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["蚌埠学院“小金库”专项整治重点检查表"]
[]
["部门（公章）：                               ",null,null,"单位：元、个"]
["行次","项目","个数","金额","备注"]
["一","检查基本情况"]
[1,"检查单位户数"]
[2,"检查发现存在“小金库”单位户数"]
["二","检查发现“小金库”及纠正情况"]
[1,"检查发现“小金库”个数及金额"]
[2,"纠正处理“小金库”个数及纠正金额"]
["三","截至检查日“小金库”资金来源合计"]
[1,"财政拨款"]
[2,"政府性基金收入"]
[3,"专项收入"]
[4,"行政事业性收费收入"]
[5,"罚没收入"]
[6,"国有资本经营收入"]
[7,"国有资源(资产)有偿使用收入"]
[8,"资产处置收入"]
[9,"资产出租收入"]
[10,"经营收入"]
[11,"利息收入"]
[12,"捐赠收入"]
[13,"附属单位上缴收入"]
[14,"其他"]
["四","截至检查日“小金库”资金支出合计"]
[1,"弥补经费"]
[2,"购建资产支出"]
[3,"发放奖金、津补贴、福利等支出"]
[4,"接待宴请、公款旅游支出"]
[5,"礼品礼金支出"]
[6,"私分"]
[7,"其他"]
["五","截至检查日“小金库”资金滚存余额和资产原值"]
[1,"现金"]
[2,"银行存款"]
[3,"有价证券"]
[4,"固定资产原值"]
[5,"股权和债权"]
[6,"其他"]
["部门（单位）主要负责人：           填表人：          联系电话：        检查日期：      年    月   日"]

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