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["様式12"]
["設計・建設費内訳書"]
[{"$nulls":9},"平成　　年　　月　　日"]
[]
["北但行政事務組合"]
["管理者　      様"]
[{"$nulls":5},"グループ名"]
[{"$nulls":5},"代表企業代表者又は復代理人   商号又は名称"]
[{"$nulls":5},"住所"]
[{"$nulls":5},"氏名",null,null,"㊞"]
[{"$nulls":4},"   "]
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[{"$nulls":8},"単位：円"]
[null,"費目",null,null,null,"平成25年度","平成26年度","平成27年度","計"]
[null,null,"ア　実施設計"]
[]
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[null,null,null,"土木建築工事"]
[]
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[null,null,null,"プラント工事"]
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[null,null,null,"間接経費"]
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[]
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[null,null,null,"工場棟"]
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[{"$nulls":4},"一般管理費"]
[null,null,null,"間接経費"]
[null,null,"ウ　付帯工事"]
[null,1,"クリーンセンター（＝ア＋イ＋ウ）"]
[null,null,"エ　実施設計"]
[]
[]
[null,null,null,"土木建築工事"]
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[null,null,null,"プラント工事"]
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[]
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[null,null,null,"付帯部分"]
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[null,null,null,"間接経費"]
[null,null,"カ　付帯工事"]
[null,2,"リサイクルセンター（＝エ＋オ＋カ）"]
[null,null,"キ　実施設計"]
[]
[]
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[]
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[null,null,"シ　付帯工事"]
[null,4,"その他施設（＝コ＋サ＋シ）"]
[null,"合計（＝1+2+3+4）",{"$nulls":6},0]
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[]
[null,"※","金額は円単位とし、端数は切り捨てとすること。"]
[null,"※","消費税及び地方消費税は含めず記載すること。また、物価上昇は考慮しないこと。"]
[null,"※","他の様式と関連のある項目の数値は、整合に留意すること。"]
[null,"※","必要に応じ記入欄を追加すること。"]
[null,"※","入札書の提出用封筒に入れ、密封して提出すること。"]