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[]
[null,"提出物一覧表"]
[null,"※令和９年３月の書類提出時に、チェックリストとして御活用ください。"]
[null,"チェック","提出物","説明"]
[null,null,"地区交付金出納帳"]
[null,null,"地区活動実績及び地区交付金精算報告書","枠外は要記入"]
[null,null,"支出を証明する書類（領収書等）","・コピーでも可\n・品目の記載必要（総額のみや「お品代」のみは不可）\n・講師謝金は実施時間を補記"]
[null,null,"旅費支払明細書兼受領書"]
[null,null,"自販機で購入した品目","該当のある場合のみ"]
[null,null,"交付金残額の区会長口座への入金が分かる書類\n（通帳の当該入金に係る部分又は払込用紙のコピー）","交付金に残額が\n発生した場合のみ"]
[null,null,"活動報告Ａ"]
[null,null,"活動報告Ｂ"]

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[null,null,null,"令和８年度　"]
["保健活動推進員会地区交付金出納帳"]
["地区名"]
[null,null,null,"（　　　　）枚目／（　　　　）枚中"]
["活動日\n（支出日）","　　　　　　費目",null,"収入金額","支出金額","差引金額"]
[null,"行事名（活動内容）","領収書No"]
[]
[]
[]
[]
[]
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[]
[]
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["合　計　　・　　小　計",null,null,null,null,"（差引残高）"]

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["　　　　　　瀬谷区保健活動推進員会　会長"]
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["令和８年度保健活動推進員会地区活動実績及び地区交付金精算報告書"]
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["活動実績",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"交付金精算報告"]
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[null,null,null,"行事名\n\n\n\n会場・場所"]
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[null,null,null,"行事名\n\n\n\n会場・場所"]
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[null,null,null,"行事名\n\n\n\n会場・場所"]
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[null,null,null,"行事名\n\n\n\n会場・場所"]
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[null,null,null,"行事名\n\n\n\n会場・場所"]
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[null,null,null,"行事名\n\n\n\n会場・場所"]
[]
[null,null,null,"行事名\n\n\n\n会場・場所"]
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[null,null,null,"行事名\n\n\n\n会場・場所"]
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["小　計　　・　　合　計",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"支出合計額　及び　残額"]

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["令和８年度旅費支払明細書兼受領書"]
[null,null,null,null,null,null,null,null,"地区保健活動推進員会"]
[null,null,null,"（　　　　）枚目／（　　　　）枚中"]
["領収書\n№","日付","行事名（活動内容）・実施場所","推進員氏名\nまたは人数","支払金額","備考（経路等）","受領印又はサイン"]

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[null,"自動販売機で購入した品目"]
[]
["領収書\n№","購入日","品目・数量","金　額","自動販売機を使用した理由","備　考"]
[null,null,null,null,"（ex.近くにｺﾝﾋﾞﾆ等がなかった。急を要していたなど。）","（用途を記載してください。また、会議用の飲料等の場合は、会議の出席者名を記載してください。）"]

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[null,"【領収書貼付シート】"]
[null,null,null,null,"地区","Ｎｏ．　　 ",null,null,null,null,null,null,null,null,null,null,"（　　　　）枚目／（　　　　）枚中"]

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["【出納帳作成例】",null,null,"令和○年度　"]
["保健活動推進員会地区交付金出納帳"]
["地区名","A"]
[null,null,null,"（　　１　　）枚目／（　　１　　）枚中"]
["活動日\n（支出日）","　　　　　　費目",null,"収入金額","支出金額","差引金額"]
[null,"行事名（活動内容）","領収書No"]
["2015-04-17","令和〇年度地区交付金",null,50000,null,{"$f":"D7-E7","v":50000}]
["2024-04-04","地区定例会（4/5実施分）コピー代","1-1",null,350,{"$f":"F7+D8-E8","v":49650}]
["2024-04-04","地区定例会（4/5実施分）お茶代","1-2",null,1016,{"$f":"F8+D9-E9","v":48634}]
["2024-05-23","正副会長会交通費","2-4",null,840,{"$f":"F8+D10-E10","v":48810}]
["2024-07-15","地区定例会コピー代","1-3",null,800,{"$f":"F10+D11-E11","v":48010}]
["2024-07-15","地区定例会お茶代","1-4",null,1050,{"$f":"F11+D12-E12","v":46960}]
["2024-07-26","正副会長会（7/23実施分）交通費","2-5",null,840,{"$f":"F11+D13-E13","v":47170}]
["2024-08-31","市全体研修会交通費","2-1",null,3520,{"$f":"F13+D14-E14","v":43650}]
["2024-09-17","正副会長会交通費","2-6",null,840,{"$f":"F14+D15-E15","v":42810}]
["2024-10-12","地区定例会コピー代","1-5",null,1200,{"$f":"F18+D16-E16","v":44670}]
["2024-10-12","地区定例会お茶代","1-6",null,685,{"$f":"F13+D17-E17","v":46485}]
["2024-10-20","□□ウォーキング下見編交通費","2-2",null,2940,{"$f":"F10+D18-E18","v":45870}]
["2024-10-31","□□ウォーキング実践編交通費","2-3",null,2100,{"$f":"F16+D19-E19","v":42570}]
["2024-10-31","□□ウォーキング実践編お茶代","3-1",null,650,{"$f":"F18+D20-E20","v":45220}]
["2024-11-30","正副会長会（11/21実施分）交通費","2-7",null,840,{"$f":"F19+D21-E21","v":41730}]
["2024-01-10","地区定例会（1/14実施分）コピー代","1-7",null,500,{"$f":"F21+D22-E22","v":41230}]
["2024-01-12","地区定例会（1/14実施分）お茶代","1-8",null,1050,{"$f":"F22+D23-E23","v":40180}]
["2024-01-31","正副会長会交通費","2-8",null,840,{"$f":"F22+D24-E24","v":40390}]
["2024-03-17","地区定例会コピー代","1-9",null,1200,{"$f":"F24+D25-E25","v":39190}]
["2024-03-17","地区定例会お茶代","1-10",null,1050,{"$f":"F25+D26-E26","v":38140}]
["2024-03-30","正副会長会（3/26実施分）交通費","2-9",null,840,{"$f":"F26+D27-E27","v":37300}]
["合　計　　・　　小　計",null,null,{"$f":"SUM(D7:D27)","v":50000},{"$f":"SUM(E7:E27)","v":23151},"26,934（差引残高）"]

