192 lines
11 KiB
PHP
Executable File
192 lines
11 KiB
PHP
Executable File
<?php
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// $this->titre = "INTER-SANTE - Dossier Remboursement Classique";
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$numeroLotDecompte = $dossier['numeroLotDecompte'];
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$idDossierClassique = $dossier['idDossierClassique'];
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$regle = $dossier['regle'];
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$fraisRetenu = $dossier['fraisRetenu'];
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$demandeReglement = $dossier['demandeReglement'];
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$codePrestataire = $dossier['codePrestataire'];
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$numeroBeneficiaire = $dossier['numeroBeneficiaire'];
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$nomPatient = $dossier['beneficiaire'];
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$idDossierClassiquePolice = $dossier['idDossierClassiquePolice'];
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$_SESSION['idDossierClassiquePolice'] = $idDossierClassiquePolice;
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?>
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<script type="text/javascript">
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</script>
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<input class="sr-only" type="text" id="codePrestataire" name="codePrestataire" value="<?= $codePrestataire ?>" >
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<input class="sr-only" type="text" id="idDossierClassique" name="idDossierClassique" value="<?= $idDossierClassique ?>" >
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<input class="sr-only" type="text" id="regle" name="regle" value="<?= $regle ?>" >
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<input class="sr-only" type="text" id="fraisRetenu" name="fraisRetenu" value="<?= $fraisRetenu ?>" >
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<input class="sr-only" type="text" id="demandeReglement" name="demandeReglement" value="<?= $demandeReglement ?>" >
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<input class="sr-only" type="text" id="idDossierClassiquePolice" name="idDossierClassiquePolice" value="<?= $idDossierClassiquePolice ?>" >
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<input style='text-align:center; font-size:11pt;' class="form-control" type="text" value= "<?= _("Dossier hors tiers-payant") . " => " . _("ID Bordéreau") . " : " . $idDossierClassiquePolice . " => " . _("ID Dossier") . " : " . $idDossierClassique
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. " => " . _("Patient") . " : " . $nomPatient . " ( " . $numeroBeneficiaire . " )" ?>" readonly >
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<table class="table table-responsive table-condensed" style='font-size:8pt;'>
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<tbody>
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<tr>
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<td width="6%" > <?= _("Réclamé") ?> </td>
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<td width="9%" ><INPUT style='font-size:8pt; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($dossier['fraisReel'])) ?>" readonly ></td>
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<td width="6%" align="center" > <?= _("Rejet") ?> </td>
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<td width="8%" ><INPUT style='font-size:8pt; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($dossier['montantRejete'])) ?>" readonly ></td>
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<td width="6%" align="center" > <?= _("Exclu") ?> </td>
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<td width="8%" ><INPUT style='font-size:8pt; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($dossier['exclusion'])) ?>" readonly ></td>
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<td width="6%" align="center" > <?= _("T M") ?> </td>
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<td width="8%" ><INPUT style='font-size:8pt; color:red; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($dossier['montantTm'])) ?>" readonly ></td>
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<td width="6%" align="center" > <?= _("A Remb") ?> </td>
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<td width="9%" > <INPUT style='font-size:8pt; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($dossier['montantArembourser'])) ?>" readonly ></td>
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<td width="6%" align="center" > <?= _("Dépas") ?> </td>
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<td width="7%" ><INPUT style='font-size:8pt; color:red; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($dossier['depassementLimite'])) ?>" readonly ></td>
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<td width="6%" align="center"> <?= _("Retenu") ?> </td>
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<td width="9%" ><INPUT style='font-size:8pt; color:blue; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($dossier['fraisRetenu'])) ?>" readonly ></td>
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</tr>
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<tr>
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<td> <?= _("Prestataire Cons") ?> </td>
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<td colspan="5" > <INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $this->nettoyer($dossier['prestataireConsultation']) ?>" readonly> </td>
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<td align="center" > <?= _("Date Cons") ?> </td>
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<td > <INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= dateLang($this->nettoyer($dossier['dateConsultation'])) ?>" readonly> </td>
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<td align="center" > <?= _("Demandeur") ?> </td>
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<td colspan="5" > <INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $this->nettoyer($dossier['demandeur']) ?>" readonly> </td>
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</tr>
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<tr>
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<td> <?= _("Lien Parenté") ?> </td>
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<td colspan="3" > <INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $dossier['liendemandeur'] ?>" readonly ></td>
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<td align="center" > <?= _("Raison Consult") ?> </td>
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<td colspan="3" > <INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $dossier['raisonconsultation'] ?>" readonly ></td>
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<td align="center" > Hospit ? </td>
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<td><INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $dossier['libellehospitalisation'] ?>" readonly ></td>
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<td align="center" > Observations </td>
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<td colspan="3" ><INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $dossier['observations'] ?>" readonly ></td>
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</tr>
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<tr>
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<td> <?= _("Bénéficiaire") ?> </td>
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<td colspan="3" > <INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $dossier['beneficiaireReglement'] ?>" readonly ></td>
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<td align="center"> <?= _("Lien Parenté") ?> </td>
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<td colspan="3" ><INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $dossier['lienbeneficiaire'] ?>" readonly ></td>
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<td align="center"> <?= _("Situation") ?> </td>
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<td align="center" colspan="5" >
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<?php if($demandeReglement!='1'): ?>
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<input style='text-align:center; font-size:10pt; background-color:red;color:white;' class="form-control" type="text" value="En attente demande de règlement" readonly >
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<?php elseif($regle!='1'): ?>
