37 lines
1.1 KiB
Cheetah
37 lines
1.1 KiB
Cheetah
<TMPL_INCLUDE Name="members-top.inc">
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<Center>
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<h3>Facture manuelle</h3>
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</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>
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<td><b>Numéro de lecteur<b></b></b></td>
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<td><TMPL_VAR Name="bornum"></td></tr>
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<tr>
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<td><b>Type de facture</b></td>
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<Td>
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<select name=type>
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<option value=L>Document perdu</option>
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<option value=F>Amende</option>
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<option value=A>Frais de gestion</option>
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<option value=N>Nouvelle carte</option>
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<option value=M>Divers</option>
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<option value=REF>Remboursement</option>
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</select>
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</td></tr>
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<tr>
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<td><b>Numéro de document</b></td>
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<td><input type=text name=itemnum></td></tr>
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<tr><td><b>Description</b></td><td><input type=text name=desc size=50></td></tr>
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<tr>
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<td><b>Montant</b></td>
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<td><input type=text name=amount></td></tr>
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<tr><td>
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<input type=submit name=add value=Ajouter>
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</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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