25 lines
894 B
Cheetah
25 lines
894 B
Cheetah
<TMPL_INCLUDE Name="members-top.inc">
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<Center><h3>手發收據</h3></center>
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<form action=/cgi-bin/koha/maninvoice.pl method=post>
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<table cellpadding=2 cellspacing=0 border=0>
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<input type=hidden name=bornum value="<TMPL_VAR Name="bornum">">
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<tr><td><b>讀者編號<b></td><td><TMPL_VAR Name="bornum"></td></tr>
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<tr><td><b>類別</b></td><Td>
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<select name=type>
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<option value=L>賠償</option>
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<option value=F>罰款</option>
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<option value=A>戶口手續費</option>
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<option value=N>新證</option>
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<option value=M>雜項</option>
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<option value=REF>退款</option>
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</select>
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</td></tr>
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<tr><td><b>Itemnumber</b></td><td><input type=text name=itemnum></td></tr>
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<tr><td><b>說明</b></td><td><input type=text name=desc size=50></td></tr>
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<tr><td><b>金額</b></td><td><input type=text name=amount></td></tr>
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<tr><td><input type=submit name=add value=Add></td></tr>
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</table>
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</form>
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<TMPL_INCLUDE Name="members-bottom.inc">
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