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1586 ankur.sing 1 
<html >
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<head>
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	<title>Payment Details Report Generator</title>
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</head>
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<body>
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	<h2 >Payment Details Report Generator</h2>
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	<p >Specify the date range (MM/dd/yyyy):</p>
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	<div>
1716 ankur.sing 9 
		<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>Status:</span></label>
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                <input type="radio" name="status" value="0" id="successful">Successful</input>
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                <input type="radio" name="status" value="1" id="failed">Pending & Failed</input>
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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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	<div id="messageError">
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         $errorMsg
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    </div>
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</body>
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</html>