mirror of
https://codeberg.org/angestoepselt/refund-form.git
synced 2025-05-24 14:46:16 +00:00
112 lines
No EOL
4.6 KiB
HTML
112 lines
No EOL
4.6 KiB
HTML
<!DOCTYPE html>
|
|
<html lang="de">
|
|
<head>
|
|
<meta charset="utf-8">
|
|
<meta http-equiv="X-UA-Compatible" content="IE=edge">
|
|
<meta name="viewport" content="width=device-width, initial-scale=1">
|
|
<title>Bestätigung von Auslagen</title>
|
|
|
|
<link href="assets/vendor/bootstrap/css/bootstrap.min.css" rel="stylesheet">
|
|
<link href="assets/css/main.css" rel="stylesheet">
|
|
|
|
<!--[if lt IE 9]>
|
|
<script src="https://oss.maxcdn.com/html5shiv/3.7.3/html5shiv.min.js"></script>
|
|
<script src="https://oss.maxcdn.com/respond/1.4.2/respond.min.js"></script>
|
|
<![endif]-->
|
|
</head>
|
|
<body>
|
|
<main>
|
|
|
|
<div class="container">
|
|
<header class="d-flex flex-wrap justify-content-center py-3 mb-4 border-bottom">
|
|
<a href="/" class="d-flex align-items-center mb-4 mb-md-0 ms-md-auto text-dark text-decoration-none">
|
|
<img src="assets/img/angestöpselt_logo_web.jpg" alt="Angestöpselt" title="Angestöpselt" width="400" height="62.5">
|
|
</a>
|
|
</header>
|
|
|
|
<div class="row">
|
|
<div class="row justify-content-md-center">
|
|
<div class="col col-12 col-lg-8">
|
|
<h1>Bestätigung von Auslagen</h1>
|
|
|
|
<div class="mt-5">
|
|
<div id="html" class="mb-5">
|
|
<div>
|
|
<span>Name:</span>
|
|
<div id="name"></div>
|
|
</div>
|
|
|
|
<div>
|
|
<span>Adresse:</span>
|
|
<div id="adresse"></div>
|
|
</div>
|
|
|
|
<div class="leistungen">
|
|
<span>Leistungen:</span>
|
|
<div class="row">
|
|
<div class="col col-10">
|
|
<div id="leistung"></div>
|
|
</div>
|
|
<div class="col col-2">
|
|
<div id="betrag"></div>
|
|
</div>
|
|
</div>
|
|
|
|
<span>Gesamt:</span>
|
|
<div class="row">
|
|
<div class="col col-10 offset-2">
|
|
<div id="gesamt"></div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div>
|
|
<div id="verzicht"></div>
|
|
</div>
|
|
|
|
<div>
|
|
<div id="auszahlung"></div>
|
|
<div id="iban"></div>
|
|
</div>
|
|
|
|
<div>
|
|
<span>Ort, Datum:</span>
|
|
<div id="citydate"></div>
|
|
</div>
|
|
|
|
<hr />
|
|
|
|
<div class="row separator">
|
|
<span>Genehmigt und erledigt durch:</span>
|
|
</div>
|
|
|
|
<div class="row btm">
|
|
<div class="col col-3">
|
|
<div></div> <hr />
|
|
<div>Datum</div>
|
|
</div>
|
|
<div class="col col-5">
|
|
<div></div> <hr />
|
|
<div>Unterschrift / Stempel</div>
|
|
</div>
|
|
</div>
|
|
<footer class="onlyprint">
|
|
Vorsitzende des Vereins angestöpselt e.V.: Lukas Seeber, Matthias Hemmerich & Tobias Benra<br>
|
|
Anschrift: Zeller Str. 29/31, 97082 Würzburg | Telefon: 0931-320 914 94 | Web: angestoepselt.de<br>
|
|
Spendenkonto: angestöpselt e.V. | Sparkasse Mainfranken Würzburg | IBAN: DE23790500000047309828<br>
|
|
</footer>
|
|
|
|
</div>
|
|
<button class="btn btn-primary no-print" onclick="window.print();">Drucken</button>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</main>
|
|
<script src="assets/vendor/jquery/jquery-3.6.0.min.js"></script>
|
|
<script src="assets/vendor/bootstrap/js/bootstrap.bundle.min.js"></script>
|
|
<script src="assets/js/main.js"></script>
|
|
</body>
|
|
|
|
</html> |