 所",null,"福岡市",null,{"$f":"入力フォーム!D7","v":0},null,null,null,"区",null,{"$f":"入力フォーム!D8","v":0}]
[null,null,"電 話 番 号",null,"自宅",{"$f":"入力フォーム!D15","v":0},null,null,null,null,null,null,null,null,"携帯",{"$f":"入力フォーム!D16","v":0}]
[]
[null,null,"　　福岡市街頭防犯カメラ設置事業が完了しましたので、下記のとおり報告します。"]
[]
[null,null,"1.　事業実施期間",null,null,null,null,null,null,null,null,"～"]
[]
[null,null,"2.　交付決定額",null,null,null,null,null,null,"円"]
[]
[null,null,"3.　交付決定台数",null,null,"防犯カメラ\n（録画機能無）",null,null,null,null,null,"台",null,"録画装置\n（レコーダー）",null,null,null,null,"台"]
[]
[null,null,null,null,null,"防犯カメラ\n（録画機能有）",null,null,null,null,null,"台",null,"　自立柱\n　（ポール）",null,null,null,null,"本"]
[]
[]
[null,null,"4.　収支決算"]
[]
[null,null,null,"収入",null,null,null,null,null,null,null,null,null,"支出"]
[null,null,null,"項目",null,"予算",null,null,null,"決算",null,null,null,"項目",null,null,"予算",null,null,null,"決算"]
[null,null,null,"自己資金",null,null,null,null,null,null,null,null,null,"街頭防犯カメラ設置費用"]
[null,null,null,"市補助金"]
[null,null,null,"合計",null,{"$f":"F29+F30","v":0},null,null,null,{"$f":"J29+J30","v":0},null,null,null,"合計",null,null,{"$f":"Q29","v":0},null,null,null,{"$f":"U29","v":0}]
[]
[null,null,"添付書類　"]
[null,null,"○　設置した防犯カメラにより撮影された画像"]
[]
[null,null,"〇　設置後の現況写真"]
[]
[null,null,"○　設置業者からの領収書又は請求書の写し"]
[null,null,"　（請求書の写しの場合は、補助金の交付を受けた日から起算して30日以内に領収書の写しを提出すること）"]
[]
[null,null,"○　請求書　兼　口座振替依頼書　　※福岡市へ補助金交付を求める請求書になります。"]

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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（様式第11号）"]
[null,null,"福岡市街頭防犯カメラ補助金実績報告書（設置費補助金）"]
[]
[null,null,"（あて先）福 岡 市 長",null,null,null,null,null,null,null,null,null,"申 請 日",null,null,"令和",null,9,"年",1,null,"月",15,"日"]
[]
[null,null,"団　体　名",null,"〇〇校区自治協議会"]
[null,null,"団体所在地",null,"福岡市",null,"中央",null,null,null,"区",null,"〇〇１丁目１番１号"]
[null,null,"フリガナ",null,"〇〇〇〇　〇〇〇〇"]
[null,null,"代 表 者 氏 名",null,"〇〇　〇〇"]
[null,null,"住 所",null,"福岡市",null,"中央",null,null,null,"区",null,"〇〇２丁目２番２号"]
[null,null,"電 話 番 号",null,"自宅","092-〇〇〇-○○○○",null,null,null,null,null,null,null,null,"携帯","○○〇-○○○○-○○○○"]
[]
[null,null,"　　福岡市街頭防犯カメラ設置事業が完了しましたので、下記のとおり報告します。"]
[]
[null,null,"1.　事業実施期間",null,null,"2026-06-15",null,null,null,null,null,"～",null,"2027-01-10"]
[]
[null,null,"2.　交付決定額",null,null,700000,null,null,null,"円"]
[]
[null,null,"3.　交付決定台数",null,null,"防犯カメラ\n（録画機能無）",null,null,4,null,null,"台",null,"録画装置\n（レコーダー）",null,null,2,null,"台"]
[]
[null,null,null,null,null,"防犯カメラ\n（録画機能有）",null,null,null,null,null,"台",null,"　自立柱\n　（ポール）",null,null,2,null,"本"]
[]
[]
[null,null,"4.　収支決算"]
[]
[null,null,null,"収入",null,null,null,null,null,null,null,null,null,"支出"]
[null,null,null,"項目",null,"予算",null,null,null,"決算",null,null,null,"項目",null,null,"予算",null,null,null,"決算"]
