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["附表4："]
["集市采购转集中采购申请表"]
["单位名称（盖章）："]
["序号","单位名称","采购编号","项目名称","金额","申请原因（描述产品技术指标，设备单价-需高于本市设备支出标准、及本市通用设备标准）"]
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[9]
[10]
[11]
[12]
[]
["填表人： ",null,null,"审核人：",null,"联系电话："]
["注：1、采购品目挑错不属于该范围，应填入指标调整，尤其是空调采购，需要集中采购的空调的采购品目应调整为其他空调"]
["2、电梯、服务器等没有本市设备支出标准的集市采购项目，如需要集中采购的，应另行单独报市财政，并附上技术指标，由财政组织专家评审"]