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<html ><head><title>Payment Details Report Generator</title></head><body>#parse("../content/reports-common.vm")<h2>Payment Details Report Generator</h2><p>Specify the date range (MM/dd/yyyy):</p><div><form action="" method="post"><div class="register-row"><label><span>Start Date:</span></label><div class="imgTextBox textbox-image"><input type="text" class="textbox" value="" name="startDate" id="datepicker" /></div><div class="clearBoth"></div></div><br/><div class="register-row"><label><span>End Date:</span></label><div class="imgTextBox textbox-image"><input type="text" class="textbox" value="" name="endDate" id="datepicker1" /></div><div class="clearBoth"></div></div><br/><div class="register-row"><label><span>Status:</span></label><input type="radio" name="status" value="0" id="successful">Successful</input><input type="radio" name="status" value="1" id="failed">Pending & Failed</input></div><br/><div><input name="submit" type="submit" value="Get Report"/></div></form></div><div id="messageError">$errorMsg</div></body></html>