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1 <html t:type="layout" title="ssdt.forms Index"
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2 xmlns:t="http://tapestry.apache.org/schema/tapestry_5_3.xsd">
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3 <body>
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4 <h3>SSDT One Twenty Project Payment Form</h3>
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5
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6 <div class="offset1 noprint"><h3>Instructions:</h3>
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7 <p>Complete the form below and use the browser to print it and submit to supervisor for approval.</p>
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8 <p>Note: This is not a proper web application. The values will not be recorded.</p>
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9 </div>
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10
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11 <div class="row">
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12 <t:form class="form-horizontal form span12">
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13 <div class="control-group">
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14 <label class="control-label label" for="developer">Date</label>
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15
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16 <div class="controls">${date}
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17 </div>
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18 </div>
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19
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20 <div class="control-group">
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21 <label class="control-label label" for="developer">Developer</label>
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22
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23 <div class="controls">
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24 <input class="span5 input-block-level" type="text" size="40" id="developer"/>
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25 </div>
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26 </div>
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27
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28 <div class="control-group">
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29 <label class="control-label label" for="jira">JIRA Issue</label>
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30
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31 <div class="controls">
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32 <input class="span2 input-block-level" type="text" size="30" id="jira" style="10em"/>
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33 </div>
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34 </div>
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35
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36 <div class="control-group">
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37 <label class="control-label label" for="description">Description</label>
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38
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39 <div class="controls">
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40 <textarea class="span5 input-block-level" cols="80" rows="4" id="description"/>
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41 </div>
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42 </div>
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43
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44 <div class="control-group">
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45 <label class="control-label" for="originalBid">Original Bid</label>
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46
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47 <div class="controls">
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48 <div class="input-prepend input-append">
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49 <span class="add-on">$</span>
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50 <input class="span2 input-block-level " type="text" size="6" id="originalBid"/>
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51 <span class="add-on">.00</span>
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52 </div>
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53 </div>
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54 </div>
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55
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56 <div class="control-group">
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57 <label class="control-label" for="adjustmentText1">Adjustments</label>
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58
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59 <div class="controls">
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60 <div class="input-prepend input-append">
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61 <span class="add-on">$</span>
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62 <input class="span2 input-block-level" type="text" size="6" id="adjustmentAmount1"/>
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63 <span class="add-on">.00</span>
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64 </div>
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65
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66 <input style="width: 16em;" class=" input-block-level" type="text" id="adjustmentText1"/>
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67 </div>
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68 <div class="controls">
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69 <div class="input-prepend input-append">
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70 <span class="add-on">$</span>
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71 <input class="span2 input-block-level" type="text" size="6" id="adjustmentAmount2"/>
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72 <span class="add-on">.00</span>
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73 </div>
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74
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75 <input style="width: 16em;" class=" input-block-level" type="text" id="adjustmentText2"/>
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76 </div>
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77 <div class="controls">
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78 <div class="input-prepend input-append">
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79 <span class="add-on">$</span>
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80 <input class="span2 input-block-level" type="text" size="6" id="adjustmentAmount3"/>
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81 <span class="add-on">.00</span>
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82 </div>
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83
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84 <input style="width: 16em;" class=" input-block-level" type="text" id="adjustmentText3"/>
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85 </div>
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86 </div>
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87 <div class="control-group">
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88 <label class="control-label" for="approvedAmount">Approved Amount</label>
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89
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90 <div class="controls">
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91 <div class="input-prepend input-append">
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92 <span class="add-on">$</span>
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93 <input class="span2 input-block-level" type="text" size="6" id="approvedAmount"/>
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94 <span class="add-on">.00</span>
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95 </div>
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96 </div>
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97 </div>
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98
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99 <div class="control-group">
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100 <label class="control-label" for="approvedAmount">Developer</label>
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101
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102 <div class="controls">
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103 <div>__________________________________ __/__/__</div>
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104 </div>
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105 </div>
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106
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107 <div class="span10 offset1">
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108 <hr/>
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109 <h4>Approvals:</h4>
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110 <div class="row">
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111 <div class="span2 offset1">
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112 Supervisor:
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113 </div>
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114 <div class="span6">__________________________________ __/__/__</div>
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115 </div>
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116 <br/>
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117 <div class="row">
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118
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119 <div class="span2 offset1">
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120 Director:
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121 </div>
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122 <div class="span6">__________________________________ __/__/__</div>
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123 </div>
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124 <br/>
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125 <div class="row">
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126
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127 <div class="span2 offset1">
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128 Executive Director:
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129 </div>
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130 <div class="span6">__________________________________ __/__/__</div>
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131 </div>
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132 </div>
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133
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134 </t:form>
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135 </div>
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136 </body>
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137 </html>
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