<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">{DATA_1}</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">{DATA_2}</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">{DATA_3}</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">{DATA_4}</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">{DATA_5}</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">{DATA_13}</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">{DATA_6}</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> {DATA_7}
<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">{DATA_8}</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">{DATA_9}</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> {DATA_10}
<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">{DATA_11}</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">{DATA_12}</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>