Hi,
I am using RAD Ajax date picker. After i added associated control id to date picker its giving 2 error at Rad date picker. why? please respons to my post as soon as possible. thanks.
I am using RAD Ajax date picker. After i added associated control id to date picker its giving 2 error at Rad date picker. why? please respons to my post as soon as possible. thanks.
- error:Form label missing
- error:Form label missing
<td style="width:20%; text-align:left;" >
<asp:Label runat="server" ID="Label14" AssociatedControlID="RadDatePicker1" CssClass="label" Width="124px" Text="3. Date sent to:" />
</td>
<td align ="left" >
<telerik:RadDatePicker ID="RadDatePicker1" runat="server" Culture="en-US"
Skin="Default" OnSelectedDateChanged="RadDatePicker1_OnSelectedDateChanged"
AutoPostBack="true" >
<Calendar UseColumnHeadersAsSelectors="False" UseRowHeadersAsSelectors="False"
ViewSelectorText="x">
</Calendar>
<DateInput DateFormat="M/d/yyyy" DisplayDateFormat="M/d/yyyy"
EmptyMessage="- Select Date -" >
</DateInput>
</telerik:RadDatePicker>
</td>
MY WEB PAGE GENARATED SOURCE CODE,when you add below code in this site it show the errors. Its showing me at RadDatepicker why?
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.1//EN" "http://www.w3.org/TR/xhtml11/DTD/xhtml11.dtd">
<
html
xmlns
=
"http://www.w3.org/1999/xhtml"
>
<
head
id
=
"nMaster"
><
meta
http-equiv
=
"Content-Type"
content
=
"text/html; charset=UTF-8"
/><
title
>
National Death Index -- TransmittalForm
</
title
><
link
rel
=
"icon"
href
=
"../images/favicon.ico"
type
=
"image/x-icon"
/><
link
rel
=
"shortcut icon"
href
=
"../images/favicon.ico"
type
=
"image/x-icon"
/><
link
rel
=
"stylesheet"
href
=
"../CSS/NDI.css"
media
=
"screen"
type
=
"text/css"
/><
link
rel
=
"stylesheet"
href
=
"../CSS/Print.css"
media
=
"print"
type
=
"text/css"
/><
link
href
=
"/NDIWeb/WebResource.axd?d=CGcLGje01HUrBWR2w4auvZgLkG_6-9eox4_0b70nykqUHHlP5ZnawaQLEy5iMzDzpQ4QEkS0jAXYqfSqseqvziJCFRYBm69qPoJvaYQEz_nDbX44KuVxqboFwtoNb0d1gAGmrsLHbmI_DvjgA75Lrg2&t=634236798136719660"
type
=
"text/css"
rel
=
"stylesheet"
class
=
"Telerik_stylesheet"
/><
link
href
=
"/NDIWeb/WebResource.axd?d=E1Xh2d-_IWwb4Xq6SsNJzbAIM8XmAY_hG2aNyUURLInKMHWFX3z_knClgf9M3FF2lyanMBqVRhii0g-Gf4obo0yojUFj9Idjh0qfQU_AypxM4-z_9Wa5IleXShd5kZL3bCEbJo_-Q_BgnLxMD88cYfqsa7WD9ZfXaGt3nvSbenQ1&t=634236798136719660"
type
=
"text/css"
rel
=
"stylesheet"
class
=
"Telerik_stylesheet"
/><
link
href
=
"/NDIWeb/WebResource.axd?d=AL9TcALH60TJY-DO865dIiJ4MzPBO18eJ_Zd64dFh4TSv67FuGUQ0dCNz-V6WDw-82R9VjuxmHc5vfUp_-pztWMTrv4L074JQXYY5XqYetYFMRSFdru6dbTHBST7IGh-xmVzU5M2VoKik-x-LdNnoSSJRyp0wixoOdBCnWBQu3o1&t=634236798136719660"
type
=
"text/css"
rel
=
"stylesheet"
class
=
"Telerik_stylesheet"
/><
link
href
=
"/NDIWeb/WebResource.axd?d=hS-pKlVeGNOGQuZCJTdP84gO9l07FG5OaAeq1ACL7h7dT_TPWGYeaPZcYoROMIrmBmqWRPF9ljy1P1DbraMViEPE01o8diPKPUIEdL_oCmlIzoAu7V_fMfdbVUONu1cV4xe9qi5d0nZWvT9u6RbcQw2&t=634236798136719660"
type
=
"text/css"
rel
=
"stylesheet"
class
=
"Telerik_stylesheet"
/><
link
href
=
"/NDIWeb/WebResource.axd?d=E2hd3HpdJGGw1Orm6hOUXyUs6O1G11izvTga3jARUGiZio59aSHPB1DIKfCZw_k8PsLNOBt_5Q1lZNjcUqxrqS_S_n91q7WGgYP-iilDcRMWw2AU_UezobllJ4Pv1-wi9t--4oyAiM9kg5iGjawcQdsZX1H6rGBWzIJCrNaI7EI1&t=634236798136719660"
type
=
"text/css"
rel
=
"stylesheet"
class
=
"Telerik_stylesheet"
/><
link
href
=
"/NDIWeb/WebResource.axd?d=cPaKL4qGq3q9VqV_kTTVsDIxyhJv-d3BbR0PKI34xRZoDdm7tiwUQr4YMklrVVhK1ZNlUlAVoKYSiwUQAq05RD46zWGBk5phSYWu_B2YcIgiZtDfdtuEhcqUt2wxGI00P1kuWb0SPXaY3Kucr6Fe3A2&t=634236798136719660"
type
=
"text/css"
rel
=
"stylesheet"
class
=
"Telerik_stylesheet"
/><
link
href
=
"/NDIWeb/WebResource.axd?d=oJsz08fsCpWFdIRz_0A_zLU70K4DVXKRiHMHKULF9HEE95JSYiYkh9FQQL_tsd64XC_RwVkrTGQr84NZ9iOBPxqrR2DObhjGYINE1x42_gN3XpeMQ1K7QEq27a6la0zuHpGljyBI-5bOVqMDIIkVcEg91WROlsjO5QFmoFxq_JA1&t=634236798136719660"
type
=
"text/css"
rel
=
"stylesheet"
class
=
"Telerik_stylesheet"
/><
link
type
=
"text/css"
rel
=
"stylesheet"
href
=
"/NDIWeb/WebResource.axd?d=dk3MZiagKs6mo-2hMSzTFk1A9EzlygYxAffzg3ZVYFOTfqvNVrLbOM5vQr0Udr2D-v5VMEUSxBhnSzviTq9p9kwZaqiMtpZYH3t9ajDJZYHplQFz5Coj7mDWyLnMU1jXryhQNy8a6kg7erQV4xjYfts-JSYLc7xHoPqzNFr1oGKsWFVdwnmngPqGOfMTRtrA0&t=634238597453215544"
/><
link
type
=
"text/css"
rel
=
"stylesheet"
href
=
"/NDIWeb/WebResource.axd?d=DptB53Swy_08QvSgml_dUfVG8WsQ7mIuiZJqnPKt777aXeb0Z-_yF5lnffJFIYE5RvP5qRn-SFcEb5n3y3d49LgMP_FSeMqE9__Yh1w9I0fDvmM7QqYZYMlplqNB0_apFwTA8SqYDaGjMJa9US2WIfECVtlscHE-eKUfvn1XH4SPK-YziXjzxeS7Hg-jRZwL0&t=634238597453215544"
/></
head
>
<
body
><
div
style
=
"display:none;"
><
a
href
=
"#content"
>Skip navigation</
a
></
div
>
<
form
method
=
"post"
action
=
"TransmittalForm.aspx"
onsubmit
=
"javascript:return WebForm_OnSubmit();"
id
=
"fmaster"
class
=
"content"
enctype
=
"multipart/form-data"
>
<
div
class
=
"aspNetHidden"
>
<
input
type
=
"hidden"
name
=
"__EVENTTARGET"
id
=
"__EVENTTARGET"
value
=
""
/>
<
input
type
=
"hidden"
name
=
"__EVENTARGUMENT"
id
=
"__EVENTARGUMENT"
value
=
""
/>
<
input
type
=
"hidden"
name
=
"__LASTFOCUS"
id
=
"__LASTFOCUS"
value
=
""
/>
<
input
type
=
"hidden"
name
=
"__VIEWSTATE"
id
=
