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[null,"別紙第13号書式"]
[null,null,null,null,null,"事　業　実　施　状　況　等　調　書"]
[]
[null,"事業名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"計画期間",null,null,null,null,null,null,null,"年度～",null,null,null,"年度"]
[null,"施行場所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"前年度以前施行済事業",null,null,null,null,null,null,null,"翌年度以降計画事業"]
[null,"事業概要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業費内訳",null,null,"数量",null,"金額（千円）",null,null,"事業費内訳",null,null,"数量",null,"金額（千円）"]
[]
[]
[]
[null,"事　業　費　内　訳",null,null,null,"事業開始日～\n事業完成(見込)日",null,null,null,"支出金額（単位：千円）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"支　出　状　況"]
[null,null,null,null,null,null,null,null,null,null,null,null,"（補助事業分）",null,null,"（単独事業分）",null,null,null,"決算額",null,null,null,"繰越額",null,null,null,"前月まで",null,null,null,null,null,"月",null,null,null,"月以降"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($AI$2<>\"【起前】\",\"\",IF($J12=SUM($AB12:$AM12),\"ok\",\"check\"))","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,{"$f":"IF($AI$2<>\"【起前】\",\"\",IF($J13=SUM($AB13:$AM13),\"ok\",\"check\"))","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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,""]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,""]
[null,"計",null,null,null,null,null,null,"Ａ",{"$f":"SUM(J12:L16)","v":0},null,null,{"$f":"SUM(M12:O16)","v":0},null,null,{"$f":"SUM(P12:S16)","v":0},null,null,null,{"$f":"SUM(T12:W16)","v":0},null,null,null,{"$f":"SUM(X12:AA16)","v":0},null,null,null,{"$f":"SUM(AB12:AE16)","v":0},null,null,null,{"$f":"SUM(AF12:AI16)","v":0},null,null,null,{"$f":"SUM(AJ12:AM16)","v":0}]
[null,"財　源　内　訳",null,null,null,null,null,null,null,"収入金額（単位：千円）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"収　入　状　況"]
[null,"項　目",null,null,"内　容",null,null,null,null,null,null,null,"（補助事業分）",null,null,"（単独事業分）",null,null,null,"決算額",null,null,null,"繰越額",null,null,null,"前月まで",null,null,null,null,null,"月",null,null,null,"月以降"]
[null,"控除財源","国庫支出金",null,null,null,null,null,"Ｂ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","■該当なし（事務費を起債対象とせず）"]
[null,null,"都道府県支出金",null,null,null,null,null,"Ｃ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","■工事費の5.0％以内の額"]
[null,null,"負担金等",null,null,null,null,null,"Ｄ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","■廃止前の補助基準により定められていた計算方法により算出した範囲内の額"]
[null,null,null,null,null,null,null,null,"Ｅ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","■補助基準に定める範囲内の事務費"]
[null,"起債","財政融資資金",null,"本債",null,null,null,"Ｆ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,""]
[null,null,null,null,null,null,null,null,"Ｇ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","■該当なし（事務費を起債対象とせず）"]
[null,null,"その他",null,null,null,null,null,"Ｈ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","■設計監督費（外部委託）について、実所要額"]
[null,"一般財源",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","■設計監督費（外部委託せず）について、全体事業費の2.75％以内の額"]
[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,"","■設計監督費以外の事務費について、全体事業費の2.75％以内の額"]
[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,"","■設計監督費（外部委託）の実所要額、及びそれ以外の事務費について全体事業費の2.75％以内の額"]
[null,"一時立替金",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"","■設計監督費（外部委託せず）及びそれ以外の事務費について、それぞれ全体事業費の2.75％以内の額　"]