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<input style='text-align:center; font-size:10pt; background-color:red;color:white;' class="form-control" type="text" value="En attente de paiement" readonly >
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<?php else: ?>
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<input style='text-align:center; font-size:10pt; background-color:blue;color:white;' class="form-control" type="text" value="Réglé / Payé / Paid" readonly >
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<?php endif; ?>
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</td>
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</tr>
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<tr>
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<td colspan="14"> <input style='text-align:center; font-size:11pt; background-color:green;color:white;' class="form-control" type="text" value= "Informations sur le paiement proposées par le bénéficiaire" disabled > </td>
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</tr>
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<tr>
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<td > <?= _("Mode P") ?> </td>
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<td colspan="3" > <INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $dossier['modepaiementBeneficiaire'] ?>" readonly > </td>
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<td align="center"> <?= _("Banque Bénéf") ?> </td>
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<td colspan="3" > <INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $dossier['banqueBeneficiaire'] ?>" readonly > </td>
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<td align="center"> <?= _("No Cpte Bénéf") ?> </td>
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<td colspan="5" > <INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $dossier['numeroCompteBeneficiaire'] ?>" readonly > </td>
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</tr>
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<tr>
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<td colspan="14"> <input style='text-align:center; font-size:11pt; background-color:blue;color:white;' class="form-control" type="text" value= "Informations sur le paiement effectif" disabled > </td>
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</tr>
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<tr>
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<td> <?= _("Date Paiement") ?> </td>
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<td colspan="3" > <INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= dateheureLang($this->nettoyer($dossier['heureReglement'])) ?>" readonly> </td>
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<td align="center"> <?= _("Mode Paiement") ?> </td>
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<td colspan="3" > <INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $dossier['modepaiement'] ?>" readonly ></td>
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<td align="center"> <?= _("Banque Payeur") ?> </td>
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<td colspan="5" > <INPUT style='font-size:8pt;' class="form-control" TYPE="text" value="<?= $dossier['banquePayeur'] ?>" readonly ></td>
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</tr>
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</tbody>
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</table>
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<div id="div_export_demande_reglement">
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</div>
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<input style='text-align:center; font-size:11pt;' class="form-control" type="text" value= "Liste des Factures du Dossier" readonly >
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<div id="div_detail_facture">
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<table class="table table-striped table-bordered table-hover table-condensed table-responsive" style="font-size:8pt;">
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<thead>
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<tr>
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<th style='text-align:center'> <?= _("Suppr") ?> </th>
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<th style='text-align:center'> Date </th>
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<th style='text-align:center'> <?= _("Saisie") ?> </th>
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<th style='text-align:center'> <?= _("Prestataire") ?> </th>
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<th style='text-align:center'> <?= _("No Fact") ?> </th>
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<th style='text-align:center'> <?= _("Réclamé") ?> </th>
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<th style='text-align:center'> <?= _("Rejet") ?> </th>
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<th style='text-align:center'> <?= _("Exclu") ?> </th>
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<th style='text-align:center'> <?= _("T M") ?> </th>
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<th style='text-align:center'> <?= _("A Remb") ?> </th>
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<th style='text-align:center'> <?= _("Dépass") ?> </th>
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<th style='text-align:center'> <?= _("Retenu") ?> </th>
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</tr>
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</thead>
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<tbody>
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<?php foreach ($factures as $facture):
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$idFacture=$this->nettoyer($facture['idFacture']);
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$numeroFacture=$this->nettoyer($facture['numeroFacture']);
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?>
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<tr valign="top">
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<td align='center' >
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<input class = "form-control btn btn-danger" type="button" value="X" onClick="javascript:supprimer_facture_classique('<?= $idFacture ?>');">
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</td>
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<td align='center'><?= dateLang($this->nettoyer($facture['dateFacture'])) ?></td>
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<td align='center'><?= dateheureLang($this->nettoyer($facture['dateSysteme_f'])) ?></td>
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<td align="center"> <?= $this->nettoyer($facture['prestataire']) ?></td>
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<td align="center">
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<input style="font-size:9pt;" class="form-control btn btn-primary" type="button" value="<?= $numeroFacture ?>"
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onClick="javascript:consulter_facture_classique('<?= $idFacture ?>');">
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</td>
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<td align='center'><?= format_N($this->nettoyer($facture['fraisReel'])) ?></td>
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<td align='center' style='color:red;'> <?= format_N($this->nettoyer($facture['montantRejete'])) ?></td>
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<td align='center' style='color:red;'> <?= format_N($this->nettoyer($facture['exclusion'])) ?></td>
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<td align='center' style='color:red;'> <?= format_N($this->nettoyer($facture['montantTm'])) ?></td>
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<td align='center' style='color:red;'> <?= format_N($this->nettoyer($facture['montantArembourser'])) ?></td>
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<td align='center' style='color:red;'> <?= format_N($this->nettoyer($facture['fraisExclu'])) ?></td>
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<td align='center'><?= format_N($this->nettoyer($facture['fraisRetenu'])) ?></td>
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</tr>
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<?php endforeach; ?>
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</tbody>
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</table>
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</div>
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