mirror of
https://codeberg.org/angestoepselt/refund-form.git
synced 2025-05-24 14:46:16 +00:00
81 lines
No EOL
3.2 KiB
HTML
81 lines
No EOL
3.2 KiB
HTML
<!DOCTYPE html>
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<html lang="de">
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<head>
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<meta charset="utf-8">
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<meta http-equiv="X-UA-Compatible" content="IE=edge">
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<meta name="viewport" content="width=device-width, initial-scale=1">
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<title>Bestätigung von Auslagen</title>
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<link href="assets/vendor/bootstrap/css/bootstrap.min.css" rel="stylesheet">
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<link href="assets/css/main.css" rel="stylesheet">
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<!--[if lt IE 9]>
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<script src="https://oss.maxcdn.com/html5shiv/3.7.3/html5shiv.min.js"></script>
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<script src="https://oss.maxcdn.com/respond/1.4.2/respond.min.js"></script>
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<![endif]-->
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</head>
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<body>
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<main>
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<div class="container">
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<header class="d-flex flex-wrap justify-content-center py-3 mb-4 border-bottom">
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<a href="/" class="d-flex align-items-center mb-4 mb-md-0 ms-md-auto text-dark text-decoration-none">
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<img src="assets/img/210210_angestöpselt_logo_final_web.jpg" alt="Angestöpselt" title="Angestöpselt" width="400" height="62.5">
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</a>
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</header>
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<div class="row">
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<div class="row justify-content-md-center">
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<div class="col col-12 col-lg-8">
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<h1>Bestätigung von Auslagen</h1>
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<div class="mt-5">
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<div id="html" class="mb-5">
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<div>
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<span>Name:</span>
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<div id="name"></div>
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</div>
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<div>
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<span>Adresse:</span>
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<div id="adresse"></div>
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</div>
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<div class="leistungen">
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<span>Leistungen:</span>
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<div class="row">
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<div class="col col-10">
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<div id="leistung"></div>
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</div>
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<div class="col col-2">
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<div id="betrag"></div>
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</div>
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</div>
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<span>Gesamt:</span>
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<div class="row">
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<div class="col col-10 offset-2">
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<div id="gesamt"></div>
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</div>
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</div>
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</div>
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<div>
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<div id="verzicht"></div>
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</div>
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<div>
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<div id="auszahlung"></div>
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<div id="iban"></div>
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</div>
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</div>
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<button class="btn btn-primary no-print" onclick="window.print();">Drucken</button>
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</div>
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</div>
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</div>
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</div>
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</div>
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</main>
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<script src="assets/vendor/jquery/jquery-3.6.0.min.js"></script>
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<script src="assets/vendor/bootstrap/js/bootstrap.bundle.min.js"></script>
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<script src="assets/js/main.js"></script>
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</body>
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</html> |