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Form analysis
1 forms found in the DOM

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<form class="cmxform" id="frmQueryResponse" method="get" action="">
  <input type="hidden" id="inp_TokenKey" name="inp_TokenKey" value="54582d49-dd3c-4df4-ae39-b4608b6cd052_f7265b40-1b5d-47a0-a5b1-8dad764f2683" class="reponsedata">
  <div class="field row">
    <div class="col-md-4 col-sm-4 col-xs-4 col-lg-4">
      <span class="text-black">Order No</span>
    </div>
    <div class="col-md-8 col-sm-8 col-xs-8 col-lg-8">
      <input type="text" id="inp_PURCHASEORDERNO" name="inp_PURCHASEORDERNO" class="form-control reponsedata" data-bind="enable: Enabled" required="">
    </div>
  </div>
  <div class="field row">
    <div class="col-md-4 col-sm-4 col-xs-4 col-lg-4">
      <span class="text-black">Net</span>
    </div>
    <div class="col-md-8 col-sm-8 col-xs-8 col-lg-8">
      <input type="text" id="inp_INVOICENET" name="inp_INVOICENET" value="24.00" class="form-control reponsedata" data-bind="enable: Enabled" required="">
    </div>
  </div>
  <div class="field row">
    <div class="col-md-4 col-sm-4 col-xs-4 col-lg-4">
      <span class="text-black">Tax</span>
    </div>
    <div class="col-md-8 col-sm-8 col-xs-8 col-lg-8">
      <input type="text" id="inp_INVOICETAX" name="inp_INVOICETAX" value="0.00" class="form-control reponsedata" data-bind="enable: Enabled" required="">
    </div>
  </div>
  <div class="field row">
    <div class="col-md-4 col-sm-4 col-xs-4 col-lg-4">
      <span class="text-black">Gross</span>
    </div>
    <div class="col-md-8 col-sm-8 col-xs-8 col-lg-8">
      <input type="text" id="inp_INVOICEGROSS" name="inp_INVOICEGROSS" value="120.00" class="form-control reponsedata" data-bind="enable: Enabled" required="">
    </div>
  </div>
  <div class="field row">
    <div class="col-md-4 col-sm-4 col-xs-4 col-lg-4">
      <span class="text-black">Entity</span>
    </div>
    <div class="col-md-8 col-sm-8 col-xs-8 col-lg-8">
      <input type="text" id="inp_ENTITY" name="inp_ENTITY" class="form-control reponsedata" data-bind="enable: Enabled" required="">
    </div>
  </div>
  <div class="field row">
    <div class="col-md-4 col-sm-4 col-xs-4 col-lg-4">
      <span class="text-black">Client</span>
    </div>
    <div class="col-md-8 col-sm-8 col-xs-8 col-lg-8">
      <input type="text" id="inp_CLIENT" name="inp_CLIENT" class="form-control reponsedata" data-bind="enable: Enabled" required="">
    </div>
  </div>
  <div class="space-after"></div>
  <div><strong class="text-black">Comments:</strong></div>
  <div class="space-after">
    <textarea data-bind="enable: Enabled" class="reponsedata" style=" width: 100%;" rows="6" id="inp_xcomments" name="inp_xcomments" placeholder="Enter comments here"></textarea>
  </div>
</form>

Text Content

QUERY ABOUT THE DOCUMENT

THE PURCHASE ORDER NUMBER ON THE INVOICE/CREDIT IS NOT VALID. PLEASE CHECK THE
PO AND IF NECESSARY CONTACT THE PERSON THAT ORDERED THE GOODS/SERVICES AND ASK
THEM TO CHECK AND PROVIDE THE CORRECT OR ALTERNATIVE PO, ONCE YOU HAVE THE
CORRECT PO PLEASE PLACE IN THE NECESSARY FIELD THEN WE CAN PROCESS THE
INVOICE/CREDIT, THANK YOU. THIS IS A GENUINE MESSAGE ON BEHALF OF CHESHIRE WEST
AND CHESTER COUNCIL/CHESHIRE EAST COUNCIL - SUPPLIER@ECWIP.CO.UK - 01244 972511.

PLEASE RESPOND USING THE "YOUR RESPONSE" SECTION

Page 1 12 of 2


Your Response

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Missing Data
Order No

Net

Tax

Gross

Entity

Client


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