[null,"計",null,null,null,null,null,null,null,{"$f":"SUM(J20:L30)","v":0},null,null,{"$f":"SUM(M20:O30)","v":0},null,null,{"$f":"SUM(P20:S30)","v":0},null,null,null,{"$f":"SUM(T20:W30)","v":0},null,null,null,{"$f":"SUM(X20:AA30)","v":0},null,null,null,{"$f":"SUM(AB20:AE30)","v":0},null,null,null,{"$f":"SUM(AF20:AI30)","v":0},null,null,null,{"$f":"SUM(AJ20:AM30)","v":0},null,null,null,{"$f":"IF($AR$2<>\"起債前貸等\",\"\",IF($J31=SUM($AB31:$AM31),\"ok\",\"check\"))","v":""},"■設計監督費と合わせて全体事業費の6.0％以内の額（水道、港湾、下水道）"]
[null,"借入時充当率((Ｆ+Ｇ+Ｈ)/(Ａ-Ｂ-Ｃ-Ｄ-Ｅ)×100)",null,null,null,null,null,null,"(％)",{"$f":"IF(J31>0,(J24+J25+J26)/(J17-J20-J21-J22-J23),\"\")","v":""},null,null,{"$f":"IF(M31>0,(M24+M25+M26)/(M17-M20-M21-M22-M23),\"\")","v":""},null,null,{"$f":"IF(P31>0,(P24+P25+P26)/(P17-P20-P21-P22-P23),\"\")","v":""},null,null,null,"起債対象\n事 務 費",null,null,"（補助事業分）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"■適正必要額（交通）"]
[null,"基準充当率",null,null,null,null,null,null,"(％)",null,null,null,null,null,null,null,null,null,null,null,null,null,"（単独事業分）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"■補助事業と同様の計算方法により算出した範囲内の額（災害復旧）"]
[null,"起債に関する\n予算の定め",null,"年度",null,null,null,null,null,"会計名",null,null,null,null,null,null,null,null,"議決等年月日",null,null,null,null,null,null,null,"（□","議決済",null,"□","議決予定",null,"□","専決済",null,"□","専決予定）",null,null,null,"■実績等に応じ、必要な額"]
[null,null,null,"起債の目的",null,null,null,"起債限度額（うち財政融資資金）",null,null,null,null,null,"起債の方法",null,null,null,null,null,"利率",null,null,null,null,null,"償還の方法"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"□","証書借入",null,"□","普通貸借",null,null,"年利",null,null,"％以内",null,"□","年賦",null,"□","半年賦",null,"□","元利均等",null,"□","元金均等",null,null,null,null,"有"]
[null,null,null,null,null,null,null,null,null,null,null,null,"千円","□","証券発行",null,null,null,null,null,null,null,null,"利率見直しに関する ",null,"□","融資条件による",null,null,null,null,"□","その他（",null,null,null,null,null,"）",null,"無"]
[null,null,null,null,null,null,null," （うち",null,null,null,null,"千円)","□","その他（　　　　　　）",null,null,null,null,null,null,null,null,"但し書きの有無：",null,"□","償還期間：",null,null,null,"年（うち据置期間：",null,null,null,null,"年）"]
[null,"起債同意\n（許可）",null,null,"年月日（予定）",null,null,"同意（許可）額",null,null,null,null,"うち本件借入分",null,null,null,"償還年限",null,null,"うち据置期間",null,null,"備考",null,null,null,null,null,null,null,"普通地方長期資金等借入申込み償還期限等",null,null,null,null,null,null,null,null,null,"（□"]
[null,null,null,"①",null,null,null,null,null,null,null,"千円",null,null,null,"千円",null,null,"年",null,null,"年",null,null,null,null,null,null,null,null,null,"償還期限：",null,null,null,"年",null,null,null,null,"（■"]
[null,null,null,"②",null,null,null,null,null,null,null,"千円",null,null,null,"千円",null,null,"年",null,null,"年",null,null,null,null,null,null,null,null,null,"うち据置期間：",null,null,null,"年",null,null,null,null,"□"]
[null,null,null,"③",null,null,null,null,null,null,null,"千円",null,null,null,"千円",null,null,"年",null,null,"年",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"■"]
[null,null,null,"④",null,null,null,null,null,null,null,"千円",null,null,null,"千円",null,null,"年",null,null,"年"]
[null,"その他参考",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（予定）"]
[]
[]
[]
[]
[]
[null,"備考"]
[null,null,"1．用紙の大きさは、日本産業規格Ａ列４とする。"]
[null,null,"2．事業費内訳には、起債対象となる費用のみ記入する。"]
[null,null,"3．収支金額、収支状況の各計は一致する。"]
[null,null,"4．収支状況は、借入月を「　月」欄に記入する。"]
[null,null,"5．起債前貸等の場合で、数ヶ月分の支出のために資金を借り入れる場合は、「　月」欄を「○～○月まで」として記入する。"]
[]
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