<p style="text-align: center;"><span style="font-size: xx-large; font-weight: bold;">缴费单</span><br></p><p style="text-align: left;">姓名:&nbsp;&nbsp;&nbsp;$XM$&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;性别:&nbsp; $NJ$&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;收费编号:&nbsp; &nbsp; $NUMBER$</p><p><br></p><p style="text-align: left;">年级:&nbsp; &nbsp;$BJ$&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;班级:&nbsp; $XXMC$&nbsp; &nbsp; &nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;开单日期: $TIMES$</p><p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<br></p><p>&nbsp; &nbsp;&nbsp;<br></p><table border="0" width="100%" cellpadding="0" cellspacing="0" style="text-align: center;"><tbody><tr><th style="text-align: left;">&nbsp;序号</th><th style="text-align: left;">收费项目&nbsp;</th><th style="text-align: left;">收费金额(元)&nbsp;</th></tr><tr><td style="text-align: left;">&nbsp;1</td><td style="text-align: left;">$SFXTMMC$<br></td><td style="text-align: left;">$SFXMJEONE$&nbsp;&nbsp;&nbsp;&nbsp;<br></td></tr><tr><td style="text-align: left;">&nbsp;合计金额(大写):</td><td style="text-align: left;">$XXMC$</td><td style="text-align: left;">$XXMC$</td></tr></tbody></table><p style="text-align: center;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</p><p style="text-align: left;">&nbsp;开单人:&nbsp; &nbsp;

$ADMIN$&nbsp;&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 已收金额:$SFXMMC$</p><p style="text-align: center;"><br></p><p style="text-align: left;">学校名称:&nbsp;&nbsp;$SCHOOL$&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;待收金额:$SFXMJE$</p><p style="text-align: right;"><br></p>