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["臺北市政府社會局公辦民營及委託辦理老人服務中心____年度方案活動費申請格式"]
["（受託單位）辦理臺北市               服務中心"]
["一、計畫名稱"]
["二、目的"]
["三、辦理單位（含合辦單位）"]
["四、活動時間（期程）"]
["五、參加對象（及人數/次）"]
["六、實施地點或範圍"]
["七、方案內容及執行方式(含活動內容、課程大綱、收費標準、講師簡歷及課程不退費規定等）"]
["八、預期效益與影響(＊請詳填各活動)"]
["九、經費預算"]
["經費項目","單位","數量","單價","計畫總經費","經費預算",null,"核定金額","核銷金額(上半年)","核銷金額(下半年)","剩餘金額","受益人數(次)","用途說明"]
[{"$nulls":5},"申請經費","自籌或其他補助金額"]
["〈活動1〉                   ：預計服務量    人(人次)"]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
["小計",{"$nulls":3},0,0,0,0,0,0,0]
["〈活動2〉                    ：預計服務量   人(人次)"]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
["小計",{"$nulls":3},0,0,0,0,0,0,0]
["〈活動3〉                    ：預計服務量   人(人次)"]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
["小計",{"$nulls":3},0,0,0,0,0,0,0]
["〈活動4〉                      ：預計服務量    人(人次)"]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
["小計",{"$nulls":3},0,0,0,0,0,0,0]
["〈活動5〉                      ：預計服務量    人(人次)"]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
[{"$nulls":10},0]
["小計",{"$nulls":3},0,0,0,0,0,0,0]
["合計",{"$nulls":3},0,0,0,0,0,0,0,0]