'项 目 验 收 单'

'PROJECT ACCEPTANCE CERTIFICATE'

'项目名称' ${projectName} '—' '—'
'合同编号' ${contractNo} '验收时间' ${acceptanceDate}
'项目' '甲方(建设单位)' '乙方(承建单位)'
'单位名称' ${partyAName} ${partyBName}
'项目联系人' ${partyAContact} ${partyBContact}
'联系电话' ${partyAPhone} ${partyBPhone}
'通讯地址' ${partyAAddress} ${partyBAddress}

'一、验收项清单'

'编号' '验收项' '验收标准' '验收结果' '备注'
'1' ${chkName1} ${chkStd1} ${chkResult1} ${chkRemark1}
'2' ${chkName2} ${chkStd2} ${chkResult2} ${chkRemark2}
'3' ${chkName3} ${chkStd3} ${chkResult3} ${chkRemark3}
'4' ${chkName4} ${chkStd4} ${chkResult4} ${chkRemark4}
'5' ${chkName5} ${chkStd5} ${chkResult5} ${chkRemark5}
'6' ${chkName6} ${chkStd6} ${chkResult6} ${chkRemark6}
'7' ${chkName7} ${chkStd7} ${chkResult7} ${chkRemark7}
'8' ${chkName8} ${chkStd8} ${chkResult8} ${chkRemark8}

'二、验收结论'

${conclusion1}

${conclusion2}

${conclusion3}

${conclusion4}

'三、双方确认'

'甲方(建设单位)'

${partyAName}

'授权代表(签字):'

'日期:    年  月  日'

'乙方(承建单位)'

${partyBName}

'授权代表(签字):'

'日期:    年  月  日'