合同编号：_____________
发包方：_____________________________________________
法定住址：___________________________________________
法定代表人：_________________________________________
职务：_______________________________________________
委托代理人：_________________________________________
身份证号码：_________________________________________
通讯地址：___________________________________________
邮政编码：___________________________________________
联系人：_____________________________________________
电话：_______________________________________________
传真：_______________________________________________
帐号：_______________________________________________
电子信箱：___________________________________________
监理方：_____________________________________________
法定住址：___________________________________________
法定代表人：_____________
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