[null,null,null,"自己資金",null,300000,null,null,null,300000,null,null,null,"街頭防犯カメラ設置費用",null,null,1000000,null,null,null,1000000]
[null,null,null,"市補助金",null,700000,null,null,null,700000]
[null,null,null,"合計",null,{"$f":"F29+F30","v":1000000},null,null,null,{"$f":"J29+J30","v":1000000},null,null,null,"合計",null,null,{"$f":"Q29","v":1000000},null,null,null,{"$f":"U29","v":1000000}]
[]
[null,null,"添付書類　"]
[null,null,"○　設置した防犯カメラにより撮影された画像"]
[]
[null,null,"〇　設置後の現況写真"]
[]
[null,null,"○　設置業者からの領収書又は請求書の写し"]
[null,null,"　（請求書の写しの場合は、補助金の交付を受けた日から起算して30日以内に領収書の写しを提出すること）"]
[]
[null,null,"○　請求書　兼　口座振替依頼書　　※福岡市へ補助金交付を求める請求書になります。"]

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[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"下のセルに直接金額を入力していただきますと、"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一桁ずつ金額欄に転記されます。","10000000000","1000000000","100000000","10000000","1000000","100000","10000","1000","100","10","1"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"請　　求　　書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUNDDOWN($BJ$5/BK4,0)","v":0},{"$f":"ROUNDDOWN($BJ$5/BL4,0)","v":0},{"$f":"ROUNDDOWN($BJ$5/BM4,0)","v":0},0,0,0,0,0,0,0,{"$f":"$BJ$5/BU4","v":0}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(T8=\"\",\"\",IF(T8=\"\\\",\"\",\"\\\"))","v":""},null,null,{"$f":"IF(BK5>0,RIGHT(BK5),IF(BL5>0,\"\\\",\"\"))","v":""},null,null,{"$f":"IF(BL5>0,RIGHT(BL5),IF(BM5>0,\"\\\",\"\"))","v":""},null,null,{"$f":"IF(BM5>0,RIGHT(BM5),IF(BN5>0,\"\\\",\"\"))","v":""},null,null,{"$f":"IF(BN5>0,RIGHT(BN5),IF(BO5>0,\"\\\",\"\"))","v":""},null,null,{"$f":"IF(BO5>0,RIGHT(BO5),IF(BP5>0,\"\\\",\"\"))","v":""},null,null,{"$f":"IF(BP5>0,RIGHT(BP5),IF(BQ5>0,\"\\\",\"\"))","v":""},null,null,{"$f":"IF(BQ5>0,RIGHT(BQ5),IF(BR5>0,\"\\\",\"\"))","v":""},null,null,{"$f":"IF(BR5>0,RIGHT(BR5),IF(BS5>0,\"\\\",\"\"))","v":""},null,null,{"$f":"IF(BS5>0,RIGHT(BS5),IF(BT5>0,\"\\\",\"\"))","v":""},null,null,{"$f":"IF(BT5>0,RIGHT(BT5),IF(BU5>0,\"\\\",\"\"))","v":""},null,null,{"$f":"RIGHT($BJ$5,1)","v":""}]
[null,null,null,null,null,null,null,null,null,"金　　額"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（金額の記載は、アラビア数字を用いその頭部に「￥」を記入してください。）"]
[]
[null,null,null,null,null,null,"件　　名"]
[null,null,null,null,null,null,"福岡市街頭防犯カメラ補助金（設置費補助金）"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,"口座振込を希望します。"]
[]
[null,null,null,null,null,null,null,null,"（本市に２つ以上口座を登録されている方等は、以下に振込を希望する口座をご記入ください。）"]
[]
[null,null,null,null,null,null,null,null,null,"金融機関名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"銀行",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"本店　　　　\n支店　"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"下のセルに直接口座番号７桁を入力していただきますと、"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一マスずつ口座番号欄に転記されます。",1000000,100000,10000,1000,100,10,1]