"__VIEWSTATE"
value
=
"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<
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<
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<
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<
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<
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<
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<!-- 3.6.1 -->
<
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<
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<
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<
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<
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<
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<
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>Manual Search</
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<
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><
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=
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<
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><
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<
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<
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><
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=
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id
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<
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> </
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<
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<
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<
br
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<
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<
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<
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colspan
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align
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</
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</
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</
table
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<
div
id
=
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title
=
"This table organize the page content"
style
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>
<
table
style
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<
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>
<
td
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>
<
span
id
=
"Cph1_lbltitle"
class
=
"label"
style
=
"font-family:verdana;font-size:17pt;"
>National Death Index Transmittal Form</
span
>
</
td
>
</
tr
>
</
table
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<
div
id
=
"Cph1_radajax"
>
<!-- 1.8.1 -->
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script
type
=
"text/javascript"
src
=
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></
script
><
script
type
=
"text/javascript"
src
=
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><
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>/*
<![CDATA[*/
window["Cph1_radajax"] = new RadAjaxManager({ClientID:"Cph1_radajax",EnableOutsideScripts:false,EnablePageHeadUpdate:true,Url:"/NDIWeb/Modules/TransmittalForm.aspx",UniqueID:"ctl00$Cph1$radajax",FormID:"fmaster",EnableAjax:true,DefaultLoadingPanelID:"",ClientEvents:{OnRequestStart:"",OnRequestSent:"",OnResponseReceived:"",OnResponseEnd:"",OnRequestError:""},AjaxSettings:[]});
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<
table
style
=
"width:800px; height:147px;text-align:center;vertical-align:text-top; "
bordercolor
=
"black"
border
=
"1"
cellspacing
=
"1"
cellpadding
=
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>
<
tr
style
=
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>
<
td
align
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style
=
" width: 400px; height: 147px; vertical-align:top; "
>
<
span
id
=
"Cph1_lbltitle1"
class
=
"label"
> Express mail THIS FORM and your FILE to:<
br
/> NATIONAL DEATH INDEX<
br
/>
Division of Vital Statistics<
br
/>
National center for Health Statistics<
br
/>
3311 Toledo Road, Room 7318<
br
/>
Hyattsville, MD 20782<
br
/>
Phone: 301-458-4444 </
span
>
</
td
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<
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style
=
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align
=
"left"
>
<
span
id
=
"Cph1_lbltitle2"
class
=
"label"
> Be sure to enclose:<
br
/> 1. Study subjects records(on diskette or CD-ROM)<
br
/>
2. Completed <
i
>NDI Transmittal Form</
i
><
br
/>
3. Worksheet for calculating NDI charges<
br
/>
4. Payment (check or purchase order)<
b
>* </
b
> <
br
/> <
b
>*</
b
>Make check payable to the <
i
>U.S. Dept. of Health and Human<
br
/>
Services </
i
>and include your <
i
>NDI</
i
> number.<
br
/>
NOTE: Our Employer Identification Number (EIN) is 58-605-1157. </
span
>
</
td
>
</
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=
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class
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>
