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["物品借用申込書"]
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[{"$nulls":5},"令和　　　年　　　月　　　日"]
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["愛媛県身体障がい者福祉センター　所長　様"]
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["愛媛県障がい者スポーツ協会　事務局長　様"]
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[{"$nulls":4},"住　所"]
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[{"$nulls":4},"団体名"]
[{"$nulls":4},"氏　名","　　　　　　　　　　　　　　　　　　　　　　　         　"]
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[{"$nulls":4},"電　話"]
[{"$nulls":4},"FAX"]
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["下記のとおり借用いたしたくお願いします。"]
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["１．借用物品名及び数量"]
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["２．借用期日",null,"　　令和　　　年　　　月　　　日　～　令和　　　年　　　月　　　日"]
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["３．使用目的及び場所"]
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["４．損害賠償"]
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["　　物品を減失し、又は殷損したときは、これを修理し又は原状回復をして返還いたします。"]