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["附件2:"]
["阜阳市科技创新券绩效自评表"]
["企业名称（盖章）：",{"$nulls":8},"    年   月   日"]
["兑现年度",{"$nulls":4},"兑现金额"]
["企业类型（√选）","□高新技术企业    □中小微企业    □在孵企业   \n□已备案的科技型中小企业    □知识产权示范（试点）企业   □创客       □其他"]
["创新券用途","项（次、台）数",{"$nulls":3},"企业实际支出金额（万元）",{"$nulls":3},"备注"]
["购买技术成果"]
["购买研发仪器设备"]
["知识产权服务"]
["分析测试服务"]
["科技信息服务"]
["其他 "]
["年度销售收入（万元）","2017年",null,null,"2018年",null,null,"2019年",null,null,"2020年（预估）"]
[]
["年度研发投入（万元）","2017年",null,null,"2018年",null,null,"2019年",null,null,"2020年（预估）"]
[]
["自评总结\n（可另附页）","应含创新券使用情况、项目建设情况、所产生的经济效益和社会效益等（300字以内）。"]
["工作建议\n（可另附页）"]
["县（市、区）科技局\n意见","\n\n（盖章）\n  年    月    日  "]