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  1. <?php
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'.++$_GET["day"];?>, 2015 </center></b> </td> </tr> </tbody></table> </td> </tr> <tr> <td bgcolor="#ffffff" valign="top" colspan="2"> <table width="100%" border="0" cellspacing="0" cellpadding="2"> <tbody><tr valign="top"> <td width="100%"> <table border="0" cellspacing="0" cellpadding="2" align="right"> <tbody><tr valign="top"> <td align="right"> &nbsp; </td> </tr> </tbody></table> <table border="0" cellspacing="2" cellpadding="0" width="100%"> <tbody><tr valign="top"> <td valign="top"> <b>Items Ordered</b> </td> <td align="right" valign="top"> <b>Price</b> </td> </tr> <tr> <input type="hidden" name="olqppwiokqlppw" value="1"> <td colspan="1" valign="top"> 1 of: <i><?php echo $_GET["item"];?></i><br> <span class="tiny"> Sold by: Amazon.com LLC <br> <br> Condition: New<br> </span> </td> <td align="right" valign="top" colspan="2"> $<?php echo $_GET["price"];?><br> </td></tr> </tbody></table> <br> </td> </tr> </tbody></table> </td> </tr> <tr> <td bgcolor="#ffffff" valign="top" colspan="2"> <table width="100%" border="0" cellspacing="0" cellpadding="2"> <tbody><tr> <td> <b> Shipping Address: </b> <br> <div class="displayAddressDiv"> <ul class="displayAddressUL"> <li class="displayAddressLI displayAddressFullName"><?php echo $_GET["name"];?></li> <li class="displayAddressLI displayAddressAddressLine1"><?php echo $_GET["street"];?></li> <li class="displayAddressLI displayAddressCityStateOrRegionPostalCode"><?php echo $_GET["city"].', '.$_GET["state"].' '.$_GET["zip"].'-'.$zip4; ?></li> <li class="displayAddressLI displayAddressCountryName">United States</li> </ul> </div> <br><b> Shipping Speed: </b> <br> Two-Day Shipping <br> </td> <td align="right"> <table border="0" cellpadding="0" cellspacing="1"> <tbody><tr valign="top"> <td nowrap="nowrap" align="right">Item(s) Subtotal: </td> <td nowrap="nowrap" align="right">$<?php echo $_GET["price"];?></td> </tr> <tr valign="top"> <td nowrap="nowrap" align="right">Shipping &amp; Handling:</td> <td nowrap="nowrap" align="right">$0.00</td> </tr> <tr valign="top"> <td nowrap="nowrap" align="right">&nbsp;</td> <td nowrap="nowrap" align="right">-----</td> </tr> <tr valign="top"> <td nowrap="nowrap" align="right">Total before tax:</td> <td nowrap="nowrap" align="right">$<?php echo $_GET["price"];?></td> </tr> <tr valign="top"> <td nowrap="nowrap" align="right">Sales Tax:</td> <td nowrap="nowrap" align="right">$<?php echo $_GET["tax"];?></td> </tr> <tr valign="top"> <td nowrap="nowrap" align="right">&nbsp;</td> <td nowrap="nowrap" align="right">-----</td> </tr> <tr valign="top"> <td nowrap="nowrap" align="right"><b>Total for This Shipment:</b></td> <td nowrap="nowrap" align="right"><b>$<?php echo $_GET["price"]+$_GET["tax"];?></b></td> </tr> <tr valign="top"> <td nowrap="nowrap" align="right">&nbsp;</td> <td nowrap="nowrap" align="right">-----</td> </tr> </tbody></table> </td> </tr> </tbody></table> </td> </tr> </tbody></table> </td> </tr> </tbody></table> <br> <table width="100%" border="0" cellspacing="0" cellpadding="0" bgcolor="#000000" align="center"> <tbody><tr bgcolor="#000000"> <td> <table width="100%" border="0" cellspacing="3" cellpadding="0" align="center" bgcolor="#000000"> <tbody><tr bgcolor="#ffffff"> <td valign="top" colspan="2"> <table width="100%" border="0" cellspacing="0" cellpadding="5"> <tbody><tr bgcolor="#ffffff"> <td> <b class="sans"><center>Payment information</center></b> </td> </tr> </tbody></table> </td> </tr> <tr> <td bgcolor="#ffffff" valign="top" colspan="2"> <table width="100%" border="0" cellspacing="0" cellpadding="2"> <tbody><tr valign="top"> <td width="100%"> <table border="0" cellspacing="0" cellpadding="2" align="right"> <tbody><tr valign="top"> <td align="right"> <table border="0" cellpadding="0" cellspacing="1"> <tbody><tr valign="top"> <td nowrap="nowrap" align="right">Item(s) Subtotal: </td> <td nowrap="nowrap" align="right">$<?php echo $_GET["price"];?></td> </tr> <tr valign="top"> <td nowrap="nowrap" align="right">Shipping &amp; Handling:</td> <td nowrap="nowrap" align="right">$0.00</td> </tr> <tr valign="top"> <td nowrap="nowrap" align="right">&nbsp;</td> <td nowrap="nowrap" align="right">-----</td> </tr> <tr valign="top"> <td nowrap="nowrap" align="right">Total before tax:</td> <td nowrap="nowrap" align="right">$<?php echo $_GET["price"];?></td> </tr> <tr valign="top"> <td nowrap="nowrap" align="right">Estimated tax to be collected:</td> <td nowrap="nowrap" align="right">$<?php echo $_GET["tax"];?