212 lines
11 KiB
PHP
212 lines
11 KiB
PHP
<?php
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$this->titre = "INTER-SANTE - Facture classique";
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$idDossierClassique = $facture['idDossierClassique'];
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$hospitalisation = $facture['hospitalisation'];
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$dateConsultation = $dossier['dateConsultation'];
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$controlerPlafondAdherent = ($_SESSION['controlerPlafondAdherent']>0);
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$controlerPlafondBeneficiaire = ($_SESSION['controlerPlafondBeneficiaire']>0);
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?>
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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="hospitalisation" name="hospitalisation" value="<?= $hospitalisation ?>" >
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<input class="sr-only" type="text" id="dateConsultation" name="dateConsultation" value="<?= $dateConsultation ?>" >
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<input style='text-align:center; font-size:11pt;' class="form-control" type="text"
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value= "Informations sur la facture à rembourser hors tiers payant => Date Consultation : <?= dateLang($dateConsultation) ?>" readonly >
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<div id="div_facture">
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<div id="div_entete_facture">
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<input class="sr-only" type="text" id="prixActe" name="prixActe" value="<?= $this->nettoyer($facture['fraisRetenu']) ?>" >
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<input class="sr-only" type="text" id="cout" name="cout" value="<?= $this->nettoyer($facture['fraisReel']) ?>" >
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<input class="sr-only" type="text" id="montantTm" name="montantTm" value="<?= $this->nettoyer($facture['montantTm']) ?>" >
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<input class="sr-only" type="text" id="montantArembourser" name="montantArembourser" value="<?= $this->nettoyer($facture['montantArembourser']) ?>" >
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<table class="table table-responsive table-condensed" style='font-size:9pt;'>
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<tbody>
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<tr>
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<td width="8%" > <?= _("Frais") ?> </td>
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<td><INPUT style='font-size:9pt; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['fraisReel'])) ?>" readonly ></td>
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<td width="7%" align="center" > <?= _("T M") ?> </td>
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<td><INPUT style='font-size:9pt; color:red; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['montantTm'])) ?>" readonly ></td>
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<td width="7%" align="center" > <?= _("A Remb") ?> </td>
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<td> <INPUT style='font-size:9pt; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['montantArembourser'])) ?>" readonly ></td>
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<td width="7%" align="center" > <?= _("Dépas") ?> </td>
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<td><INPUT style='font-size:9pt; color:red; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['fraisExclu'])) ?>" readonly ></td>
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<td width="7%" align="center"> <?= _("Retenu") ?> </td>
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<td><INPUT style='font-size:9pt; color:blue; text-align:center;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($facture['fraisRetenu'])) ?>" readonly ></td>
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</tr>
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<tr>
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<td> <?= _("Prestataire") ?> </td>
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<td colspan="3"><INPUT style='font-size:9pt;' class="form-control" TYPE="text" id="prestataire" NAME="prestataire" value="<?= $this->nettoyer($facture['prestataire']) ?>" autofocus ></td>
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<td align="center" > <?= _("No Fact") ?> </td>
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<td><INPUT class="form-control" style='font-size:9pt;' TYPE="text" id="numeroFacture" NAME="numeroFacture" value="<?= $this->nettoyer($facture['numeroFacture']) ?>" ></td>
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<td align="center" > <?= _("Date Fact") ?> </td>
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<td><INPUT style='font-size:9pt; text-align:center;' class="form-control datepicker" TYPE="text" id="dateFacture" NAME="dateFacture" value="<?= dateLang($this->nettoyer($facture['dateFacture'])) ?>" required ></td>
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<td align="center"> Hospit </td>
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<?php if($hospitalisation=='1'): ?>
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<td><INPUT class="form-control" style='font-size:9pt; text-align:center;' TYPE="text" value="Oui" readonly ></td>
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<?php else: ?>
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<td><INPUT class="form-control" style='font-size:9pt; text-align:center;' TYPE="text" value="Non" readonly ></td>
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<?php endif; ?>
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<tr>
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<tr>
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<td > Observat </td>
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<td colspan="3"><INPUT style='font-size:9pt;' id="observations" name="observations" class="form-control" TYPE="text" value="<?= $this->nettoyer($facture['observations']) ?>" ></td>
