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["様式第11の２（第10条の３第１項関係）"]
[null,null,null,null,null,null,"年　　月　　日"]
["（あて先）横須賀市長"]
[null,null,null,"届出者","氏　　名"]
[]
[null,null,null,null,"（法人にあっては、名称及び代表者の氏名）"]
[null,null,null,null,"住　　所　","〒"]
[]
[null,null,null,null,"電話番号"]
[]
["動物販売業者等定期報告届出書"]
[]
["動物の愛護及び管理に関する法律第21条の５第２項の規定に基づき、下記のとおり届け出ます。"]
[]
[null,null,null,"記"]
["１ 事業所の名称"]
["２ 事業所の所在地"]
["３ 登録年月日"]
["４ 登録番号"]
["５　年度当初に所有していた動物の合計数","犬：　　　　",null,"猫：",null,"その他哺乳類：　"]
[null,"鳥類：",null,"爬虫類："]
["６　年度中に新たに所有するに至った動物の月ごとの合計数",null,"４月","５月","６月","７月","８月","９月"]
[null,"犬",null,null,null,null,null,null,null,"6 小計","犬",{"$f":"SUM(C23:H23)+SUM(C29:H29)","v":0}]
[null,"猫",null,null,null,null,null,null,null,null,"猫",{"$f":"SUM(C24:H24)+SUM(C30:H30)","v":0}]
[null,"その他哺乳類",null,null,null,null,null,null,null,null,"その他哺乳類",0]
[null,"鳥類",null,null,null,null,null,null,null,null,"鳥類",0]
[null,"爬虫類",null,null,null,null,null,null,null,null,"爬虫類",0]
[null,null,"10月","11月","12月","１月","２月","３月"]
[null,"犬"]
[null,"猫"]
[null,"その他哺乳類"]
[null,"鳥類"]
[null,"爬虫類"]
["７　年度中に販売若しくは引渡しをした動物の月ごとの合計数",null,"４月","５月","６月","７月","８月","９月"]
[null,"犬",null,null,null,null,null,null,null,"7 小計","犬",{"$f":"SUM(C35:H35)+SUM(C41:H41)","v":0}]
[null,"猫",null,null,null,null,null,null,null,null,"猫",{"$f":"SUM(C36:H36)+SUM(C42:H42)","v":0}]
[null,"その他哺乳類",null,null,null,null,null,null,null,null,"その他哺乳類",0]
[null,"鳥類",null,null,null,null,null,null,null,null,"鳥類",0]
[null,"爬虫類",null,null,null,null,null,null,null,null,"爬虫類",0]
[null,null,"10月","11月","12月","１月","２月","３月"]
[null,"犬"]
[null,"猫"]
[null,"その他哺乳類"]
[null,"鳥類"]
[null,"爬虫類"]
["８　年度中に死亡の事実が生じた動物の月ごとの合計数",null,"４月","５月","６月","７月","８月","９月"]
[null,"犬",null,null,null,null,null,null,null,"8 小計","犬",{"$f":"SUM(C47:H47)+SUM(C53:H53)","v":0}]
[null,"猫",null,null,null,null,null,null,null,null,"猫",{"$f":"SUM(C48:H48)+SUM(C54:H54)","v":0}]
[null,"その他哺乳類",null,null,null,null,null,null,null,null,"その他哺乳類",0]
[null,"鳥類",null,null,null,null,null,null,null,null,"鳥類",0]
[null,"爬虫類",null,null,null,null,null,null,null,null,"爬虫類",0]
[null,null,"10月","11月","12月","１月","２月","３月"]
[null,"犬"]
[null,"猫"]
[null,"その他哺乳類"]
[null,"鳥類"]
[null,"爬虫類"]
["９　年度末に所有して　いた動物の合計数","犬：　　　　",null,"猫：",null,"その他哺乳類：　",null,null,null,"集計","犬",{"$f":"C20+L23-L35-L47","v":0},{"$f":"IF(C58=L58,\"正\",\"誤\")","v":"正"}]
[null,"鳥類：",null,"爬虫類：",null,null,null,null,null,null,"猫",{"$f":"E20+L24-L36-L48","v":0},{"$f":"IF(E58=L59,\"正\",\"誤\")","v":"正"}]
["10　犬猫以外の動物に含まれる品種等",null,null,null,null,null,null,null,null,null,"その他哺乳類",{"$f":"H20+L25-L37-L49","v":0},{"$f":"IF(H58=L60,\"正\",\"誤\")","v":"正"}]
["11　備　　　　考",null,null,null,null,null,null,null,null,null,"鳥類",{"$f":"C21+L26-L38-L50","v":0},{"$f":"IF(C59=L61,\"正\",\"誤\")","v":"正"}]
[null,null,null,null,null,null,null,null,null,null,"爬虫類",{"$f":"E21+L27-L39-L51","v":0},{"$f":"IF(E59=L62,\"正\",\"誤\")","v":"正"}]
["備　考\n１　年度途中に登録を受けた場合には、５については登録を受けた時点の頭数を、６から８までについては、登録を受けた日以降の月ごとの合計頭数を記載すること。\n２　令和２年６月１日現在で、既に第一種動物取扱業の登録を受けている者は、令和２年度に係る報告については、５については令和２年６月１日時点の頭数、６から８までについては令和２年６月以降の月ごとの合計数を記載すること。\n３　この届出に係る事務担当者が届出者と異なる場合は、「11 備考」欄に事務担当者の氏名及び電話番号を記入すること。\n４　この届出書の用紙の大きさは、日本産業規格Ａ４とすること。\n"]