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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 >
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4 <body>
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5 <h2>SSDT One Twenty Project Payment Form</h2>
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6 <hr/>
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7
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8 <div class="offset1 noprint"><h3>Instructions:</h3>
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9
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10 <p>Complete the form below and use the browser to print it and submit to supervisor for approval.</p>
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11 <p>Note: This is not a proper web application. The values will not be recorded.</p>
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12 </div>
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13
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14 <div class="row">
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15 <t:form class="form-horizontal form span12">
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16
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17 <div class="control-group">
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18 <label class="control-label label" for="developer">Date</label>
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19
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20 <div class="controls">${date}
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21 </div>
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22 </div>
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23
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24 <div class="control-group">
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25 <label class="control-label label" for="developer">Developer</label>
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26
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27 <div class="controls">
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28 <input class="span5 input-block-level" type="text" size="40" id="developer"/>
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29 </div>
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30 </div>
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31
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32 <div class="control-group">
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33 <label class="control-label label" for="jira">JIRA Issue</label>
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34
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35 <div class="controls">
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36 <input class="span2 input-block-level" type="text" size="12" id="jira" style="10em"/>
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37 </div>
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38 </div>
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39
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40 <div class="control-group">
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41 <label class="control-label label" for="description">Description</label>
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42
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43 <div class="controls">
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44 <textarea class="span5 input-block-level" cols="70" rows="5" id="description"/>
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45 </div>
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46 </div>
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47
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48 <div class="control-group">
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49 <label class="control-label" for="originalBid">Original Bid</label>
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50
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51 <div class="controls">
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52 <div class="input-prepend input-append">
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53 <span class="add-on">$</span>
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54 <input class="span2 input-block-level " type="text" size="6" id="originalBid"/>
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55 <span class="add-on">.00</span>
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56 </div>
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57 </div>
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58 </div>
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59
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60 <div class="control-group">
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61 <label class="control-label" for="adjustmentText1">Adjustments</label>
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62
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63 <div class="controls">
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64 <div class="input-prepend input-append">
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65 <span class="add-on">$</span>
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66 <input class="span2 input-block-level" type="text" size="6" id="adjustmentAmount1"/>
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67 <span class="add-on">.00</span>
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68 </div>
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69
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70 <input style="width: 16em;" class=" input-block-level" type="text" id="adjustmentText1"/>
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71 </div>
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72 <div class="controls">
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73 <div class="input-prepend input-append">
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74 <span class="add-on">$</span>
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75 <input class="span2 input-block-level" type="text" size="6" id="adjustmentAmount2"/>
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76 <span class="add-on">.00</span>
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77 </div>
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78
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79 <input style="width: 16em;" class=" input-block-level" type="text" id="adjustmentText2"/>
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80 </div>
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81 <div class="controls">
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82 <div class="input-prepend input-append">
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83 <span class="add-on">$</span>
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84 <input class="span2 input-block-level" type="text" size="6" id="adjustmentAmount3"/>
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85 <span class="add-on">.00</span>
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86 </div>
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87
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88 <input style="width: 16em;" class=" input-block-level" type="text" id="adjustmentText3"/>
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89 </div>
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90 </div>
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91 <div class="control-group">
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92 <label class="control-label" for="approvedAmount">Approved Amount</label>
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93
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94 <div class="controls">
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95 <div class="input-prepend input-append">
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96 <span class="add-on">$</span>
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97 <input class="span2 input-block-level" type="text" size="6" id="approvedAmount"/>
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98 <span class="add-on">.00</span>
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99 </div>
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100 </div>
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101 </div>
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102
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103
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104 <div class="control-group">
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105 <label class="control-label" for="approvedAmount">Developer</label>
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106
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107 <div class="controls">
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108 <div>__________________________________ __/__/__</div>
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109 </div>
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110 </div>
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111
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112 <div class="well span9 offset1">
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113 <h3>Approvals:</h3>
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114
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115 <div class="row">
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116 <div class="span2 offset1">
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117 Supervisor:
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118 </div>
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119 <div class="span6">__________________________________ __/__/__</div>
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120 </div>
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121
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122 <div class="row">
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123 <div class="span2 offset1">
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124 Director:
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125 </div>
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126 <div class="span6">__________________________________ __/__/__</div>
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127 </div>
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128
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129 <div class="row">
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130 <div class="span2 offset1">
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131 Executive Director:
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132 </div>
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133 <div class="span6">__________________________________ __/__/__</div>
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134 </div>
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135 </div>
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136
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137 </t:form>
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138 </div>
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139 </body>
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140 </html>
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