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<td align="center"> <?= _("T M") ?> </td>
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<td>
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<INPUT id="tmFacture" name="tmFacture" style='font-size:9pt; text-align:center; color:red;' class="form-control" type="number" value="<?= $this->nettoyer($facture['tm']) ?>"
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onChange="ajax_maj_tm_facture(this.value, this);">
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</td>
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<td> </td>
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<td colspan="3"> <input id="btn_enreg" name="btn_enreg" class = "form-control btn btn-primary" type="button" value="<?= _("Enregistrer Entête...") ?>" onClick="javascript:valider_facture_classique_temp();" style='font-size:9pt;' > </td>
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<tr>
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</tbody>
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</table>
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</div>
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<div id="content">
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<?php include 'flexcode/include/global.php'; ?>
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</div>
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<div id ="div_wait">
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</div>
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<table class="table table-bordered table-condensed table-responsive" style="font-size:9pt;">
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<tbody>
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<tr>
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<?php if($controlerPlafondAdherent): ?>
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<td width="8%"> <?= _("Limite Fam") ?> </td>
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<td><INPUT style='text-align:center; background-color:blue;color:white; font-size:9pt;' class="form-control" TYPE="text" value="<?= format_N($limite_beneficiaire['plafondAdherent']) ?>" readonly ></td>
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<td align="center"> <?= _("Anc Solde") ?> </td>
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<td><INPUT style='text-align:center; background-color:rgba(255, 0, 127);color:white; font-size:9pt;' class="form-control" TYPE="text" value="<?= format_N($limite_beneficiaire['soldeAdherentOld']) ?>" readonly ></td>
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<td align="center"> <?= _("Nv Solde") ?> </td>
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<td> <INPUT style='text-align:center; background-color:green;color:white; font-size:9pt;' class="form-control" TYPE="text" value="<?= format_N($limite_beneficiaire['soldeAdherentNew']) ?>" readonly ></td>
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<?php endif; ?>
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<?php if($controlerPlafondBeneficiaire): ?>
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<td align="center" width="8%"> <?= _("Limite Indiv") ?> </td>
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<td><INPUT style='text-align:center; background-color:blue;color:white; font-size:9pt;' class="form-control" TYPE="text" value="<?= format_N($limite_beneficiaire['plafondBeneficiaire']) ?>" readonly ></td>
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<td align="center"> <?= _("Anc Solde") ?> </td>
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<td><INPUT style='text-align:center; background-color:rgba(255, 0, 127);color:white; font-size:9pt;' class="form-control" TYPE="text" value="<?= format_N($limite_beneficiaire['soldeBeneficiaireOld']) ?>" readonly ></td>
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<td align="center"> <?= _("Nv Solde") ?> </td>
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<td><INPUT style='text-align:center; background-color:green;color:white; font-size:9pt;' class="form-control" TYPE="text" value="<?= format_N($limite_beneficiaire['soldeBeneficiaireNew']) ?>" readonly ></td>
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<?php endif; ?>
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</tr>
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</tbody>
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</table>
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<div id="div_prestations">
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<table class="table table-striped table-bordered table-hover table-condensed table-responsive" style="font-size:9pt;">
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<thead>
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<tr>
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<th style="text-align:center"> <?= _("Actes") ?> </th>
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<th width="10%" style="text-align:center"> <?= _("Valeurs") ?> </th>
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<th width="10%" style="text-align:center"> <?= _("Frais") ?> </th>
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<th width="10%" style="text-align:center"> <?= _("T M") ?> </th>
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<th width="10%" style="text-align:center"> <?= _("A Remb") ?> </th>
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</tr>
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</thead>
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<tbody>
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<?php foreach ($prestations as $prestation):
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$idPrestation = $this->nettoyer($prestation['id']);
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$libelleActe = $this->echapper($prestation['libelleActe']);
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$valeurActe = $this->nettoyer($prestation['valeurActe']);
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?>
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<tr valign="top">