<
table
cellspacing
=
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cellpadding
=
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=
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>
<
tr
style
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>
<
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style
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align
=
"left"
>
<
span
id
=
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class
=
"label"
style
=
"display:inline-block;width:240px;"
> Assigned NDI Application (search) Info:</
span
>
</
td
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<
td
align
=
"left"
style
=
"width:45%; height: 22px;"
>
<
span
id
=
"Cph1_Label1"
class
=
"label"
>Name of Principal Investigator or Project Director: </
span
>
</
td
>
</
tr
>
</
table
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<
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style
=
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border
=
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bordercolor
=
"black"
>
<
tr
style
=
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>
<
td
align
=
"left"
style
=
"vertical-align: top; width: 450px;"
>
<
div
id
=
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style
=
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>
<
table
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>
<
tr
align
=
"left"
>
<
td
align
=
"left"
style
=
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>
<
span
id
=
"Cph1_lblapplicano"
class
=
"label"
style
=
"display:inline-block;width:85px;"
>Application No: </
span
>
</
td
>
<
td
align
=
"left"
style
=
"width: 320px;"
>
<
div
id
=
"ctl00_Cph1_radddlAppNo"
class
=
"RadComboBox RadComboBox_Web20"
style
=
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>
<
table
summary
=
"combobox"
style
=
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>
<
tr
>
<
td
style
=
"margin-top:-1px;margin-bottom:-1px;width:100%;"
class
=
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><
input
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=
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type
=
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class
=
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id
=
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value
=
"-Type/Select Application No-"
style
=
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title
=
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/></
td
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<
td
style
=
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class
=
"rcbArrowCell rcbArrowCellRight"
><
a
id
=
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style
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a
></
td
>
</
tr
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</
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<!-- 2010.2.929.40 -->
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div
class
=
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style
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><
div
id
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class
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style
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><
div
class
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style
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><
ul
class
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style
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><
li
class
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>-Type/Select Application No-</
li
><
li
class
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>1234-TST</
li
><
li
class
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>TEST-992</
li
><
li
class
=
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>test-ap2</
li
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li
class
=
"rcbItem "
>test-App</
li
><
li
class
=
"rcbItem "
>Y08-0555</
li
></
ul
></
div
><
div
class
=
"rcbMoreResults"
id
=
"ctl00_Cph1_radddlAppNo_MoreResultsBox"
><
a
id
=
"ctl00_Cph1_radddlAppNo_MoreResultsBoxImage"
>select</
a
><
span
></
span
></
div
></
div
></
div
><
input
id
=
"ctl00_Cph1_radddlAppNo_ClientState"
name
=
"ctl00_Cph1_radddlAppNo_ClientState"
type
=
"hidden"
/>
</
div
>
</
td
>
</
tr
>
<
tr
align
=
"left"
>
<
td
align
=
"left"
style
=
"width: 79px"
>
<
label
for
=
"Cph1_tstsearchno"
id
=
"Cph1_Label23"
class
=
"label"
style
=
"width:60px;"
>Search No: </
label
>
</
td
>
<
td
align
=
"left"
style
=
"width: 320px"
>
<
div
id
=
"Cph1_Panel5"
style
=
"text-align:left;"
>
<
table
style
=
"text-align:left;"
>
<
tr
style
=
"text-align:left;"
>
<
td
style
=
"text-align:left;"
">
<
input
name
=
"ctl00$Cph1$tstsearchno"
type
=
"text"
maxlength
=
"10"
onchange
=
"javascript:setTimeout('__doPostBack(\'ctl00$Cph1$tstsearchno\',\'\')', 0)"
onkeypress
=
"if (WebForm_TextBoxKeyHandler(event) == false) return false;"
id
=
"Cph1_tstsearchno"
title
=
"Search No"
class
=
"textbox"
style
=
"font-size:Small;width:135px;"