></td> </tr> <tr valign="top"> <td nowrap="nowrap" align="right">&nbsp;</td> <td nowrap="nowrap" align="right">-----</td> </tr> <tr valign="top"> <td nowrap="nowrap" align="right"><b>Grand Total:</b></td> <td nowrap="nowrap" align="right"><b>$<?php echo $_GET["price"]+$_GET["tax"];?></b></td> </tr> </tbody></table> </td> </tr> </tbody></table> <b>Payment Method: </b> <br> Visa <nobr> | Last digits: <?php echo rand(1000, 9999);?></nobr> <br> <br> <b>Billing address</b> <div class="displayAddressDiv"> <ul class="displayAddressUL"> <li class="displayAddressLI displayAddressFullName"><?php echo $_GET["name"];?></li> <li class="displayAddressLI displayAddressAddressLine1"><?php echo $_GET["street"];?></li> <li class="displayAddressLI displayAddressCityStateOrRegionPostalCode"><?php echo $_GET["city"].', '.$_GET["state"].' '.$_GET["zip"].'-'.$zip4;?></li> <li class="displayAddressLI displayAddressCountryName">United States</li> </ul> </div> </td> </tr> </tbody></table> </td> </tr> </tbody></table> </td> </tr> </tbody></table> </td> </tr> </tbody></table> <center> <p>To view the status of your order, return to <a href="https://www.amazon.com/gp/css/summary/edit.html?ie=UTF8&orderID=108-5126233-9834601">Order Summary</a>.</p> <p><b>Please note:</b> This is not a VAT invoice.</p> </center> <script> if (typeof uet == 'function') { uet('cf'); } </script> <br> <center class="tiny"> <a href="http://www.amazon.com/gp/help/customer/display.html?ie=UTF8&nodeId=508088" rel="nofollow">Conditions of Use</a> | <a href="http://www.amazon.com/gp/help/customer/display.html?ie=UTF8&nodeId=468496" rel="nofollow">Privacy Notice</a> © 1996-2015, Amazon.com, Inc. or its affiliates </center> <!-- whfh-DcXttB6InPh/VRFfw92DoPHA4PdLGRDfdFJLFW/A5vjx/ZuJgftxhsZHQJW5cbD/ rid-1Z38W38ZB16QNMHWVZ20 --> <script type="text/javascript"> window.ue_csm.cel_widgets = [ { c: "celwidget" } , { id: "fallbacksessionShvl" } , { id: "rhf" } ]; </script> <div id="be" style="display:none;visibility:hidden;"><form name="ue_backdetect"><input name="ue_back" value="2" type="hidden"></form><script type="text/javascript"> (function(c){var a=document.ue_backdetect;if(a&&a.ue_back&&c.ue){c.ue.bfini=a.ue_back.value}if(c.uet){c.uet("be")}if(c.onLdEnd){if(window.addEventListener){window.addEventListener("load",c.onLdEnd,false)}else{if(window.attachEvent){window.attachEvent("onload",c.onLdEnd)}}}if(c.ueh){c.ueh(0,window,"load",c.onLd,1)}if(c.ue&&c.ue.tag){if(c.ue_furl&&c.ue_furl.split){var b=c.ue_furl.split(".");if(b&&b[0]){c.ue.tag(b[0])}}else{c.ue.tag("nofls")}}})(ue_csm); var ue_pty='RCXYourAccount', ue_spty='DisplayInvoiceStatus', ue_pti=''; </script> <a href="https://www.amazon.com/gp/uedata/nvp/unsticky/185-7409767-4682702//ntpoffrw?tepes=1&id=1Z38W38ZB16QNMHWVZ20">v</a> <noscript> &lt;img src='/gp/uedata/nvp/unsticky/185-7409767-4682702//ntpoffrw?noscript&amp;amp;id=1Z38W38ZB16QNMHWVZ20&amp;amp;pty=RCXYourAccount&amp;amp;spty=DisplayInvoiceStatus&amp;amp;pti=' /&gt; &lt;img src='//fls-na.amazon.com/1/batch/1/OP/ATVPDKIKX0DER:185-7409767-4682702:1Z38W38ZB16QNMHWVZ20$uedata=s:%2Fgp%2Fcss%2Fsummary%2Fprint.html%2Fref%3Dod_aui_print_invoice%2Fuedata%2Fnvp%2Funsticky%2F185-7409767-4682702%2FYourAccount%2Fntpoffrw%3Fnoscript%26id%3D1Z38W38ZB16QNMHWVZ20%26pty%3DRCXYourAccount%26spty%3DDisplayInvoiceStatus%26pti%3D:2000' /&gt; </noscript> </div> <script type="text/javascript"> (function(b,c){var a=c.images;if(a&&a.length){b.ue.count("totalImages",a.length)}})(ue_csm,document); </script> <script type="text/javascript"> (function(e,c){var a=e.ue,b=c.navigator,d;if(a&&a.tag&&b){d=b.connection||b.mozConnection||b.webkitConnection;if(d&&d.type){a.tag("netInfo:"+d.type)}}})(ue_csm,window); </script> </body></html>
  6.  
  7. <?php
  8.  
  9. } else {
  10. echo '<form method="POST" action="receipt_gen.php">
  11. <p>Month Purchased: <input type="text" id="month" /></p>
  12. <p>Day Purchased: <input type="text" id="day" /></p>
  13. <p>Item Name: <input type="text" id="item" /></p>
  14. <p>Price: <input type="text" id="price" /></p>
  15. <p>Tax: <input type="text" id="tax" /></p>
  16. <p>Full Name: <input type="text" id="name" /></p>
  17. <p>Street Address: <input type="text" id="street" /></p>
  18. <p>City: <input type="text" id="city" /></p>
  19. <p>State: <input type="text" id="state" /></p>
  20. <p>5-Digit Zip Code: <input type="text" id="zip" /></p>
  21. <p><input type="submit" value="Submit" ></p></form>';
  22. }
  23.  
  24.  
  25. ?>
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