<tr><td colspan='2'><hr></td></tr>
<tr><td>$_CUSTOMER (*):</td><td><input type=text name=CUSTOMER value='%CUSTOMER%'></td></tr>
<tr><td>$_CUSTOMER $_TYPE:</td><td>%CUSTOMER_TYPE_SEL%</td></tr>
<tr><td>ID (>,<)</td><td><input type=text name=DOC_ID value='%DOC_ID%'></td></tr>
<tr><td>$_ADMIN:</td><td><input type=text name=AID value='%AID%'></td></tr>
<tr><td>$_SUM:</td><td><input type=text name=SUM value='%SUM%'></td></tr>
<tr><td>$_STATUS:</td><td>%PAID_STATUS_SEL%</td></tr>
<tr><td>$_PAYMENT_METHOD:</td><td>%PAYMENT_METHOD_SEL%</td></tr>
<tr><td>$_CONTRACT:</td><td><input type=text name=CONTRACT_ID value='%CONTRACT_ID%'></td></tr>
<input type=hidden name=COMPANY_ID value='$FORM{COMPANY_ID}'>
