Admin - Plateforme Administration Editions Préference

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<table border="0" cellpadding="1" cellspacing="5" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 80%;">
			<p><span style="font-weight:900;"><span style="font-family: ITCAvantGardePro; font-size: 12px;">D&eacute;tail&nbsp;de la quittance&nbsp;</span></span></p>
			</td>
			<td style="width: 20%; vertical-align: middle;"><span style="font-weight:900;"><span style="font-family: ITCAvantGardePro; font-size: 12px;">Montant&nbsp;</span></span></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 80%;">
			<ul>
				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Loyer du&nbsp;</span>{% dateinput_tag name=&quot;59b4cc64&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;Loyer du&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;p&eacute;riode quittance&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %} <span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">au</span>&nbsp;{% dateinput_tag name=&quot;7426cc52&quot; data_label=&quot;au &quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;p&eacute;riode quittance&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Terme :&nbsp;{% radio_tag name=&quot;9c78c6e5&quot; data_label=&quot;Terme &quot; data_help=&quot;terme&quot; data_map_field=&quot;nomap&quot;&nbsp;data_choices=&quot;Echu|&eacute;chu; A &eacute;choir|&agrave; &eacute;choir;&quot; %}</span></li>
			</ul>
			</td>
			<td style="width: 20%;">{% textinput_tag name=&quot;bf2bb845&quot; data_label=&quot;Montant du loyer&quot; data_map_field=&quot;rent_price&quot; data_help=&quot;Montant du loyer&quot; maxlength=&quot;20&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 80%;">
			<ul>
				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Avances sur charges</span></li>
			</ul>
			</td>
			<td style="width: 20%;">{% textinput_tag name=&quot;99eed07d&quot; data_label=&quot;Montant des charges&quot; data_map_field=&quot;fixed_charges_price&quot; data_help=&quot;Montant des charges&quot; maxlength=&quot;20&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 80%;">
			<ul>
				<li>{% textinput_tag name=&quot;ed363af6&quot; data_label=&quot;Autre d&eacute;signation&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Autre d&eacute;signation &quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</li>
			</ul>
			</td>
			<td style="width: 20%;">{% textinput_tag name=&quot;843a59bc&quot; data_label=&quot;Autre montant 1&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Autre montant 1&quot; maxlength=&quot;20&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 80%;">
			<ul>
				<li>{% textinput_tag name=&quot;6ff19dee&quot; data_label=&quot;Autre d&eacute;signation&nbsp;2&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Autre d&eacute;signation 2&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</li>
			</ul>
			</td>
			<td style="width: 20%;">{% textinput_tag name=&quot;47082432&quot; data_label=&quot;Autre montant 2&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Autre montant 2&quot; maxlength=&quot;20&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="text-align: right; vertical-align: middle; width: 80%;"><span style="font-weight:900;"><span style="font-family: ITCAvantGardePro; font-size: 12px;">Total&nbsp;</span></span></td>
			<td style="width: 20%;">{% textinput_tag name=&quot;5415c54e&quot; data_label=&quot;Montant total&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Montant total&quot; maxlength=&quot;20&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
		</tr>
	</tbody>
</table>

<p style="text-align: right;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Pay&eacute; le&nbsp;</span>{% dateinput_tag name=&quot;d34b9871&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;date de paiement&quot; data_map_field=&quot;nomap&quot; data_help=&quot;date de paiement&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</p>

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