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["시 험 · 검 사 의 뢰 서",{"$nulls":9},"접 수"]
[{"$nulls":10},"번 호"]
["의\n뢰\n업\n체\n-\n계\n산\n서","상호(명칭)",{"$nulls":12},"사업자등록번호(업태/종목)"]
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[null,"성명(대표자)",{"$nulls":12},"성명(담당자)"]
[null,"사업장주소 :",{"$nulls":12},"메일주소"]
[{"$nulls":18},"@"]
[null,"전 화",null,"(        )",null,null,"팩 스",null,"(        )",{"$nulls":5},"휴대폰",null,null,"(        )"]
[null,"성적서 수령방법",null,null,"                                                  (         )"]
["시\n\n료\n\n정\n\n보","검사목적"]
[null,"검사항목"]
[null,"농산물구분"]
[null,"품목",null,null,"생산자명",null,"생산지 주소\n(재배필지)",null,null,null,"성적서\n(자택주소)",{"$nulls":5},"수량",null,"생산자\n(증빙관련)",null,"생산자\n연락처"]
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["참 고","첨부서류"]
["사 항"]
["    상기와 같은 내용으로 해당 시료의 검사를 의뢰 합니다."]
["접수/수거일 : 20     년       월        일"]
["     접수자 :                   (서명/인)                      신청인 :                   (서명/인)"]
["(예금주 :              )",{"$nulls":11}," 세금계산서 : "]
[" ※ 입금계좌: 기업은행 526-019603-04-582 예금주: 사단법인 KOTITI시험연구원"]
["KOTITI 시험연구원 귀하",{"$nulls":10},"수수료",null,null,null,"원"]
["OP~"]