土石方开挖表格.doc

金沙县圣洋大田养殖基地土石方平基工程

计 量 支 付 月 报 表

支付期号: XF201401
截止日期: 年 月 日

建设单位:金沙圣洋农业开发有限公司
监理单位:贵州黔宏公路工程监理咨询有限公司
承包单位: 贵州息烽

年 月 日

工程款支付申请表
工程名称： 金沙县圣洋大田养殖基地土石方平基工程 编号: XF201401

致：贵州黔宏公路工程监理咨询有限公司金沙县圣洋大田养殖基地土石方平基工程监理部

我方已完成了 十一区清表 工作，按施工合同规定，建设单位应在 2014 年 2 月 日前支付款工(大写 : 贰拾捌万柒仟玖佰二十陆元捌角整,
小写:￥287926.80)

附：一．工程量支付报表
二．计算方法
三．测量资料
承包单位（盖章）：

项目经理（签字）：
2014 年 月 日

项目监理机构（盖章）：

总监理工程师（签字）：
年 月 日

甲方代表:

年 月 日

甲方领导审核:

年 月 日

管委会领导审核：

年 月 日

工程量确认单
承包单位：贵州息烽

编号: XF201401
监理单位：贵州黔宏公路工程监理有限公司

支付编号

项目名称
金沙县圣洋大田养殖基地土石方平基工程
桩号

部位
十一区
按施工现场进度给定量统计:

土方已完成土方工程量=15152.9m³(十一区)+4420.5m³(十二区范围)- 964.5m³=19573.4m³
石方已完成土方工程量= 964.5m³
施工单位负责人签字

专业监理签字

计算式及依据: 土方工程完成量*土方单价(12元/m³)+石方工程完成量*石方单价(24元/m³)=已完成量价款
计算式: 19573.4*12+964.5*24=287926.8

工程量清单号

计量单位
m³
工程量
土方:19573.4 石方:964.5
承包人计量负责人签字
日期

计量监理工程师签字
日期

金沙县圣洋大田养殖基地土石方平基工程
十一区2014年01月22日收方数据
贵州息烽

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