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["　　　　　　瀬谷区保健活動推進員会　会長"]
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["令和８年度保健活動推進員会地区活動実績及び地区交付金精算報告書"]
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[null,null,null,"行事名\n\n\n\n会場・場所"]
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[null,null,null,"行事名\n\n\n\n会場・場所"]
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[null,null,null,"行事名\n\n\n\n会場・場所"]
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[null,null,null,"行事名\n\n\n\n会場・場所"]
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[null,null,null,"行事名\n\n\n\n会場・場所"]
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[null,null,null,"行事名\n\n\n\n会場・場所"]
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[null,null,null,"行事名\n\n\n\n会場・場所"]
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[null,null,null,"行事名\n\n\n\n会場・場所"]
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["小　計　　・　　合　計",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"支出合計額　及び　残額"]

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[null,"【領収書貼付シート作成例】"]
[null,"　　　　　　A 　　　　　　　地区　　Ｎｏ．1　 ",null,null,null,null,null,null,null,"（　１　）枚目／（　１　）枚中"]
[null,"【注意事項】\n・必ず領収書１枚で、品目、数量、単価、日付等概要がわかる明細（レシート等）を\n添付してください。（総額のみ、またはお品代のみ記載の領収書は不可。）"]
[null,"・レシート・領収書は原本またはコピーを添付\n・修正液の使用ＮＧ→二重線で訂正し、上部に正しい内容を記載。\n・鉛筆書きＮＧ\n・消えるボールペンＮＧ\n"]
[]
[]
[null,"⑥事務用品"]
[]
[null,null,null,null,null,"領　　収　　書"]
[null,null,null,null,null,null,null,null,null,"No.","××"]
[null,null,"A地区保健活動推進員会",null,null,"様",null,null,null,"○○年○月○日"]
[]
[null,null,null,"★",4200,null,null,null,null,null,"収入\n\n印紙"]
[]
[null,null,null,"但","バインダーファイル40冊、A4用紙500枚×2箱"]
[]
[null,null,null,"上記正に領収いたしました",null,null,null,"株式会社　○○○"]
[]
[null,null,"内　訳",null,null,null,null,"〒999-××××　横浜市○○町１－×"]
[null,null,"税抜金額",4000,null,null,null,"Tel・Fax（045）999-××××"]
[null,null,"消費税額（　　％）",200]
[]
[]
[]
[null,"⑦事務用品",null,null,null,"⑧定例会上期お茶代",null,null,null,"⑨定例会下期お茶代"]
[null,"　　　○○スーパーｘｘ店\n　　　TEL 045-xxx-0000\n\n　　　　　　領　収　書\n○○年△月１日\n　ノート　\n　　\\100 10冊          \\ 1,000\n  マジック\n　　\\100 10本          \\ 1,000\n　　小計　　　　　　　　  \\ 2,000\n    消費税　　　　　　　 　 \\100\n    合計　　　　　　　　　\\ 2,100　　　　　　　\n",null,null,null,"　　　　　　○○商店\n　　　TEL 045-xxx-0000\n\n　　　　　　領　収　書\n\n○○年◎月10日\n　缶茶　\n　　\\100　 50本      \\ 5,000\n 　合計　　　　　　　　 \\ 5,000\n              (うち消費税\\238)\n　　　　　　\n",null,null,null,"　　　　　　○○商店\n　　　TEL 045-xxx-0000\n\n　　　　　　領　収　書\n\n○○年★月10日\n　缶茶　\n　　\\100　 50本      \\ 5,000\n 　合計　　　　　　　　 \\ 5,000\n              (うち消費税\\238)\n　　　　　　\n"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"⑦連絡用切手代",null,null,null,"⑭区民講演会チラシコピー代",null,null,null,"⑮区民講演会資料コピー代"]
[null,"　　　　　○○郵便局\n　　　TEL 045-xxx-0000\n\n　　　　　　領　収　書\n\n○○年△月1日\n　【販売】　\n　　80円切手　 10枚   \\800\n       課税計            \\800          \n　　",null,null,null,"　　　○○システムサービス\n　　　　TEL 045-xxx-0000\n\n○○年△月10日\n\n　　　　　　領　収　書\n　複写機利用料金として以下のとおり領収しました。\n\n　カラーコピー　\n ご利用枚数 30枚      2,400円\n 合計(税込)　　　　　　　2,400円",null,null,null,"　　　○○システムサービス\n　　　　TEL 045-xxx-0000\n\n○○年△月10日\n\n　　　　　　領　収　書\n　複写機利用料金として以下のとおり領収しました。\n\n　白黒コピー　\n ご利用枚数 100枚    1,000円\n 合計(税込)　　　　　　　1,000円"]