[null,null,null,null,null,null,null,null,null,"預金種別",null,null,null,null,null,null,null,"普通　・　当座",null,null,null,null,null,null,null,null,null,null,null,null,"口座番号",null,null,null,null,null,null,{"$f":"IF(BK31>=0,RIGHT(BK31))","v":""},null,{"$f":"IF(BL31>=0,RIGHT(BL31))","v":""},null,{"$f":"IF(BM31>=0,RIGHT(BM31))","v":""},null,{"$f":"IF(BN31>=0,RIGHT(BN31))","v":""},null,{"$f":"IF(BO31>=0,RIGHT(BO31))","v":""},null,{"$f":"IF(BP31>=0,RIGHT(BP31))","v":""},null,{"$f":"IF(BQ31>=0,RIGHT(BQ31))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(BJ31<>\"\",ROUNDDOWN($BJ$31/BK30,0),\"\")","v":""},{"$f":"IF(BJ31<>\"\",ROUNDDOWN($BJ$31/BL30,0),\"\")","v":""},{"$f":"IF(BJ31<>\"\",ROUNDDOWN($BJ$31/BM30,0),\"\")","v":""},{"$f":"IF(BJ31<>\"\",ROUNDDOWN($BJ$31/BN30,0),\"\")","v":""},{"$f":"IF(BJ31<>\"\",ROUNDDOWN($BJ$31/BO30,0),\"\")","v":""},{"$f":"IF(BJ31<>\"\",ROUNDDOWN($BJ$31/BP30,0),\"\")","v":""},{"$f":"IF(BJ31<>\"\",ROUNDDOWN($BJ$31/BQ30,0),\"\")","v":""}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(BK41<>\"\",BK41,\"\")","v":""},null,null,{"$f":"IF(BL41<>\"\",BL41,\"\")","v":""},null,{"$f":"IF(BM41<>\"\",BM41,\"\")","v":""},null,{"$f":"IF(BN41<>\"\",BN41,\"\")","v":""},null,{"$f":"IF(BO41<>\"\",BO41,\"\")","v":""},null,{"$f":"IF(BP41<>\"\",BP41,\"\")","v":""},null,{"$f":"IF(BQ41<>\"\",BQ41,\"\")","v":""},null,{"$f":"IF(BR41<>\"\",BR41,\"\")","v":""},null,{"$f":"IF(BS41<>\"\",BS41,\"\")","v":""},null,{"$f":"IF(BT41<>\"\",BT41,\"\")","v":""},null,{"$f":"IF(BU41<>\"\",BU41,\"\")","v":""},null,{"$f":"IF(BV41<>\"\",BV41,\"\")","v":""},null,{"$f":"IF(BW41<>\"\",BW41,\"\")","v":""},null,{"$f":"IF(BX41<>\"\",BX41,\"\")","v":""},null,{"$f":"IF(BY41<>\"\",BY41,\"\")","v":""},null,{"$f":"IF(BZ41<>\"\",BZ41,\"\")","v":""},null,{"$f":"IF(CA41<>\"\",CA41,\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,"口座名義\n（カナ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"下のセルに口座名義（カナ）を入力していただきますと、"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(CB41<>\"\",CB41,\"\")","v":""},null,null,{"$f":"IF(CC41<>\"\",CC41,\"\")","v":""},null,{"$f":"IF(CD41<>\"\",CD41,\"\")","v":""},null,{"$f":"IF(CE41<>\"\",CE41,\"\")","v":""},null,{"$f":"IF(CF41<>\"\",CF41,\"\")","v":""},null,{"$f":"IF(CG41<>\"\",CG41,\"\")","v":""},null,{"$f":"IF(CH41<>\"\",CH41,\"\")","v":""},null,{"$f":"IF(CI41<>\"\",CI41,\"\")","v":""},null,{"$f":"IF(CJ41<>\"\",CJ41,\"\")","v":""},null,{"$f":"IF(CK41<>\"\",CK41,\"\")","v":""},null,{"$f":"IF(CL41<>\"\",CL41,\"\")","v":""},null,{"$f":"IF(CM41<>\"\",CM41,\"\")","v":""},null,{"$f":"IF(CN41<>\"\",CN41,\"\")","v":""},null,{"$f":"IF(CO41<>\"\",CO41,\"\")","v":""},null,{"$f":"IF(CP41<>\"\",CP41,\"\")","v":""},null,{"$f":"IF(CQ41<>\"\",CQ41,\"\")","v":""},null,{"$f":"IF(CR41<>\"\",CR41,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,"一マスずつ口座名義（カナ）欄に転記されます。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※全角カナで入力してください。"]