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<td align='center'> <?= $this->dechapper($libelleActe) ?> </td>
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<td align='center'>
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<INPUT style='text-align:center; font-size:9pt;' class="form-control" TYPE="text" value="<?= $this->nettoyer($prestation['valeurActe']) ?>"
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onChange="ajax_maj_prix_acte('<?=$idPrestation?>', this.value, this);">
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</td>
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<td align='center'> <?= format_N($this->nettoyer($prestation['fraisReel'])) ?> </td>
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<td align='center' style='color:red;'> <?= format_N($this->nettoyer($prestation['montantTm'])) ?> </td>
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<td align='center'> <?= format_N($this->nettoyer($prestation['montantArembourser'])) ?> </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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<table class="table table-striped table-bordered table-hover table-condensed table-responsive" style="font-size:9pt;">
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<thead>
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<tr>
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<th rowspan="2" style="text-align:center"> <?= _("Limites de la famille : Garanties") ?> </th>
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<th rowspan="2" style="text-align:center"> <?= _("Limites") ?> </th>
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<th rowspan="2" style="text-align:center"> <?= _("Solde Ant") ?> </th>
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<th colspan="2" style="text-align:center;background-color:blue;color:white;" > <?= _("Nouvelles Consommations") ?> </th>
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<th rowspan="2" style="text-align:center;background-color:red;color:white;"> <?= _("Dépassement") ?> </th>
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<th rowspan="2" style="text-align:center"> <?= _("Retenu") ?> </th>
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<th rowspan="2" style="text-align:center"> <?= _("Nouv Solde") ?> </th>
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<th rowspan="2" style="text-align:center"> <?= _("Par tête?") ?> </th>
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</tr>
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<tr>
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<th style="text-align:center;background-color:blue;color:white;" > <?= _("Garanties") ?> </th>
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<th style="text-align:center;background-color:blue;color:white;" > <?= _("Sous Gar") ?> </th>
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</tr>
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</thead>
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<tbody>
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<?php foreach ($garantieadherent_temp as $garantieadherent):
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$champApplication = $this->nettoyer($garantieadherent['champApplication']);
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?>
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<tr valign="top">
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<td align='center'> <?= $this->nettoyer($garantieadherent['garantie'])?> </td>
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<td align='center'><?= format_N($this->nettoyer($garantieadherent['plafond'])) ?></td>
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<td align='center'><?= format_N($this->nettoyer($garantieadherent['soldeOld'])) ?></td>
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<td align='center' style='background-color:blue;color:white;'><?= format_N($this->nettoyer($garantieadherent['consommationNew'])) ?></td>
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<td align='center' style='background-color:blue;color:white;'><?= format_N($this->nettoyer($garantieadherent['consommationSousGarantie'])) ?></td>
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<td align='center' style='background-color:red;color:white;'><?= format_N($this->nettoyer($garantieadherent['fraisExclu'])) ?></td>
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<td align='center'><?= format_N($this->nettoyer($garantieadherent['fraisRetenu'])) ?></td>
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<td align='center'><?= format_N($this->nettoyer($garantieadherent['soldeNew'])) ?></td>
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<?php if($champApplication=='1'): ?>
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<td align='center'> <input type="checkbox" checked value="<?php echo $champApplication ; ?>" disabled ></td>
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<?php else: ?>
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<td align='center'> <input type="checkbox" value="<?php echo $champApplication ; ?>" disabled ></td>
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<?php endif; ?>
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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 id="div_fraisExclu">
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<input class="sr-only" type="text" id="fraisExclu" name="fraisExclu" value="<?= $this->nettoyer($facture['fraisExclu']) ?>" >
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</div>
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<div id="content">
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<?php include 'flexcode/include/global.php'; ?>
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</div>
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<div id="loadingDiv" style="display: none">
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<div class="ajax-mask"><div class="loading"><img src="Bootstrap/images/loading-spinner-grey.gif"/> <?= _("Veuillez patienter...") ?> </span></div></div>
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</div>
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</div>
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