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付款申请书电子版篇一
由我公司实施监理的____县人民医院住院门诊综合楼改扩建项目工程于____年11月7日开始施工，因本工程⑤-⑦轴交e轴线土方开挖受乌拉溪林场家属区阻扰，导致工程工期延误。根据我公司与贵单位签订的监理合同第三部分专用条件第6.2条关于延期费的约定，本工程延期监理服务费计算如下：
1、正式开工日期为____年11月7日
2、施工阶段监理服务期为365天
3、监理合同服务期到期时间为____年11月7日
（即：____年11月7日至____年11月7日共计365天），
4、延期监理服务工作日数180天
(即：____年3月1日至____年8月30日)
5、工程延期监理服务费
工程延期监理服务费=工程延期工作日数×合同报酬/监理服务日
即：180天×364100元÷365天=179556元
现向贵单位申请支付延期监理服务费179556元（大写：壹拾柒万九千五百五十六元整）
特此申请
申请人：xxx
20xx年x月x日
付款申请书电子版篇二
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