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[null,"取引代金受領に関する依頼書　兼　領収印鑑届"]
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["日本道路株式会社　御中"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(西暦)",null,null,null,2018,null,null,null,"年",null,10,null,"月",null,1,null,"日"]
["　貴社から当社に支払われる代金は振込手数料差引のうえ、又、当社に対する債権があるときは、これを差引のうえ、下記の当社取引銀行の預金口座にお振込みください。当社では、預金口座の入金記帳をもって当該代金の受領と認め、別に領収書の発行はいたしません。お支払代金受領のうえは如何なる事故が生じても一切貴社に対してご迷惑をおかけいたしません。尚、貴社から当社に支払われる代金を手形で受領した場合は下記領収印を捺印のうえ、領収書を発行いたします。\n　又、記載事項に変更があった場合は、改めてこの「取引代金受領に関する依頼書　兼　領収印鑑届」を提出いたします。"]
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["代表者名",null,null,null,null,null,"○○　○○"]
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[null,null,null,null,null,null,"東京都港区新橋○丁目○番○号"]
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[null,null,null,null,null,null,"ＦＡＸ",null,null,null,"××",null,null,null,null,"－","××××",null,null,null,null,"－",null,"××××"]
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["法人番号\n（国税庁）",null,null,null,null,null,"○",null,"×",null,"△",null,"□",null,"◇",null,"○",null,"×",null,"△",null,"□",null,"◇",null,"○",null,"×",null,"△"]
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["適格請求書発行\n事業者登録番号",null,null,null,null,null,"Ｔ"]
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["建設業\n許可内容",null,null,null,null,null,null,null,"0.大臣",null,null,null,null,"0.特定",null,null,"許可番号",null,null,null,null,null,null,null,null,"○",null,"×",null,"△",null,"□",null,"◇",null,"○"]
[null,null,null,null,null,null,null,null,"1.知事",null,null,null,null,"1.一般"]
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["振込銀行",null,null,null,null,null,"××",null,null,null,null,null,"銀行",null,null,"△□",null,null,null,null,null,"支店",null,null,null,null,"1.普通",null,null,"口座番号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2.当座",null,null,"○",null,"×",null,"△",null,"□",null,"◇",null,"○",null,"×"]
["銀行番号",null,null,null,null,null,1,null,2,null,3,null,4,null,null,null,null,"店番号",null,null,null,5,null,6,null,7]
["フリガナ",null,null,null,null,null,"マルマルマル（カ"]
["口座名義",null,null,null,null,null,"○○○株式会社"]
[]
["※太枠内を記入"]
["※法人の場合は、発行後3ヶ月以内の商業登記簿謄本を添付（コピー可）"]
[]
[]
["【日本道路記入欄】"]
["処理区分",null,null,null,null,null,"1.新規　2.住所変更　3.口座変更　4.社名変更　5.その他変更（　　　　　　　　　　　）"]
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["グループコード"]
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["登録\n漢字名称"]
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["登録\nカナ名称"]
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["登録\n正式名称"]
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["得意先\n細分類コード"]
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["支払条件",null,null,null,null,null,"締日",null,null,null,null,null,"日",null,"支払日",null,null,null,null,null,"ヶ月後",null,null,null,null,null,"日払"]
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[null,null,null,null,null,null,"現金",null,null,null,null,null,"％",null,"手形\n電債",null,null,null,null,null,"％",null,"（",null,null,null,null,"日）"]
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["備　　考"]
[]
[]
[]
[]
["支店確認欄",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所属確認欄"]

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[null,"取引代金受領に関する依頼書　兼　領収印鑑届"]
[]
["日本道路株式会社　御中"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(西暦)",null,null,null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]
["　貴社から当社に支払われる代金は振込手数料差引のうえ、又、当社に対する債権があるときは、これを差引のうえ、下記の当社取引銀行の預金口座にお振込みください。当社では、預金口座の入金記帳をもって当該代金の受領と認め、別に領収書の発行はいたしません。お支払代金受領のうえは如何なる事故が生じても一切貴社に対してご迷惑をおかけいたしません。尚、貴社から当社に支払われる代金を手形で受領した場合は下記領収印を捺印のうえ、領収書を発行いたします。\n　又、記載事項に変更があった場合は、改めてこの「取引代金受領に関する依頼書　兼　領収印鑑届」を提出いたします。"]
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[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"取引先コード"]
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["会社名"]
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["代表者名"]
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[null,null,null,null,null,null,"ＦＡＸ",null,null,null,null,null,null,null,null,"－",null,null,null,null,null,"－"]
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["法人番号\n（国税庁）"]
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["適格請求書発行\n事業者登録番号",null,null,null,null,null,"Ｔ"]
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["建設業\n許可内容",null,null,null,null,null,null,null,"0.大臣",null,null,null,null,"0.特定",null,null,"許可番号"]
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["営業種目"]
[]
["振込銀行",null,null,null,null,null,null,null,null,null,null,null,"銀行",null,null,null,null,null,null,null,null,"支店",null,null,null,null,"1.普通",null,null,"口座番号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2.当座"]
["銀行番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"店番号"]
["フリガナ"]
["口座名義"]
[]
["※太枠内を記入"]
["※法人の場合は、発行後3ヶ月以内の商業登記簿謄本を添付（コピー可）"]
[]
[]
["【日本道路記入欄】"]
["処理区分",null,null,null,null,null,"1.新規　2.住所変更　3.口座変更　4.社名変更　5.その他変更（　　　　　　　　　　　）"]
[]
["グループコード"]
[]
["登録\n漢字名称"]
[]
["登録\nカナ名称"]
[]
["登録\n正式名称"]
[]
["得意先\n細分類コード"]
["安全衛生協力会費控除",null,null,null,null,null,"有　・　無",null,null,null,null,null,null,null,null,null,"発注分類区分",null,null,null,null,null,"　材料費 ・ 労務費 ・ 外注費 ・ 経費 ・ その他 "]
[]
["支払条件",null,null,null,null,null,"締日",null,null,null,null,null,"日",null,"支払日",null,null,null,null,null,"ヶ月後",null,null,null,null,null,"日払"]
[]
[null,null,null,null,null,null,"現金",null,null,null,null,null,"％",null,"手形\n電債",null,null,null,null,null,"％",null,"（",null,null,null,null,"日）"]
[]
["備　　考"]
[]
[]
[]
[]
["支店確認欄",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所属確認欄"]