[null,null,null,null,null,null,null,null,"（記入する口座は請求者名義のものに限ります。また、口座名義等の記入にあたっては、必ず"]
[null,null,null,null,null,null,null,null,"　預金通帳を確認のうえ、記載のとおり正確に記入してください。）"]
[]
[null,null,null,null,null,null,null,null,"現金受領を希望します。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"MID($BJ37,1,1)","v":""},{"$f":"MID($BJ37,2,1)","v":""},{"$f":"MID($BJ37,3,1)","v":""},{"$f":"MID($BJ37,4,1)","v":""},{"$f":"MID($BJ37,5,1)","v":""},{"$f":"MID($BJ37,6,1)","v":""},{"$f":"MID($BJ37,7,1)","v":""},{"$f":"MID($BJ37,8,1)","v":""},{"$f":"MID($BJ37,9,1)","v":""},{"$f":"MID($BJ37,10,1)","v":""},{"$f":"MID($BJ37,11,1)","v":""},{"$f":"MID($BJ37,12,1)","v":""},{"$f":"MID($BJ37,13,1)","v":""},{"$f":"MID($BJ37,14,1)","v":""},{"$f":"MID($BJ37,15,1)","v":""},{"$f":"MID($BJ37,16,1)","v":""},{"$f":"MID($BJ37,17,1)","v":""},{"$f":"MID($BJ37,18,1)","v":""},{"$f":"MID($BJ37,19,1)","v":""},{"$f":"MID($BJ37,20,1)","v":""},{"$f":"MID($BJ37,21,1)","v":""},{"$f":"MID($BJ37,22,1)","v":""},{"$f":"MID($BJ37,23,1)","v":""},{"$f":"MID($BJ37,24,1)","v":""},{"$f":"MID($BJ37,25,1)","v":""},{"$f":"MID($BJ37,26,1)","v":""},{"$f":"MID($BJ37,27,1)","v":""},{"$f":"MID($BJ37,28,1)","v":""},{"$f":"MID($BJ37,29,1)","v":""},{"$f":"MID($BJ37,30,1)","v":""},{"$f":"MID($BJ37,31,1)","v":""},{"$f":"MID($BJ37,32,1)","v":""},{"$f":"MID($BJ37,33,1)","v":""},{"$f":"MID($BJ37,34,1)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1","2","3","4","5","6","7","8","9","10","11","12","13","14","15","16","17","18","19","20","21","22","23","24","25","26","27","28","29","30","31","32","33","34"]
[null,null,null,null,null,null,null,null,"隔地払（外国送金等）を希望します。"]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,"上記の金額を請求します。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和",null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]
[]
[null,null,null,null,null,null,null,null,null,"福岡市",null,null,null,null,{"$f":"入力フォーム!D5","v":0},null,null,null,null,"区",null,null,{"$f":"入力フォーム!D6","v":0}]
[null,null,null,null,null,null,"住所"]
[]
[]
[null,null,null,null,null,null,"氏名",null,null,{"$f":"入力フォーム!D3","v":0}]
[]
[null,null,null,null,null,null,null,null,null,"　",null,null,null,null,{"$f":"入力フォーム!$D$10","v":0}]
[]
[null,null,null,null,null,null,"（あて先）福岡市（区）長"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（福岡市）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※法人等の場合"]
[null,null,null,null,null,"連絡先電話番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者 部署・氏名"]
[]
[null,null,null,null,"（注）１　金額と口座番号は、右づめで記入してください。"]
[null,null,null,null,"　　　　　なお、ゆうちょ銀行への振込を希望される場合は、振込用の口座番号を記入してください。"]
[null,null,null,null,"　　　２　請求書の金額は、訂正できません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"R3.4改正"]