<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "[URL unfurl="true"]http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">[/URL]
<html xmlns="[URL unfurl="true"]http://www.w3.org/1999/xhtml"[/URL] xml:lang="en" lang="en">
<head>
<!-- insert meta data here -->
<title>Maintain Attachment B</title>
<style type="text/css" title="capstyle">
@import "/cap/css/default.css";
</style>
</head>
<body>
<table id="mainLayout" cellspacing="0" border="0" cellpadding="0">
<tr>
<td id="leftMenu" valign="top">
<!-- Begin: Left Menu -->
<table cellspacing="0" border="0" cellpadding="0">
<tr>
<td align="right" class="capBanner"><img src="/cap/images/capbanner.jpg" width="131" height="170" alt="Customer Agreement Processing System" /></td>
</tr>
<tr>
<td class="capMenu"><br />
<table width="100%" border="0" cellpadding="0" cellspacing="0" >
<tr>
<td nowrap="nowrap">
<a href="/cap/jsp/index.jsp" onMouseOver=" window.status='Go to CAP Home page'; return true;" onMouseOut="window.status=' '; return true;">Home</a>
</td>
</tr>
<tr>
<td nowrap="nowrap">
<a href="/cap/jsp/addAgreement.jsp" onMouseOver=" window.status='Add a new agreement'; return true" onMouseOut="window.status=' '; return true;">Add New Agreement</a>
</td>
</tr>
<tr>
<td nowrap="nowrap">
<a href="/cap/jsp/reports.jsp" onMouseOver=" window.status='Go to Reports Menu'; return true" onMouseOut="window.status=' '; return true;">Reports</a>
</td>
</tr>
<tr>
<td nowrap="nowrap">
<a href="/cap/jsp/help.jsp" onMouseOver=" window.status='Go to Help Menu'; return true" onMouseOut="window.status=' '; return true;">Help</a>
</td>
</tr>
<tr>
<td nowrap="nowrap">
<a href="/cap/jsp/myAccount.jsp" onMouseOver=" window.status='Go to My Account'; return true" onMouseOut="window.status=' '; return true;">My Account</a>
</td>
</tr>
<tr>
<td nowrap="nowrap">
<a href="/cap/prepareFeedback.do" onmouseover="window.status='Send questions, comments, or suggestions about CAP'; return true;" onmouseout="window.status=' '; return true;">Feedback</a>
</td>
</tr>
<tr>
<td nowrap="nowrap">
<a href="/cap/jsp/menuAdmin.jsp" onMouseOver=" window.status='Admin Menu'; return true" onMouseOut="window.status=' '; return true;">Admin Menu</a>
</td>
</tr>
<tr>
<td nowrap="nowrap">
<a href="/cap/jsp/contractLogs.jsp" onMouseOver=" window.status='Maintain Contract Number Logs'; return true" onMouseOut="window.status=' '; return true">Contract Logs</a>
</td>
</tr>
</table>
</td>
</tr>
</table>
<!-- End: Left Menu -->
</td>
<td id="mainContent" valign="top">
<div align="center">
<span class="title">
Maintain Attachment B
</span>
</div>
<head>
<script language="JavaScript" src="/cap/js/dateValidate.js"></script>
<script language="JavaScript" src="/cap/js/date-picker.js"></script>
<script language="JavaScript" src="/cap/js/validateDataTypes.js"></script>
<script language="JavaScript" src="/cap/js/validateLotBldg.js"></script>
</head>
<body onload="verify(document.getElementById('list'))">
<form name="attachmentBDetailsForm" method="post" action="/cap/processAttachmentB.do" onsubmit="return true">
<input type="hidden" name="hiddenPrimaryKey" />
<p />
<div align="center">
<span class="title">Refund Order</span>
</div>
<p />
<table width="95%" border="0" cellpadding="1" cellspacing="0">
<tr>
<td align="center">Agreement Type: Sub, RFW Number: 2342, Job Number: 3242</td>
<td>
<input type="hidden" name="Type" value="Sub" />
<input type="hidden" name="RFW" value="2342" />
<input type="hidden" name="ContractNumber" value="" />
</td>
</tr>
<tr>
<td> </td>
</tr>
<tr>
<td colspan="4" align="left">
<select name="newRows">
<option value = "0">New Rows</option>
<option value = "2">2</option><option value = "4">4</option>
<option value = "6" selected>6</option><option value = "8">8</option>
<option value = "10">10</option><option value = "12">12</option>
<option value = "14">14</option><option value = "16">16</option>
<option value = "18">18</option><option value = "30">30</option>
</select>
<input type="submit" name="Add" value="Add" onmouseover=" window.status='Add a new lot/bldg'; return true" onmouseout="window.status=' '; return true" />
<input type="submit" name="Save Changes" value="Save Changes" onclick="return verify(document.getElementById('list'))" onmouseover="window.status='Save All Changes'; return true" onmouseout="window.status=' '; return true" />
<input type="submit" value="Cancel" name="Cancel" />
<input type="submit" name="ViewDocs" value="Docs" property='createPDFSubmit' onclick="javascript:this.form.agreementRfwJobSubmitType.value='2342,3242,Sub,false,ViewDocs'" >
<input type="hidden" name="agreementRfwJobSubmitType" />
</td>
</tr>
<tr>
<td>
*Required
<table id="list" width="85%" border="1">
<tr class="heading" >
<td>Unit<br>Refunded</td>
<td>Street<br>Number*</td>
<td>Street<br>Name*</td>
<td>Lot*/<br>Bldg#</td>
<td>Apt#</td>
<td>Pedestal#</td>
<td>RFW# /<br>CUS#</td>
<td>Date<br>Energized</td>
</tr>
<tr class="data"/>
<td >
<!-- <input type="hidden" name="unitRefunded" value="false" /> -->
<input type="hidden" name="unitRefunded257" value="false"/>
<input type="checkbox" name="inputUnitIncluded257" onclick="this.form.elements['unitRefunded257'].value=this.checked" /></td>
<td align="left"><input type="text" size="4" name="inputStreetNum" value="" onkeypress="CheckChar(event.keyCode);" onblur="CheckNum(this);" /></td>
<td align="left"><input type="text" size="29" maxlength="30" name="inputStreetName" value="" onblur="CheckText(this);" /></td>
<td align="left"><input type="text" size="5" maxlength="10" name="inputLotBldg" value="55" onblur="CheckText(this);" /></td>
<td align="left"><input type="text" size="5" maxlength="10" name="inputApt" value="33" onblur="CheckText(this);" /></td>
<td align="left"><input type="text" size="9" maxlength="10" name="inputPedestal" value="" onblur="CheckText(this);" /></td>
<td align="left"><input type="text" size="15" maxlength="16" name="inputRFWCUS" value="" onblur="CheckText(this);" /></td>
<td align="left"><input type="text" size="9" name="inputDateEnergized" value="" onblur="CheckDate(this);" />
</td>
<td align="left">
<input type="submit" name="Delete" value="Delete" onclick="hiddenPrimaryKey.value='257'" onmouseover=" window.status=257; return true" onmouseout="window.status=''; return true" />
</td>
<input type="hidden" name="primaryKey" value="257" />
<input type="hidden" name="agreePrimaryKey" value="2791" />
</tr>
</table>
</td>
</tr>
</table>
</div>
</form>
</body>
</td>
</tr>
</table>
<div id="footer">
</div>
</body>
</html>