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Rev Author Line No. Line
3427 chandransh 1 
<html >
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<head>
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	<title>Courier Reconciliation Report</title>
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</head>
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<body>
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	#parse("../content/reports-common.vm")
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	<h2>Courier Reconciliation Report</h2>
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	<div style="color:red">
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         $errorMsg
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    </div>
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	<p>Specify the date range (MM/dd/yyyy):</p>
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	<div>
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		<form action="" method="post">
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			<div class="register-row">
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				<label><span>Start Date:</span></label>
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                <div class="imgTextBox textbox-image">
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					<input type="text" class="textbox" value="" name="startDate" id="datepicker" />
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                </div>
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                <div class="clearBoth"></div>
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             </div>
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			 <br/>
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			 <div class="register-row">
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				<label><span>End Date:</span></label>
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                <div class="imgTextBox textbox-image">
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					<input type="text" class="textbox" value="" name="endDate" id="datepicker1" />
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                </div>
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                <div class="clearBoth"></div>
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             </div>
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			 <br/>
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			 <div class="register-row">
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                 <label><span>Provider:</span></label>
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				 <select name="providerId">
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					<option value="1">Bluedart</option>
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				 </select>
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				 <div class="clearBoth"></div>
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             </div>
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			 <br/>
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			 <div class="register-row">
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                <label><span>Payment Method:</span></label>
3449 chandransh 40 
                <input type="radio" name="payMode" value="false" id="prepaid">Prepaid</input>
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                <input type="radio" name="payMode" value="true" id="cod">COD</input>
3427 chandransh 42 
				<div class="clearBoth"></div>
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             </div>
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			 <br/>
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			 <div>
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				<input name="submit" type="submit" value="Get Report"/>
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			 </div>
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        </form>
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    </div>
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</body>
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</html>