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["抗击新冠肺炎疫情先进事迹统计表"]
["填报单位：（盖章）                                                              年  月  日"]
["序号","单位名称或人员姓名","捐款金额\n（万元）","捐物情况","捐物价值\n（万元）","参与志愿活动等其他事迹情况"]
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["注：房地产估价师、房地产经纪专业人员请注明注册（登记）号。"]
["填报人：　     　　　  　　　　　　　联系电话："]