{"sheet":"【記入例シート２】旅費【瀬谷区版】","index":9,"n_rows":16,"n_cols":11,"rows_kept":16,"cut":false,"hidden":false,"merged":[[3,0,4,0],[3,1,4,1],[3,2,4,2],[3,3,4,3],[3,4,4,4],[3,6,4,10],[0,1,0,10],[1,1,2,2],[1,3,1,10],[2,3,2,10],[3,5,4,5]]}
[null,"令和〇年度　旅費支払明細書兼受領書"]
[null,"作成例",null,"（　　Ａ　　）地区保健活動推進員会"]
[null,null,null,"（　　１　　）枚目／（　　１　　）枚中"]
["領収書\n№","日付","行事名（活動内容）・実施場所","推進員氏名\nまたは人数","支払金額","備考（経路等）","受領印又はサイン"]
[]
[null,"6/5","健康機器取り扱い研修会\n○区役所","鶴見　一郎","2,100","バス:市庁舎前～パシフィコ横浜\n@210円×2×5人=2,100円","鶴見"]
["2-1","8/31","横浜市全体研修会\n関内ホール","４名","3,520","バス:■■～○●\n@210円×2×4人=1,680円\n地下鉄:蒔田～関内\n@230円×2×4人=1,840円","横浜","保\n土","旭","磯子"]
["2-2","10/20","□□ウォーキング　下見編\n××町～△△町","７名",2940,"バス:△▲～▲●\n@210円×2×７人=2,940円","金沢","港北","緑","青葉","都筑"]
[]
["2-3","10/31","□□ウォーキング　実践編\n××町～△△町","５名",2100,"バス:△▲～▲●\n@210円×2×5人=2,100円","金沢","港北","緑","青葉","都筑"]
["2-4","5/23","正副会長会議","緑　太郎\n青葉　花子",840,"バス:□■～▲○\n@210円×2×2人×=840円","緑","青葉"]
["2-5","7/23","正副会長会議","緑　太郎\n青葉　花子",840,"バス:□■～▲○\n@210円×2×2人×=840円","緑","青葉"]
["2-6","9/17","正副会長会議","緑　太郎\n青葉　花子",840,"バス:□■～▲○\n@210円×2×2人×=840円","緑","青葉"]
["2-7","11/21","正副会長会議","緑　太郎\n青葉　花子",840,"バス:□■～▲○\n@210円×2×2人×=840円","緑","青葉"]
["2-8","1/31","正副会長会議","緑　太郎\n青葉　花子",840,"バス:□■～▲○\n@210円×2×2人×=840円","緑","青葉"]
["2-9","3/26","正副会長会議","緑　太郎\n青葉　花子",840,"バス:□■～▲○\n@210円×2×2人×=840円","緑","青葉"]

{"sheet":"【記入例シート３】自販機","index":10,"n_rows":6,"n_cols":6,"rows_kept":6,"cut":false,"hidden":false,"merged":[[0,1,0,5],[2,1,3,1],[2,2,3,2],[2,3,3,3],[2,0,3,0]]}
[null,"自動販売機で購入した品目"]
[]
["領収書\n№","購入日","品目・数量","金　額","自動販売機を使用した理由","備　考"]
[null,null,null,null,"（例）近くにｺﾝﾋﾞﾆ等がなかった。急を要していたなど。","（用途を記載してください。また、会議用の飲料等の場合は、会議の出席者名を記載してください。）"]
["3-1","2021-09-01","缶茶・5本","600円","近くにコンビニ等がなかった。","\n鶴見、神奈川、西、中、南"]
["3-2","\n10月7日\n","缶茶・5本","600円","急を要していた。","\n戸塚、栄、泉、瀬谷、鶴見"]