<link rel="stylesheet" type="text/css" href="/static/theme/workflow/6/style/css/style1.css" />
<div class="container">
<div class="form_body">
<div class="head_er line">报销申请单</div>
<div class="form_body_1"><!-- 表单元素分组线 -->
<div class="cent_er"><!-- 表单元素分组线 -->
<div class="form_group">
<div class="form_row">
<div class="text_li" style="height: 66px; width: 277px"><span class="text_gray" style="width: 100px">申请人：</span> <span class="text_stlye1"><span class="text_stlye11" style="width: 300px"><input id="text_stlye" title="申请人" class="AUTO" datafld="SYS_USERNAME" size="17" hidden="0" style="height: 25px; width: 267px" name="DATA_1" value="{MACRO}" type="text" /></span></span></div>
<div class="text_li" style="height: 66px; float: right; width: 309px"><span class="text_gray" style="height: 30px; width: 73px">申请日期：</span> <span class="text_stlye1" style="margin-left: 10px"><span class="text_stlye11" style="width: 290px"><input id="text_stlye" title="申请日期" class="AUTO" datafld="SYS_DATE_CN" size="18" hidden="0" style="height: 25px; width: 289px" name="DATA_2" value="{MACRO}" type="text" /></span></span></div>
</div>
</div>
<!-- 表单元素分组线 -->
<div class="form_group">
<div class="form_row">
<div class="text_li" style="width: 629px; margin-right: 0px"><span class="text_gray" style="width: 180px">银行卡开户行变更为：</span> <span class="text_stlye1a"><span class="text_stlye11a" style="height: 28px; width: 622px"><input title="开户行" class="text_stlye" hidden="0" name="DATA_3" value="如没有变化，则不要填写" type="text" /></span></span></div>
</div>
</div>
<!-- 表单元素分组线 -->
<div class="form_group">
<div class="form_row">
<div class="text_li" style="width: 629px; margin-right: 0px"><span class="text_gray" style="width: 180px">银行卡账号变更为:</span> <span class="text_stlye1a"><span class="text_stlye11a" style="height: 28px; width: 622px"><input title="银行账号" class="text_stlye" name="DATA_4" value="如没有变化，则不要填写" type="text" /></span></span></div>
</div>
</div>
<!-- 表单元素分组线 -->
<div class="form_group">
<div class="form_row form_textarea">
<div class="text_li" style="width: 629px"><span class="textarea_gray" style="margin-top: 0px; width: 100px">报销明细:</span>
<div class="textarea_6" style="height: 110px; width: 626px">
<div class="textarea_top">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a" style="border-top: 0px; height: 40px; border-right: 0px; border-bottom: 0px; border-left: 0px"><span class="lb" style="height: auto; width: 584px"><img title="报销明细" class="LIST_VIEW" border="0" name="DATA_5" alt="" align="absMiddle" lv_title="项目`数量`单价`总价`备注`" lv_size="15`10`10`12`15`" lv_sum="0`0`0`1`0`" lv_cal="```[2]*[3]``" lv_coltype="text`text`text`text`text`" lv_colvalue="`````" style="cursor: hand" src="/module/html_editor/editor/images/listview.gif" /></span></div>
<div class="textarea_bottom" style="height: 37px; width: 100%">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
</div>
</div>
<!-- 表单元素分组线 -->
<div class="form_group">
<div class="form_row">
<div class="text_li" style="width: 629px; margin-right: 0px"><span class="text_gray" style="width: 180px">报销金额：</span> <span class="text_stlye1a"><span class="text_stlye11a" style="height: 28px; width: 622px"><input title="报销金额" class="text_stlye" prec="4" name="DATA_13" value="LIST(报销明细,4)" type="text" /></span></span></div>
<br />
&#160;</div>
</div>
<!-- 表单元素分组线 -->
<div class="form_group">
<div class="form_row form_textarea">
<div class="text_li" style="width: 629px"><span class="textarea_gray" style="margin-top: 0px; width: 100px">申请人说明:</span>
<div class="textarea_6" style="height: 85px; width: 628px">
<div class="textarea_top">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a" style="border-top: 0px; border-right: 0px; border-bottom: 0px; border-left: 0px"><textarea title="申请人说明" class="textarea_stlye" rows="11" style="height: 75px; width: 584px" name="DATA_6"></textarea></div>
<div class="textarea_bottom">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
</div>
</div>
<!-- 表单元素分组线 -->
<div class="form_group">
<div class="form_row form_textarea">
<div class="text_li" style="width: 629px"><span class="textarea_gray" style="margin-top: 0px; width: 100px">行政经理审核:</span> <img title="行政经理审批" class="RADIO" name="DATA_7" alt="" radio_field="同意`不同意`" radio_check="同意" src="/module/html_editor/editor/images/radio.gif" />
<div class="textarea_6" style="height: 85px; width: 628px">
<div class="textarea_top">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a" style="border-top: 0px; border-right: 0px; border-bottom: 0px; border-left: 0px"><textarea title="行政经理意见" class="textarea_stlye" rows="11" style="height: 75px; width: 584px" name="DATA_8"></textarea></div>
<div class="textarea_bottom">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
</div>
<div class="text_li" style="float: right; margin-top: 15px"><span class="text_stlye1"><span class="text_stlye11"><input id="text_stlye" title="行政经理签字" class="AUTO" datafld="SYS_USERNAME_DATETIME" hidden="0" style="width: 240px" name="DATA_9" value="{MACRO}" type="text" /></span></span></div>
</div>
<!-- 表单元素分组线 -->
<div class="form_group">
<div class="form_row form_textarea">
<div class="text_li" style="width: 629px"><span class="textarea_gray" style="margin-top: 0px; width: 100px">财务部审核:</span> <img title="财务主管审批" class="RADIO" name="DATA_10" alt="" radio_field="同意`不同意`" radio_check="同意" src="/module/html_editor/editor/images/radio.gif" />
<div class="textarea_6" style="height: 85px; width: 628px">
<div class="textarea_top">
<div class="textarea_61">&#160;</div>
<div class="textarea_62">&#160;</div>
</div>
<div class="textarea_a" style="border-top: 0px; border-right: 0px; border-bottom: 0px; border-left: 0px"><textarea title="财务主管意见" class="textarea_stlye" rows="11" style="height: 75px; width: 584px" name="DATA_11"></textarea></div>
<div class="textarea_bottom">
<div class="textarea_63">&#160;</div>
<div class="textarea_64">&#160;</div>
</div>
</div>
</div>
</div>
<div class="text_li" style="float: right; margin-top: 15px"><span class="text_stlye1"><span class="text_stlye11"><input id="text_stlye" title="财务主管签字" class="AUTO" datafld="SYS_USERNAME_DATETIME" hidden="0" style="width: 240px" name="DATA_12" value="{MACRO}" type="text" /></span></span></div>
</div>
<!-- 表单元素分组线 -->
<div class="bz" style="float: left; width: 630px"><span class="text_gray" style="float: left">注：用于个人申请报销</span></div>
<!-- 表单元素分组线 --></div>
</div>
</div>
</div>