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[null,null,null,null,null,null,null,null,null,"令和　　　年　　　月　　　日"]
["送付先：東武トップツアーズ㈱長野支店"]
["担当：荒川　弘規／E-mail　hironori_arakawa@tobutoptours.co.jp"]
["ＦＡＸ：０２６－２２８－３３４６"]
["大会名：令和3年度北信越高等学校総合体育大会水泳競技大会"]
[]
["領収証発行依頼書"]
[]
[null,"学校名"]
[null,"氏名",null,null,null,"連絡先"]
[null,"郵送先ご住所",null,"〒"]
[]
[null,null,"※領収証の必要枚数　　　　枚"]
[]
[null,"１．","発行宛名"]
[null,null,"金額"]
[null,null,"但し書"]
[]
[null,"２．","発行宛名"]
[null,null,"金額"]
[null,null,"但し書"]
[]
[null,"３．","発行宛名"]
[null,null,"金額"]
[null,null,"但し書"]
[]
[null,"４．","発行宛名"]
[null,null,"金額"]
[null,null,"但し書"]
[]
[null,"５．","発行宛名"]
[null,null,"金額"]
[null,null,"但し書"]
[]
[null,"６．","発行宛名"]
[null,null,"金額"]
[null,null,"但し書"]
[]
[null,null,"　　【記入例】"]
[null,null,"　　宛名　　　　　○○高等学校　水泳部","　　○○高等学校　水泳部",null,null,"様"]
[null,null,"　　金額　　　　　￥２０，０００ー","　　　￥２０，０００ー"]
[null,null,"　　但し書","　令和3年度北信越高等学校総合体育大会水泳競技大会"]
[null,null,null,"　宿泊代　10,000円×2泊"]
[]
[]
[null,null,"※領収証内容は、事務の先生とご確認のうえご記入ください"]
[null,null,"※銀行およびコンビニの振込手数料の領収証は発行できませんのでご了承願います。"]