PK

<?php
include("connexion.php");
?>
<?php 
$sql="SELECT count(id) FROM certificate";
$result=mysql_fetch_array(mysql_query($sql));
$count=$result[0];
?>
<?php
include"head.php";
?>

<strong>MAKE INVOICE</strong> > > 3 of 3 
<table align="center" width="100%" border="0" cellpadding="0" cellspacing="0">
<form action="confirmedinsert.php" method="get">
<input type="hidden" name="clntid" value="<?php echo"$clntid";?>">
<input type="hidden" name="issuedate" value="<?php echo"$issuedate";?>">
<input type="hidden" name="namefumigant" value="<?php echo"$namefumigant";?>">
<input type="hidden" name="certificateno" value="<?php echo"$certificateno";?>">
<input type="hidden" name="datefumigantion" value="<?php echo"$datefumigantion";?>">
<input type="hidden" name="count" value="<?php echo"$count"; ?>">
	     <tr><td align="center" colspan="4"><center><strong><h2>UNIVERSAL FUMIGATION SERVICES</h2></strong>
		22,Waraich Market,Partap Bazar,Chheharta,Amritsar.(Pb.)<br>
                       Mobile:93162-37377,98155-02088</center></td></tr>
	<tr><td align="left" colspan="2">Certificate No.<?php echo"$certificateno";?></td><td align="right" colspan="2">Date of Issue : <?php echo"$issuedate";?></td></tr>
		<tr><td colspan="2" valign="top">Name of fumigant : <?php echo"$namefumigant";?></td><td>Date of fumigant : <?php echo"$datefumigantion";?></td>
	   <tr><td colspan="2" align="right"><strong>Amount</strong> :</td>
        <td align="center" colspan="2"> Rs.<input type="text" name="amount">/-</td></tr>
	<tr>
        <td colspan="2" align="right"> Discount:<em>(in %age)</em></td>
        <td colspan="2" align="center"> &nbsp;&nbsp;&nbsp;&nbsp; 
          <input type="text" name="discount" size="4" value="0" onfocus="this.value=''">
          %</td>
      </tr>
		<tr><td colspan="2" align="right"><input type="checkbox" name="stax" value="yes"> ServiceTax :</td><td colspan="4" align="center"> 
    &nbsp;&nbsp;&nbsp;&nbsp; <input type="text" name="srtax" value="12.5" size="4">%</td></tr>
	<tr><td colspan="4" align="center"><br><center><input type="submit" value="Confirm Invoice Details" class="amo-submit"></center></td></tr>
	</form>
	</table>
<?php
include"foot.php";
?>

PK 99