Stuff

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<html>
<head>
<link rel="stylesheet" type="text/css" href="capForm.css" />
<script type="text/javascript" src="date.js"></script>
<title>New CapEx</title>
</head>
<body>

	<form id="capForm"  action="checkCap.php" method="post">
		<div id="mainForm">
			<div id="edawheader">

				<span id="edaw">EDAW, Inc.</span>
				<span id="date"><script type="text/javascript">printDateNow()</script></span>

			</div>
			<div id="capital">
				<span>Capital Expenditure Requisition</span>
				<span id="officeinput">Office: <input type="text" name="office" /></span>

			</div>
			<div id="requisition">
				<span id="reqnum">Requsition Number (to be completed by FW upon approval): <input size="10" type="text" name="requisitionnumber" /></span>
			</div>
			<div id="desctitle">
				<span class="item">Item Description</span>
				<span class="cost">Cost</span>

				<span class="bud">Budget</span>
				<span class="var">Variance</span>
			</div>
			<div id="item1">
				<span class="item"><input type="text" size="50" name="item1" /></span>
				<span class="cost"><input type="text" size="10" name="cost1" /></span>
				<span class="bud"><input size="10" type="text" name="budget1" /></span>
				<span class="var"><input size="10" type="text" name="variance1" /></span>

			</div>
			<div id="item2">
				<span class="item"><input size="50" type="text" name="item2" /></span>
				<span class="cost"><input type="text" name="cost2" size="10" /></span>
				<span class="bud"><input type="text" size="10" name="budget2" /></span>
				<span class="var"><input type="text" size="10" name="variance2" /></span>
			</div>
			<div id="item3">
				<span class="item"><input type="text" name="item3" size="50" /></span>

				<span class="cost"><input type="text" name="cost3" size="10" /></span>
				<span class="bud"><input type="text" size="10" name="budget3" /></span>
				<span class="var"><input type="text" size="10" name="variance3" /></span>
			</div>
			<div id="item4">
				<span class="item"><input type="text" name="item4" size="50"/></span>
				<span class="cost"><input type="text" name="cost4" size="10" /></span>
				<span class="bud"><input type="text" size="10" name="budget4" /></span>
				<span class="var"><input type="text" name="variance4" size="10" /></span>

			</div>
			<div id="item5">
				<span class="item"><input type="text" name="item5" size="50" /></span>
				<span class="cost"><input type="text" name="cost5" size="10" /></span>
				<span class="bud"><input type="text" name="budget5" size="10" /></span>
				<span class="var"><input type="text" name="variance5" size="10"/></span>
			</div>
			<div id="tax">
				<span>&nbsp;</span>

				<span class="tax">Tax:</span>
				<span class="tax"><input type="text" name="tax" size="10"/></span>
			</div>
			<div id="shipping">
				<span>&nbsp;</span>
				<span class="shipping">Shipping</span>
				<span class="shipping"><input type="text" name="shipping" size="10"/></span>
			</div>

			<div id="total">
				<span>&nbsp;</span>
				<span class="total">Total:</span>
				<span class="total">js total</span>
			</div>
			<div>
				<span class="fixedasset">Fixed Asset Category</span>

			</div>
			<div>
				<div>
					<span>
						<input type="radio" name="fixedAsset" />Computer Hardware<br />
						<input type="radio" name="fixedAsset" />Computer Software<br />
						<input type="radio" name="fixedAsset" />Furniture &amp; Hardware<br />

					</span>
					<span>
						<input type="radio" name="fixedAsset" />Leasehold Improvements<br />
						<input type="radio" name="fixedAsset" />Building Improvements<br />
						<input type="radio" name="fixedAsset" />Building<br />
					</span>
				</div>

			</div>
			<div>
				<span class="vendor">Vendor If Known</span>
			</div>
			<div>
				<span><input type="text" /></span>
			</div>
			<div id="priority">

				<span>Priority</span>
			</div>
			<div>
				<span class="priorityoptions">
					1(High):<input type="radio" name="priority" />
					2:<input type="radio" name="priority" />
					3:<input type="radio" name="priority" />

					4:<input type="radio" name="priority" />
					5(Low):<input type="radio" name="priority" />
				</span>
			</div>
			<div id="justification">
				<span>Justification of Need</span>
			</div>

			<div>
				<span><textarea name="justification" rows="10" cols="40">Required.</textarea></span>
			</div>
			<div>
				<span><input type="submit" value="Submit Form" /></span>
			</div>
		</div>
	</form>

</body>
</html>