25 lines
1.1 KiB
Cheetah
25 lines
1.1 KiB
Cheetah
<!-- TMPL_INCLUDE Name="members-top.inc" -->
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<Center><h3>Facture Manuelle</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>N° de lecteur<b></td><td><!-- TMPL_VAR NAME="bornum" --></td></tr>
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<tr><td><b>Type</b></td><Td>
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<select name="type">
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<option value="L">Exemplaire Perdu</option>
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<option value="F">Amende</option>
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<option value="A">Gestion de la comptabilité des cotisations</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">Règlement en liquide</option>
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</select>
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</td></tr>
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<tr><td><b>Numéro d'exemplaire</b></td><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><td><b>Montant</b></td><td><input type="text" name="amount"></td></tr>
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<tr><td><input type="submit" name="add" value="Ajouter"></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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