<%@ page title="" language="C#" masterpagefile="~/MasterPages/NoMenuNoSecurity.master" autoeventwireup="true" inherits="POS_Slip, App_Web_slip.aspx.b672eb6f" viewStateEncryptionMode="Always" maintainScrollPositionOnPostBack="true" %>

<asp:Content ID="Content1" ContentPlaceHolderID="head" Runat="Server">
</asp:Content>
<asp:Content ID="Content2" ContentPlaceHolderID="ContentPlaceHolder1" Runat="Server">
    <table class="body_MainTB" border="0" cellpadding="0" cellspacing="0">
        <tr align="center">
            <td valign="top">
               
                <table border="0" cellpadding="0" cellspacing="0" class="contTB">
                    <tr>
                        <td align="center">
                            
                            <br />
                            <asp:Label ID="lblError" runat="server" Text="" class="fieldError"></asp:Label>
                            <fieldset id="addItem">
                                <legend id="addItem">Request Slip</legend>
                            </fieldset>
                            <table border="0" width="95%" cellpadding="0" cellspacing="0" class="add_ItemTB1">
                                <tr>
                                    <td class="tdNormal" style="width: 15%">
                                        Merchant Name
                                    </td>
                                    <td class="tdNormal" style="width: 30%">
                                        <asp:TextBox ID="txtMerchantName" runat="server" class="fieldNormal" Width="250"></asp:TextBox>
                                        <asp:RequiredFieldValidator ID="RequiredFieldValidator2" runat="server" 
                                            ControlToValidate="txtMerchantName" ErrorMessage="*">Please Enter Merchant Name</asp:RequiredFieldValidator>
                                    </td>
                                    <td class="tdNormal" style="width: 10%">
                                    </td>
                                    <td class="tdNormal" style="width: 15%;display:none">
                                        &nbsp;</td>
                                    <td class="tdNormal" style="width: 30%;display:none">
                                        &nbsp;</td>
                                </tr>
                                <tr>
                                    <td class="tdNormal">
                                        Claim ID</td>
                                    <td class="tdNormal">
                                        <asp:TextBox ID="txtClaimID" runat="server" class="fieldNormal " Width="250" 
                                            ReadOnly="True"></asp:TextBox>
                                    </td>
                                    <td class="tdNormal">
                                    </td>
                                    <td class="tdNormal" style="display:none ">
                                        &nbsp;</td>
                                    <td class="tdNormal" style="display:none">
                                        &nbsp;</td>
                                </tr>
                                <tr>
                                    <td class="tdNormal">
                                        &nbsp;ATTN</td>
                                    <td class="tdNormal">
                                        <asp:TextBox ID="txtATTN" runat="server" class="fieldNormal " Width="250"></asp:TextBox>
                                    </td>
                                    <td class="tdNormal">
                                    </td>
                                    <td class="tdNormal">
                                    </td>
                                    <td class="tdNormal">
                                    </td>
                                </tr>
                                 <tr>
                                    <td class="tdNormal">
                                        Account No
                                    </td>
                                    <td class="tdNormal">
                                        <asp:TextBox ID="txtAccountNo" runat="server" class="fieldNormal" Width="250"></asp:TextBox>
                                         <asp:RequiredFieldValidator ID="RequiredFieldValidator1" runat="server" 
                                            ControlToValidate="txtAccountNo" ErrorMessage="*">Please Enter Account Number</asp:RequiredFieldValidator>
                                    </td>
                                    <td class="tdNormal">
                                       
                                    </td>
                                    <td class="tdNormal">
                                    </td>
                                    <td class="tdNormal">
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="5" style="text-align: center">
                                        <asp:Button ID="btnSearch" runat="server" Text="Print Pay-Slip" 
                                            CssClass="Btn_L_Normal" 
                                            OnClick="btnSearch_Click" />&nbsp;
                                                                            
                                    </td>
                                </tr>
                                <tr>
                                    <td class="tdNormal" colspan="5">
                                        &nbsp;
                                    </td>
                                </tr>
                            </table>
                           
                            <br />
                           
                            <!------------------------------------body End2 ----------------------------------------------->
                            <br/>
                        </td>
                    </tr>
                </table>
                <!------------------------------------body End2 ----------------------------------------------->
            </td>
        </tr>
    </table>
</asp:Content>

