126 lines
6.1 KiB
PHP
Executable File
126 lines
6.1 KiB
PHP
Executable File
<?php
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$this->titre = "Intersanté - Frais Funéraires";
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$numeroFraisFuneraire = $fraisfuneraire['numeroFraisFuneraire'];
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$numeroLotDecompte = $fraisfuneraire['numeroLotDecompte'];
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$idFraisfuneraire = $fraisfuneraire['idFraisfuneraire'];
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$regle = $fraisfuneraire['regle'];
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$demandeReglement = $fraisfuneraire['demandeReglement'];
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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="number" id="numeroFraisFuneraire" name="numeroFraisFuneraire" value="<?= $numeroFraisFuneraire ?>" >
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<input class="sr-only" type="text" id="idFraisfuneraire" name="idFraisfuneraire" value="<?= $idFraisfuneraire ?>" >
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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="demandeReglement" name="demandeReglement" value="<?= $demandeReglement ?>" >
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<input style='text-align:center; font-size:11pt;' class="form-control" type="text" value= "Informations sur la demande de frais funéraires => N° Lot : <?= $numeroLotDecompte ?>" readonly >
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<table class="table table-responsive table-condensed" style='font-size:10pt;'>
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<tbody>
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<tr>
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<td width="10%" > Date Demande </td>
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<td width="40%" > <INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= dateheureFr($this->nettoyer($fraisfuneraire['dateSysteme'])) ?>" readonly> </td>
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<td width="10%" align="center"> N° Demande </td>
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<td ><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $numeroFraisFuneraire ?>" readonly></td>
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</tr>
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<tr>
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<td>Cause décès</td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $this->nettoyer($fraisfuneraire['causeDeces']) ?>" readonly ></td>
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<td align="center">Date décès</td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= dateFr($this->nettoyer($fraisfuneraire['dateDeces'])) ?>" readonly></td>
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</tr>
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<tr>
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<td> Observations </td>
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<td colspan="3"><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['observations'] ?>" readonly ></td>
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</tr>
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<tr>
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<td> Frais Réel </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($fraisfuneraire['fraisReel'])) ?>" readonly ></td>
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<td align="center" > Frais Retenu </td>
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<td><INPUT style='font-size:10pt; color:red;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($fraisfuneraire['montantApayer'])) ?>" readonly ></td>
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</tr>
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<tr>
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<td> Demandeur </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['demandeur'] ?>" readonly ></td>
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<td align="center"> Lien </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['liendemandeur'] ?>" readonly ></td>
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</tr>
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<tr>
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<td> Bénéficaire </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['beneficiaireReglement'] ?>" readonly ></td>
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<td align="center"> Lien </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['lienbeneficiaire'] ?>" readonly ></td>
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</tr>
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<tr>
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<td colspan="4"> <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 Paiem</td>
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<td > <INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['modepaiementBeneficiaire'] ?>" readonly > </td>
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<td align="center"> Banque Bénéf.</td>
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<td > <INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['banqueBeneficiaire'] ?>" readonly > </td>
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</tr>
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<tr>
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<td> N° Cpte Bénéf. </td>
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<td > <INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['numeroCompteBeneficiaire'] ?>" readonly > </td>
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</tr>
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<tr>
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<td colspan="4"> <input style='text-align:center; font-size:11pt; background-color:blue;color:white;' class="form-control" type="text" value= "Informations sur le paiement effectif" disabled > </td>
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</tr>
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<tr>
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<td> Date Paiem </td>
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<td> <INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= dateheureFr($this->nettoyer($fraisfuneraire['heureReglement'])) ?>" readonly> </td>
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<td align="center"> Mode Paim </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['modepaiement'] ?>" readonly ></td>
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</tr>
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<tr>
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<td> Banque Payeur </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['banquePayeur'] ?>" readonly ></td>
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<td align="center"> Montant Payé </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= format_N($this->nettoyer($fraisfuneraire['montantPaye'])) ?>" readonly ></td>
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</tr>
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<tr>
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<td> Réf. Paiem </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" value="<?= $fraisfuneraire['referencePaiement'] ?>" readonly ></td>
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<td align="center"> Situation </td>
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<?php if($demandeReglement!='1'): ?>
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<td align="center"> <input style='text-align:center; font-size:10pt; background-color:red;color:white;' class="form-control" type="text" value="En attente de la demande de règlement" readonly > </td>
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<?php elseif($regle!='1'): ?>
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<td align="center"> <input style='text-align:center; font-size:10pt; background-color:red;color:white;' class="form-control" type="text" value="En attente de paiement" readonly > </td>
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<?php else: ?>
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<td align="center"> <input style='text-align:center; font-size:10pt; background-color:blue;color:white;' class="form-control" type="text" value="Réglé / Payé / Paid" 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_export_demande_reglement">
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</div>
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