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<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Unbenanntes Dokument</title>
<script src="SpryAssets/SpryValidationTextField.js" type="text/javascript"></script>
<script src="SpryAssets/SpryValidationSelect.js" type="text/javascript"></script>
<link href="SpryAssets/SpryValidationTextField.css" rel="stylesheet" type="text/css" />
<link href="SpryAssets/SpryValidationSelect.css" rel="stylesheet" type="text/css" />
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<script type="text/javascript" src="datetimepicker_css.js"></script>

<body>
<p>Felder mit einem (*) sind Pflichtfelder, ohne denen ein Absenden des Auftrags nicht möglich ist.</p>
<p>&nbsp;</p>
<form id="form1" name="form1" method="post" action="">
  <table width="556" border="0">
    <tr>
      <td width="259"><hr1>Bitte Daten eingeben:<hr1></td>
      <td width="287">&nbsp;</td>
    </tr>
    <tr>
      <td>Datum*:</td>
      <td><span id="sprytextfield1">
        <input name="ag_firma" type="text" id="ag_firma" size="10" />
      </span></td>
    </tr>
    <tr>
      <td>Lieferant*:</td>
      <td><span id="sprytextfield3">
        <input name="ag_strasse2" type="text" id="ag_strasse2" size="40" />
      </span></td>
    </tr>
    <tr>
      <td>Straße:</td>
      <td><span id="sprytextfield4">
        <input name="ag_plz" type="text" id="ag_plz" size="40" />
      </span></td>
    </tr>
    <tr>
      <td>PLZ/Ort:</td>
      <td><span id="sprytextfield5">
        <input name="ag_ort" type="text" id="ag_ort" size="5" />
      </span></td>
    </tr>
    <tr>
      <td>Telefon:</td>
      <td><span id="sprytextfield7">
        <input name="ag_email" type="text" id="ag_email" size="40" />
      </span></td>
    </tr>
 <td>&nbsp;</td>
    <tr>
      <td>Warenbezeichnung*:</td>
      <td><label>
        <textarea name="message" id="message" cols="45" rows="7"></textarea>
      </label></td>
    </tr>
    <tr>
      <td>Menge*:</td>
      <td><span id="sprytextfield8">
        <input name="ag_menge" type="text" id="ag_menge" size="10" />
      </span></td>
    </tr>
    <tr>
      <td>ME*:</td>
      <td><span id="sprytextfield9">
        <input name="ag_me" type="text" id="ag_me" size="10" />
      </span></td>
    </tr>
    <tr>
      <td>Preis in Euro*:</td>
      <td><span id="sprytextfield9">
        <input name="ag_preis" type="text" id="ag_preis" size="10" />
      </span></td>
    </tr>
    <tr>
      <td>PE*:</td>
      <td><span id="sprytextfield10">
        <input name="ag_pe" type="text" id="ag_pe" size="10" />
      </span></td>
    </tr>
    <tr>
      <td>Bemerkung:</td>
      <td><label>
        <textarea name="message" id="message" cols="45" rows="2"></textarea>
      </label></td>
    </tr>
 <td>&nbsp;</td>
    <tr>
      <td>Name (wird automatisch ausgefüllt)*:</td>
      <td><span id="sprytextfield11">
        <input name="ag_name" type="text" id="ag_name" size="40" />
      </span></td>
    </tr>
    <tr>
      <td>Gesamtwert*:</td>
      <td><span id="sprytextfield12">
        <input name="ag_gesamtwert" type="text" id="ag_gesamtwert" size="10" />
      </span></td>
    </tr>
    <tr>
      <td>Kostenart*:</td>
      <td><span id="sprytextfield13">
        <input name="ag_kostenart" type="text" id="ag_kostenart" size="15" />
      </span></td>
    </tr>
    <tr>
      <td>Kostenstelle*:</td>
      <td><span id="sprytextfield14">
        <input name="ag_kostenstelle" type="text" id="ag_kostenstelle" size="15" />
      </span></td>
    </tr>
 <td>&nbsp;</td>
    <tr>
      <td>genehmigt*:</td>
      <td><span id="sprytextfield15">
        <input name="ag_genehmigt" type="text" id="ag_genehmigt" size="40" />
      </span></td>
    </tr>
    <tr>
      <td>Kst.L.*:</td>
      <td><span id="sprytextfield16">
        <input name="ag_kstl" type="text" id="ag_kstl" size="40" />
      </span></td>
    </tr>
    <tr>
      <td>GL*:</td>
      <td><span id="sprytextfield17">
        <input name="ag_gl" type="text" id="ag_gl" size="40" />
      </span></td>
    </tr>
<td>&nbsp;</td>
    <tr>
      <td>Budgetkontrolle:</td>
      <td><span id="sprytextfield17">
        <input name="ag_budgetkontrolle" type="text" id="ag_budgetkontrolle" size="40" />
      </span></td>
    </tr>
    <tr>
      <td><label>
        <input type="submit" name="Senden" id="Senden" value="Nachricht Senden" />
      </label></td>
    </tr>

  </table>
</form>
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</body>
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