/>
</
td
>
<
td
align
=
"left"
>
<
div
id
=
"ctl00_Cph1_radddlsearchNo"
class
=
"RadComboBox RadComboBox_Default"
style
=
"font-size:8pt;text-decoration:none;width:160px;"
>
<
table
class
=
"rcbDisabled"
summary
=
"combobox"
style
=
"border-width:0;border-collapse:collapse;table-layout:fixed;width:100%"
>
<
tr
>
<
td
style
=
"margin-top:-1px;margin-bottom:-1px;width:100%;"
class
=
"rcbInputCell rcbInputCellLeft"
><
input
name
=
"ctl00$Cph1$radddlsearchNo"
type
=
"text"
class
=
"rcbInput"
id
=
"ctl00_Cph1_radddlsearchNo_Input"
value
=
"- Select Search No -"
style
=
"display:block;font-size:8pt;"
title
=
"Select Search No"
disabled
=
"disabled"
/></
td
>
<
td
style
=
"margin-top:-1px;margin-bottom:-1px;"
class
=
"rcbArrowCell rcbArrowCellRight"
><
a
id
=
"ctl00_Cph1_radddlsearchNo_Arrow"
style
=
"overflow: hidden;display: block;position: relative;outline: none;"
>select</
a
></
td
>
</
tr
>
</
table
>
<
div
class
=
"rcbSlide"
style
=
"z-index:6000;"
><
div
id
=
"ctl00_Cph1_radddlsearchNo_DropDown"
class
=
"RadComboBoxDropDown RadComboBoxDropDown_Default "
style
=
"float:left;display:none;"
><
div
class
=
"rcbScroll rcbWidth"
style
=
"height:300px;width:100%;"
></
div
></
div
></
div
><
input
id
=
"ctl00_Cph1_radddlsearchNo_ClientState"
name
=
"ctl00_Cph1_radddlsearchNo_ClientState"
type
=
"hidden"
/>
</
div
>
</
td
>
</
tr
>
</
table
>
</
div
>
</
td
>
</
tr
>
<
tr
align
=
"left"
>
<
td
align
=
"left"
style
=
"vertical-align:text-top; width: 79px;"
>
<
span
id
=
"Cph1_Label24"
class
=
"label"
style
=
"display:inline-block;width:60px;"
>SearchType: </
span
>
</
td
>
<
td
align
=
"left"
style
=
"width: 320px"
>
<
div
id
=
"Cph1_UpPanelDD"
>
<
select
name
=
"ctl00$Cph1$ddlsearchtype"
onchange
=
"CalculateCharges();setTimeout('__doPostBack(\'ctl00$Cph1$ddlsearchtype\',\'\')', 0)"
id
=
"Cph1_ddlsearchtype"
title
=
"select searchType"
class
=
"dropdown"
>
<
option
selected
=
"selected"
value
=
"- Select -"
>- Select -</
option
>
<
option
value
=
"R"
>Routine Search</
option
>
<
option
value
=
"U"
>NDI Plus Search, Status of subjects is unknown</
option
>
<
option
value
=
"K"
>NDI Plus Search, Subjects are known to be deceased </
option
>
</
select
>
<
span
id
=
"Cph1_rqdsewerachtype"
style
=
"display:none;"
>* Please select Search Type.</
span
>
</
div
>
</
td
>
</
tr
>
<
tr
align
=
"left"
>
<
td
align
=
"left"
style
=
"width: 79px"
>
<
span
id
=
"Cph1_Label25"
class
=
"label"
style
=
"display:inline-block;width:78px;"
>Customer has Certificates?</
span
>
</
td
>
<
td
style
=
"width: 320px"
>
<
table
id
=
"Cph1_rbtnCustCert"
title
=
"select Customer Certificates "
onclick
=
"CalculateCharges()"
style
=
"color:Black;"
>
<
tr
>
<
td
><
input
id
=
"Cph1_rbtnCustCert_0"
type
=
"radio"
name
=
"ctl00$Cph1$rbtnCustCert"
value
=
"Y"
/><
label
for
=
"Cph1_rbtnCustCert_0"
>Yes</
label
></
td
><
td
><
input
id
=
"Cph1_rbtnCustCert_1"
type
=
"radio"
name
=
"ctl00$Cph1$rbtnCustCert"
value
=
"N"
/><
label
for
=
"Cph1_rbtnCustCert_1"
>No</
label
></
td
>
</
tr
>
</
table
>
<
span
id
=
"Cph1_RequiredFieldValidator2"
style
=
"display:none;"
>* Please Select 'Customer has Certificates'</
span
>
</
td
>
</
tr
>
</
table
>
</
div
>
</
td
>
<
td
align
=
"left"
style
=
"width: 350px"
>
<
div
id
=
"Cph1_pnlInveName"
style
=
"width:100%;text-align:left;"
>
<
table
style
=
"width:100%; text-align:left"
>
<
tr
>
<
td
style
=
"width:16.8%; text-align:left"
>
<
label
for
=
"Cph1_txtfname"
id
=
"Cph1_lbfn"
title
=
"First Name"
class
=
"label"
>First Name:</
label
></
td
>
<
td
style
=
"width:16.8%; text-align:left"
>
<
input
name
=
"ctl00$Cph1$txtfname"
type
=
"text"
maxlength
=
"20"
id
=
"Cph1_txtfname"
title
=
"First Name"
class
=
"textbox"
style
=
"font-size:Small;width:240px;"
/>
</
td
>
</
tr
>
<
tr
style
=
"width:100%;"
>
<
td
align
=
"left"
>
<
label
for
=
"Cph1_txtlname"
id
=
"Cph1_lbln"
title
=
"Last Name"
class
=
"label"
style
=
"background-color:White;"
>Last Name:</
label
>
</
td
>
<
td
align
=
"left"
>
<
input
name
=
"ctl00$Cph1$txtlname"
type
=
"text"
maxlength
=
"20"
id
=
"Cph1_txtlname"
title
=
"Last Name"
class
=
"textbox"
style
=
"font-size:Small;width:240px;"
/>
</
td
>
</
tr
>
<
tr
>
<
td
style
=
"width:16.8%;"
align
=
"left"
>
<
label
for
=
"Cph1_txtmi"
id
=
"Cph1_lbmi"
title
=
"Middle Initial"
class
=
"label"
>Middle Initial:</
label
>
</
td
>
<
td
align
=
"left"
style
=
"width: 10%"
>
<
input
name
=
"ctl00$Cph1$txtmi"
type
=
"text"
maxlength
=
"1"
id
=
"Cph1_txtmi"
title
=
"Middle Initial"
class
=
"textbox"
style
=
"font-size:Small;width:200px;"
/>
</
td
>
</
tr
>
<
tr
>
<
td
align
=
"left"
style
=
"width: 15%;"
>
<
span
id
=
"Cph1_Label3"
class
=
"label"
>Organization: </
span
>
</
td
>
<
td
align
=
"left"
style
=
"width: 20%; vertical-align:text-bottom;"
>
<
input
name
=
"ctl00$Cph1$txtPIOrganiza"
type
=
"text"
maxlength
=
"20"
id
=
"Cph1_txtPIOrganiza"
title
=
"Organization"
class
=
"textbox"
style
=
"font-size:Small;"
/>
</
td
>
</
tr
>
</
table
>
</
div
>
</
td
>
</
tr
>
</
table
>
</
div
>
<
div
id
=
"Cph1_pnladdressinfo"
title
=
"Transmittal Form Summary Navigation Area"
class
=
"borderPanelBlack"
