17 lines
857 B
PHP
17 lines
857 B
PHP
<?php
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header('Content-Type: text/html; charset='.CHARSET);
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?>
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<label>Date de jouissance / effet :</label>
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<input type="text" maxlength="10" class="date" name="jugement[dateFinPeriode]" value="" />
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<span class="left">(Format JJ/MM/AAAA)</span>
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<label>Date cessation de paiement </label>
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<input type="text" class="date" name="jugement[datePaie]" size="10" maxlength="10" value="" />
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<span class="left">(Format JJ/MM/AAAA)</span>
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<label>Audience de renvoi le </label>
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<input type="text" class="date" name="jugement[dateAudienceRenvoi]" size="10" maxlength="10" value="" />
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<span class="left">(Format JJ/MM/AAAA)</span>
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<label>Nom de l'acheteur</label>
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<input type="text" name="jugement[AcheteurNom]" size="70" maxlength="100" value="" />
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<label>SIREN de l'acheteur</label>
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<input type="text" name="jugement[AcheteurSiren]" size="70" maxlength="11" value="" />
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