style
=
"width:800px;text-align:center;"
>
<
table
style
=
"width: 834px; height: 9px"
>
<
tr
style
=
"width:100%;"
>
<
td
align
=
"left"
style
=
"width:50%;"
>
<
p
>
<
font
color
=
"black"
>
To whom should we express mail the NDI Results?<
br
/>
(include street address and room numbe; not just a P. O. Box):
</
font
>
</
p
><
br
/>
</
td
>
<
td
align
=
"center"
width
=
"50%"
>
<
p
>
<
font
color
=
"black"
>
Person to contact if NCHS has problems processing <
br
/>
your records:
</
font
>
</
p
><
br
/>
</
td
>
</
tr
>
</
table
>
<
table
style
=
"width: 800px; text-align:left; vertical-align:text-top;"
border
=
"1"
bordercolor
=
"black"
>
<
tr
style
=
" width: 100%; text-align:left; vertical-align:text-top;"
>
<
td
style
=
" vertical-align:text-top; width: 50%;"
>
<
div
id
=
"Cph1_pnlmailaddress"
style
=
"width:90%;text-align:left;"
>
<
table
style
=
"text-align:left;"
>
<
tr
align
=
"left"
>
<
td
align
=
"left"
>
<
label
for
=
"Cph1_txtResuConfname"
id
=
"Cph1_Label28"
title
=
"First Name:"
class
=
"label"
style
=
"width:65px;"
>First Name:</
label
>
</
td
>
<
td
align
=
"left"
>
<
input
name
=
"ctl00$Cph1$txtResuConfname"
type
=
"text"
maxlength
=
"20"
id
=
"Cph1_txtResuConfname"
title
=
"First Name "
class
=
"textbox"
style
=
"font-size:Small;width:220px;"
/>
</
td
>
</
tr
>
<
tr
style
=
" width: 100%; text-align:left;"
>
<
td
align
=
"left"
>
<
label
for
=
"Cph1_txtResuConlname"
id
=
"Cph1_Label27"
title
=
"Last Name"
class
=
"label"
style
=
"background-color:White;width:65px;"
>Last Name:</
label
>
</
td
>
<
td
align
=
"left"
>
<
input
name
=
"ctl00$Cph1$txtResuConlname"
type
=
"text"
maxlength
=
"20"
id
=
"Cph1_txtResuConlname"
title
=
"Last Name"
class
=
"textbox"
style
=
"font-size:Small;width:220px;"
/>
</
td
>
</
tr
>
<
tr
align
=
"left"
>
<
td
align
=
"left"
>
<
label
for
=
"Cph1_txtResuConmi"
id
=
"Cph1_Label29"
title
=
"Middle Initial:"
class
=
"label"
style
=
"width:77px;"
>Middle Initial:</
label
>
</
td
>
<
td
align
=
"left"
>
<
input
name
=
"ctl00$Cph1$txtResuConmi"
type
=
"text"
maxlength
=
"1"
id
=
"Cph1_txtResuConmi"
title
=
"Middle Initial"
class
=
"textbox"
style
=
"font-size:Small;width:200px;"
/>
</
td
>
</
tr
>
<
tr
align
=
"left"
>
<
td
align
=
"left"
>
<
label
for
=
"Cph1_txtadress1"
id
=
"Cph1_lbladdress1"
class
=
"label"
style
=
"width:50px;"
>Address1:</
label
>
</
td
>
<
td
align
=
"left"
>
<
input
name
=
"ctl00$Cph1$txtadress1"
type
=
"text"
maxlength
=
"40"
id
=
"Cph1_txtadress1"
title
=
"Address1"
style
=
"font-size:Small;width:270px;"
/>
</
td
>
</
tr
>
<
tr
align
=
"left"
>
<
td
align
=
"left"
>
<
label
for
=
"Cph1_txtaddress2"
id
=
"Cph1_lbladdress2"
class
=
"label"
style
=
"width:50px;"
>Address2:</
label
>
</
td
>
<
td
align
=
"left"
>
<
input
name
=
"ctl00$Cph1$txtaddress2"
type
=
"text"
maxlength
=
"40"
id
=
"Cph1_txtaddress2"
title
=
"Address2"
style
=
"font-size:Small;width:270px;"
/>
</
td
>
</
tr
>
</
table
>
<
table
style
=
"text-align:left;"
>
<
tr
align
=
"left"
style
=
"width:100%;"
>
<
td
align
=
"left"
style
=
"width:10%;"
>
<
label
for
=
"Cph1_txtcity"
id
=
"Cph1_Label18"
class
=
"label"
style
=
"width:25px;"
>City:</
label
>
</
td
>
<
td
align
=
"left"
style
=
"width: 32%"
>
<
input
name
=
"ctl00$Cph1$txtcity"
type
=
"text"
maxlength
=
"15"
id
=
"Cph1_txtcity"
disabled
=
"disabled"
title
=
"City"
class
=
"aspNetDisabled"
style
=
"background-color:AliceBlue;font-size:Small;width:120px;"
/>
</
td
>
<
td
align
=
"left"
style
=
"width:12%"
>
<
label
for
=
"Cph1_txtstate"
id
=
"Cph1_Label19"
class
=
"label"
style
=
"width:30px;"
>State:</
label
>
</
td
>
<
td
align
=
"left"
style
=
"width:30%"
>
<
input
name
=
"ctl00$Cph1$txtstate"
type
=
"text"
maxlength
=
"2"
id
=
"Cph1_txtstate"
disabled
=
"disabled"
title
=
"State"
class
=
"aspNetDisabled"
style
=
"background-color:AliceBlue;font-size:Small;width:110px;"
/>
</
td
>
</
tr
>
</
table
>
<
table
align
=
"left"
>
<
tr
style
=
"width:100%; text-align:left;"
>
<
td
align
=
"left"
style
=
"width:20%;"
>
<
label
for
=
"Cph1_txtzipcode"
id
=
"Cph1_Label20"
class
=
"label"
style
=
"width:40px;"
>Zipcode:</
label
>
</
td
>
<
td
style
=
"width:30%;text-align:left;"
>
<
input
name
=
"ctl00$Cph1$txtzipcode"
type
=
"text"
maxlength
=
"5"
onchange
=
"javascript:setTimeout('__doPostBack(\'ctl00$Cph1$txtzipcode\',\'\')', 0)"
onkeypress
=
"if (WebForm_TextBoxKeyHandler(event) == false) return false;"
id
=
"Cph1_txtzipcode"
title
=
"Zipcode"
OnBlur
=
"validateZipCode()"
style
=
"font-size:Small;width:100px;"
/>
</
td
>
<
td
style
=
"width:10%;text-align:cebter;"
>
<
label
for
=
"Cph1_txtInvePhoneNo"
id
=
"Cph1_Label8"
class
=
"label"
style
=
"width:59px;"
>Phone No:</
label
>
</
td
>
<
td
style
=
"width:35%;text-align:left;"
>
<
input
name
=
"ctl00$Cph1$txtInvePhoneNo"
type
=
"text"
maxlength
=
"20"
id
=
"Cph1_txtInvePhoneNo"
title
=
"Phone No"
class
=
"textbox"
OnBlur
=
"CheckPhoneFaxNumbers(this.value, this)"
style
=
"font-size:Small;width:110px;"
/>
</
td
>
<
td
style
=
"width:3%;text-align:right;"
> <
label
for
=
"Cph1_txtInveext"
id
=
"Cph1_Labe8"
>ext:</
label
>
</
td
>
<
td
align
=
"left"
>
<
input
name
=
"ctl00$Cph1$txtInveext"
type
=
"text"
maxlength
=
"5"
id
=
"Cph1_txtInveext"
class
=
"textbox"
OnBlur
=
"ChkExtNumber()"
style
=
"font-size:Small;width:35px;"
/>
</
td
>
</
tr
>
</
table
>
<
table
align
=
"left"
>
<
tr
align
=
"left"
>
<
td
align
=
"left"
>
<
label
for
=
"Cph1_txtInveFaxNo"
id
=
"Cph1_Label9"
class
=
"label"
style
=
"width:43px;"
>Fax No:</
label
>
</
td
>
<
td
align
=
"left"
>
<
input
name
=
"ctl00$Cph1$txtInveFaxNo"
type
=
"text"
maxlength
=
"20"
id
=
"Cph1_txtInveFaxNo"
title
=
"Fax No"
class
=
"textbox"
OnBlur
=
"CheckPhoneFaxNumbers(this.value, this)"
style
=
"font-size:Small;"
/>
</
td
>
</
tr
>
</
table
>
<
table
style
=
"text-align:left;"
>
<
tr
>
<
td
align
=
"left"
style
=
"width:14%;"
>
<
label
for
=
"Cph1_txtInveEmail"
id
=
"Cph1_Label10"
class
=
"label"
style
=
"width:40px;"
>E-mail:</
label
>
</
td
>
<
td
style
=
"width: 92%"
align
=
"left"
>
<
input
name
=
"ctl00$Cph1$txtInveEmail"
type
=
"text"
id
=
"Cph1_txtInveEmail"
title
=
"E-mail:"
class
=
"textbox"
style
=
"font-size:Small;width:270px;"
/>
</
td
>
</
tr
>
</
table
>
</
div
>
</
td
>
<
td
align
=
"center"
style
=
"width:50%;"
>
<
div
id
=
"Cph1_Panel1"
style
=
"width:92%;text-align:center;"
>
<
table
style
=
"width:100%; text-align:center;"
>
<
tr
>
<
td
align
=
"left"
>
<
label
for
=
"Cph1_txtCOPIfname"
id
=
"Cph1_Label7"
title
=
"First Name"
class
=
"label"
style
=
"width:65px;"
>First Name:</
label
>
</
td
>
<
td
align
=
"left"
style
=
"width:76.8%;"
>
<
input
name
=
"ctl00$Cph1$txtCOPIfname"
type
=
"text"
maxlength
=
"20"
id
=
"Cph1_txtCOPIfname"
title
=
"First Name"
class
=
"textbox"
style
=
"font-size:Small;width:220px;"
/>
</
td
>
</
tr
>
<
tr
style
=
"width:100%;"
align
=
"center"
>
<
td
align
=
"left"
>
<
label
for
=
"Cph1_txtCOPIlname"
id
=
"Cph1_Label6"
title
=
"Last Name"
class
=
"label"
style
=
"background-color:White;width:65px;"
>Last Name:</
label
>
</
td
>
<
td
align
=
"left"
>
<
input
name
=
"ctl00$Cph1$txtCOPIlname"
type
=
"text"
maxlength
=
"20"
id
=
"Cph1_txtCOPIlname"
title
=
"Last Name"
class
=
"textbox"
style
=
"font-size:Small;width:220px;"
/>
</
td
>
</
tr
>
<
tr
>
<
td
align
=
"left"
>
<
label
for
=
"Cph1_txtCOPImi"
id
=
"Cph1_Label11"
title
=
"Middle Initial"
class
=
"label"
style
=
"width:77px;"
>Middle Initial:</
label
>
</
td
>
<
td
align
=
"left"
>
<
input
name
=
"ctl00$Cph1$txtCOPImi"
type
=
"text"
maxlength
=
"1"
id
=
"Cph1_txtCOPImi"
title
=
"Middle Initial"
class
=
"textbox"
style
=
"font-size:Small;width:200px;"
/>
</
td
>
</
tr
>
</
table
>
<
table
>
<
tr
>
<
td
align
=
"left"
>
<
label
for
=
"Cph1_txtCOPIphone"
id
=
"Cph1_Label4"
class
=
"label"
style
=
"width:59px;"
>Phone No:</
label
>
</
td
>
<
td
align
=
"left"
style
=
"width:50%;"
>
<
input
name
=
"ctl00$Cph1$txtCOPIphone"
type
=
"text"
maxlength
=
"20"
id
=
"Cph1_txtCOPIphone"
title
=
"Phone No"
class
=
"textbox"
OnBlur
=
"CheckPhoneFaxNumbers(this.value, this)"
style
=
"font-size:Small;width:120px;"
/>
</
td
>
<
td
align
=
"left"
style
=
"width:6%"
>
<
label
for
=
"Cph1_txtCOPIext"
id
=
"Cph1_lbl4"
>ext:</
label
></
td
>
<
td
align
=
"left"
style
=
"width:19%"
>
<
input
name
=
"ctl00$Cph1$txtCOPIext"
type
=
"text"
maxlength
=
"5"
id
=
"Cph1_txtCOPIext"
class
=
"textbox"
OnBlur
=
"ChkExtNumber()"
style
=
"font-size:Small;width:35px;"
/>
</
td
>
</
tr
>
</
table
>
<
table
style
=
"text-align:left;"
>
<
tr
align
=
"left"
>
<
td
align
=
"left"
style
=
"width:22%;"
>
<
label
for
=
"Cph1_txtCOPIemail"
id
=
"Cph1_Label2"
class
=
"label"
style
=
"width:41px;"
>E-mail:</
label
>
</
td
>
<
td
align
=
"left"
style
=
"width:70%;"
>
<
input
name
=
"ctl00$Cph1$txtCOPIemail"
type
=
"text"
id
=
"Cph1_txtCOPIemail"
title
=
"E-mail"
class
=
"textbox"
style
=
"font-size:Small;width:220px;"
/>
</
td
>
</
tr
>
</
table
>
</
div
>
</
td
>
</
tr
>
</
table
>
</
div
>
<
div
id
=
"Cph1_Panel3"
title
=
"Transmittal Form Summary Navigation Area"
class
=
"borderPanelBlack"
style
=
"width:800px;text-align:center;"
>
<
table
style
=
"width:100%;text-align:left;"
>
<
tr
style
=
"width:100%;text-align:left;"
>
<
td
style
=
"width:100%;text-align:left;"
>
<
span
id
=
"Cph1_lblcert"
class
=
"label"
> 1. What year(s) of death do you want to search?<
br
/>
(If you are submitting MORE THAN ONE FILE, submit a separate <
i
>NDI Transmittal Form</
i
> for each file.
Contact NDI staff you are not sure<
br
/> which years are currently available.) </
span
>
</
td
>
</
tr
>
</
table
>
<
table
style
=
"width:800px;text-align:left;"
>
<
tr
align
=
"left"
>
<
td
align
=
"right"
style
=
"height: 34px"
>
<
span
id
=
"Cph1_Label12"
class
=
"label"
style
=
"display:inline-block;width:125px;"
>Beginning Year: <
br
/><
b
> (Earliest year is 1979)</
b
></
span
>
</
td
>
<
td
align
=
"left"
style
=
"height: 34px"
>
<
div
id
=
"ctl00_Cph1_ddlbeginyod"
class
=
"RadComboBox RadComboBox_Web20"
style
=
"font-size:8pt;width:120px;"
>
<
table
summary
=
"combobox"
style
=
"border-width:0;border-collapse:collapse;table-layout:fixed;width:100%"
>
<
tr
>
<
td
style
=
"margin-top:-1px;margin-bottom:-1px;width:100%;"
class
=
"rcbInputCell rcbInputCellLeft"
><
input
name
=
"ctl00$Cph1$ddlbeginyod"
type
=
"text"
class
=
"rcbInput"
id
=
"ctl00_Cph1_ddlbeginyod_Input"
value
=
"- Select -"
style
=
"display:block;font-size:8pt;"
title
=
"Select Date Of Death Begin Year"
/></
td
>
<
td
style
=
"margin-top:-1px;margin-bottom:-1px;"
class
=
"rcbArrowCell rcbArrowCellRight"
><
a
id
=
"ctl00_Cph1_ddlbeginyod_Arrow"
style
=
"overflow: hidden;display: block;position: relative;outline: none;"
>select</
a
></
td
>
</
tr
>
</
table
>
<
div
class
=
"rcbSlide"
style
=
"z-index:6000;"
><
div
id
=
"ctl00_Cph1_ddlbeginyod_DropDown"
class
=
"RadComboBoxDropDown RadComboBoxDropDown_Web20 "
style
=
"float:left;display:none;"
><
div
class
=
"rcbScroll rcbWidth"
style
=
"height:220px;width:100%;"
><
ul
class
=
"rcbList"
style
=
"list-style:none;margin:0;padding:0;zoom:1;"
><
li
class
=
"rcbItem "
>- Select -</
li
><
li
class
=
"rcbItem "
>2007</
li
><
li
class
=
"rcbItem "
>2006</
li
><
li
class
=
"rcbItem "
>2005</
li
><
li
class
=
"rcbItem "
>2004</
li
><
li
class
=
"rcbItem "
>2003</
li
><
li
class
=
"rcbItem "
>2002</
li
><
li
class
=
"rcbItem "
>2001</
li
><
li
class
=
"rcbItem "
>2000</
li
><
li
class
=
"rcbItem "
>1999</
li
><
li
class
=
"rcbItem "
>1998</
li
><
li
class
=
"rcbItem "
>1997</
li
><
li
class
=
"rcbItem "
>1996</
li
><
li
class
=
"rcbItem "
>1995</
li
><
li
class
=
"rcbItem "
>1994</
li
><
li
class
=
"rcbItem "
>1993</
li
><
li
class
=
"rcbItem "
>1992</
li
><
li
class
=
"rcbItem "
>1991</
li
><
li
class
=
"rcbItem "
>1990</
li
><
li
class
=
"rcbItem "
>1989</
li
><
li
class
=
"rcbItem "
>1988</
li
><
li
class
=
"rcbItem "
>1987</
li
><
li
class
=
"rcbItem "
>1986</
li
><
li
class
=
"rcbItem "
>1985</
li
><
li
class
=
"rcbItem "
>1984</
li
><
li
class
=
"rcbItem "
>1983</
li
><
li
class
=
"rcbItem "
>1982</
li
><
li
class
=
"rcbItem "
>1981</
li
><
li
class
=
"rcbItem "
>1980</
li
><
li
class
=
"rcbItem "
>1979</
li
></
ul
></
div
><
div
class
=
"rcbMoreResults"
id
=
"ctl00_Cph1_ddlbeginyod_MoreResultsBox"
><
a
id
=
"ctl00_Cph1_ddlbeginyod_MoreResultsBoxImage"
>select</
a
><
span
></
span
></
div
></
div
></
div
><
input
id
=
"ctl00_Cph1_ddlbeginyod_ClientState"
name
=
"ctl00_Cph1_ddlbeginyod_ClientState"
type
=
"hidden"
/>
</
div
>
</
td
>
<
td
align
=
"center"
style
=
"height: 34px"
>
<
span
id
=
"Cph1_Label13"
class
=
"label"
style
=
"display:inline-block;width:100px;"
>Ending Year: <
br
/> </
span
>
</
td
>
<
td
align
=
"left"
style
=
"height: 34px"
>
<
div
id
=
"ctl00_Cph1_ddlendyod"
class
=
"RadComboBox RadComboBox_Web20"
style
=
"font-size:8pt;width:120px;"
>
<
table
summary
=
"combobox"
style
=
"border-width:0;border-collapse:collapse;table-layout:fixed;width:100%"
>
<
tr
>
<
td
style
=
"margin-top:-1px;margin-bottom:-1px;width:100%;"
class
=
"rcbInputCell rcbInputCellLeft"
><
input
name
=
"ctl00$Cph1$ddlendyod"
type
=
"text"
class
=
"rcbInput"
id
=
"ctl00_Cph1_ddlendyod_Input"
value
=
"- Select -"
style
=
"display:block;font-size:8pt;"
title
=
"Select Date Of Death End Year"
/></
td
>
<
td
style
=
"margin-top:-1px;margin-bottom:-1px;"
class
=
"rcbArrowCell rcbArrowCellRight"
><
a
id
=
"ctl00_Cph1_ddlendyod_Arrow"
style
=
"overflow: hidden;display: block;position: relative;outline: none;"
>select</
a
></
td
>
</
tr
>
</
table
>
<
div
class
=
"rcbSlide"
style
=
"z-index:6000;"
><
div
id
=
"ctl00_Cph1_ddlendyod_DropDown"
class
=
"RadComboBoxDropDown RadComboBoxDropDown_Web20 "
style
=
"float:left;display:none;"
><
div
class
=
"rcbScroll rcbWidth"
style
=
"height:220px;width:100%;"
><
ul
class
=
"rcbList"
style
=
"list-style:none;margin:0;padding:0;zoom:1;"
><
li
class
=
"rcbItem "
>- Select -</
li
><
li
class
=
"rcbItem "
>2007</
li
><
li
class
=
"rcbItem "
>2006</
li
><
li
class
=
"rcbItem "
>2005</
li
><
li
class
=
"rcbItem "
>2004</
li
><
li
class
=
"rcbItem "
>2003</
li
><
li
class
=
"rcbItem "
>2002</
li
><
li
class
=
"rcbItem "
>2001</
li
><
li
class
=
"rcbItem "
>2000</
li
><
li
class
=
"rcbItem "
>1999</
li
><
li
class
=
"rcbItem "
>1998</
li
><
li
class
=
"rcbItem "
>1997</
li
><
li
class
=
"rcbItem "
>1996</
li
><
li
class
=
"rcbItem "
>1995</
li
><
li
class
=
"rcbItem "
>1994</
li
><
li
class
=
"rcbItem "
>1993</
li
><
li
class
=
"rcbItem "
>1992</
li
><
li
class
=
"rcbItem "
>1991</
li
><
li
class
=
"rcbItem "
>1990</
li
><
li
class
=
"rcbItem "
>1989</
li
><
li
class
=
"rcbItem "
>1988</
li
><
li
class
=
"rcbItem "
>1987</
li
><
li
class
=
"rcbItem "
>1986</
li
><
li
class
=
"rcbItem "
>1985</
li
><
li
class
=
"rcbItem "
>1984</
li
><
li
class
=
"rcbItem "
>1983</
li
><
li
class
=
"rcbItem "
>1982</
li
><
li
class
=
"rcbItem "
>1981</
li
><
li
class
=
"rcbItem "
>1980</
li
><
li
class
=
"rcbItem "
>1979</
li
></
ul
></
div
><
div
class
=
"rcbMoreResults"
id
=
"ctl00_Cph1_ddlendyod_MoreResultsBox"
><
a
id
=
"ctl00_Cph1_ddlendyod_MoreResultsBoxImage"
>select</
a
><
span
></
span
></
div
></
div
></
div
><
input
id
=
"ctl00_Cph1_ddlendyod_ClientState"
name
=
"ctl00_Cph1_ddlendyod_ClientState"
type
=
"hidden"
/>
</
div
>
</
td
>
</
tr
>
</
table
>
<
table
style
=
"width:800px; text-align:left; "
>
<
tr
style
=
"width:100%; text-align:left;"
>
<
td
style
=
"height: 46px; text-align:left; width:70%;"
>
<
span
id
=
"Cph1_lblrevise"
class
=
"label"
>2. Is this a REVISED data submission to correct errors from a
previous submission?</
span
>
</
td
>
<
td
style
=
"height: 46px;text-align:left; width:30%;"
>
<
table
id
=
"Cph1_rbtnRdataY"
title
=
"Select REVISED date submission "
onclick
=
"CalculateCharges()"
style
=
"color:Black;"
>
<
tr
>
<
td
><
input
id
=
"Cph1_rbtnRdataY_0"
type
=
"radio"
name
=
"ctl00$Cph1$rbtnRdataY"
value
=
"YES"
/><
label
for
=
"Cph1_rbtnRdataY_0"
>YES</
label
></
td
><
td
><
input
id
=
"Cph1_rbtnRdataY_1"
type
=
"radio"
name
=
"ctl00$Cph1$rbtnRdataY"
value
=
"NO"
/><
label
for
=
"Cph1_rbtnRdataY_1"
>NO</
label
></
td
>
</
tr
>
</
table
>
</
td
>
</
tr
>
</
table
>
<
table
style
=
"width:800px; text-align:left; "
>
<
tr
align
=
"left"
>
<
td
style
=
"width:20%; text-align:left;"
>
<
label
for
=
"ctl00_Cph1_RadDatePicker1"
id
=
"Cph1_Label14"
class
=
"label"
style
=
"width:124px;"
>3. Date sent to NCHS:</
label
>
</
td
>
<
td
align
=
"left"
>
<
div
id
=
"ctl00_Cph1_RadDatePicker1_wrapper"
class
=
"RadPicker RadPicker_Default"
style
=
"display:inline;zoom:1;width:150px;"
>
<
input
style
=
"visibility:hidden;display:block;float:right;margin:0 0 -1px -1px;width:1px;height:1px;overflow:hidden;border:0;padding:0;"
id
=
"ctl00_Cph1_RadDatePicker1"
name
=
"ctl00$Cph1$RadDatePicker1"
type
=
"text"
class
=
"rdfd_"
value
=
""
/><
table
cellspacing
=
"0"
class
=
"rcTable"
style
=
"width:100%;"
>
<
tr
>
<
td
class
=
"rcInputCell"
style
=
"width:100%;"
><
span
id
=
"ctl00_Cph1_RadDatePicker1_dateInput_wrapper"
class
=
"RadInput RadInput_Default"
style
=
"display:block;"
><
input
type
=
"text"
value
=
"- Select Date -"
id
=
"ctl00_Cph1_RadDatePicker1_dateInput_text"
name
=
"ctl00_Cph1_RadDatePicker1_dateInput_text"
class
=
"riTextBox riEmpty"
style
=
"width:100%;"
/><
input
style
=
"visibility:hidden;float:right;margin:-18px 0 0 -1px;width:1px;height:1px;overflow:hidden;border:0;padding:0;"
id
=
"ctl00_Cph1_RadDatePicker1_dateInput"
name
=
"ctl00$Cph1$RadDatePicker1$dateInput"
type
=
"text"
class
=
"rdfd_"
value
=
""
/><
input
id
=
"ctl00_Cph1_RadDatePicker1_dateInput_ClientState"
name
=
"ctl00_Cph1_RadDatePicker1_dateInput_ClientState"
type
=
"hidden"
/></
span
></
td
><
td
><
a
title
=
"Open the calendar popup."
href
=
"#"
id
=
"ctl00_Cph1_RadDatePicker1_popupButton"
class
=
"rcCalPopup"
>Open the calendar popup.</
a
><
div
id
=
"ctl00_Cph1_RadDatePicker1_calendar_wrapper"
style
=
"display: none"
><
table
id
=
"ctl00_Cph1_RadDatePicker1_calendar"
summary
=
"Calendar"
cellspacing
=
"0"
class
=
"RadCalendar RadCalendar_Default"
>
<
thead
>
<
tr
>
<
td
class
=
"rcTitlebar"
><
table
cellspacing
=
"0"
summary
=
"title and navigation"
>
<
tr
>
<
td
><
a
id
=
"ctl00_Cph1_RadDatePicker1_calendar_FNP"
class
=
"rcFastPrev"
title
=
"<<"
href
=
"#"
><<</
a
></
td
><
td
><
a
id
=
"ctl00_Cph1_RadDatePicker1_calendar_NP"
class
=
"rcPrev"
title
=
"<"
href
=
"#"
><</
a
></
td
><
td
id
=
"ctl00_Cph1_RadDatePicker1_calendar_Title"
class
=
"rcTitle"
>March 2011</
td
><
td
><
a
id
=
"ctl00_Cph1_RadDatePicker1_calendar_NN"
class
=
"rcNext"
title=">" href="#">></
a
></
td
><
td
><
a
id
=
"ctl00_Cph1_RadDatePicker1_calendar_FNN"
class
=
"rcFastNext"
title=">>" href="#">>></
a
></
td
>
</
tr
>
</
table
></
td
>
</
tr
>
</
thead
><
tbody
>
<
tr
>
<
td
class
=
"rcMain"
><
table
id
=
"ctl00_Cph1_RadDatePicker1_calendar_Top"
class
=
"rcMainTable"
cellspacing
=
"0"
summary
=
"March 2011"
>
<
thead
>
<
tr
class
=
"rcWeek"
>
<
th
class
=
"rcViewSel"
> </
th
><
th
id
=
"ctl00_Cph1_RadDatePicker1_calendar_Top_cs_1"
title
=
"Sunday"
abbr
=
"Sun"
scope
=
"col"
>S</
th
><
th
id
=
"ctl00_Cph1_RadDatePicker1_calendar_Top_cs_2"
title
=
"Monday"
abbr
=
"Mon"
scope
=
"col"
>M</
th
><
th
id
=
"ctl00_Cph1_RadDatePicker1_calendar_Top_cs_3"
title
=
"Tuesday"
abbr
=
"Tue"
scope
=
"col"
>T</
th
><
th
id
=
"ctl00_Cph1_RadDatePicker1_calendar_Top_cs_4"
title
=
"Wednesday"
abbr
=
"Wed"
scope
=
"col"
>W</
th
><
th
id
=
"ctl00_Cph1_RadDatePicker1_calendar_Top_cs_5"
title
=
"Thursday"
abbr
=
"Thu"
scope
=
"col"
>T</
th
><
th
id
=
"ctl00_Cph1_RadDatePicker1_calendar_Top_cs_6"
title
=
"Friday"
abbr
=
"Fri"
scope
=
"col"
>F</
th
><
th
id
=
"ctl00_Cph1_RadDatePicker1_calendar_Top_cs_7"
title
=
"Saturday"
abbr
=
"Sat"
scope
=
"col"
>S</
th
>
</
tr
>
</
thead
><
tbody
>
<
tr
class
=
"rcRow"
>
<
th
id
=
"ctl00_Cph1_RadDatePicker1_calendar_Top_rs_1"
scope
=
"row"
>10</
th
><
td
class
=
"rcOtherMonth"
title
=
"Sunday, February 27, 2011"
><
a
href
=
"#"
>27</
a
></
td
><
td
class
=
"rcOtherMonth"
title
=
"Monday, February 28, 2011"
><
a
href
=
"#"
>28</
a
></
td
><
td
title
=
"Tuesday, March 01, 2011"
><
a
href
=
"#"
>1</
a
></
td
><
td
title
=
"Wednesday, March 02, 2011"
><
a
href
=
"#"
>2</
a
></
td
><
td
title
=
"Thursday, March 03, 2011"
><
a
href
=
"#"
>3</
a
></
td
><
td
title
=
"Friday, March 04, 2011"
><
a
href
=
"#"
>4</
a
></
td
><
td
class
=
"rcWeekend"
title
=
"Saturday, March 05, 2011"
><
a
href
=
"#"
>5</
a
></
td
>
</
tr
><
tr
class
=
"rcRow"
>
<
th
id
=
"ctl00_Cph1_RadDatePicker1_calendar_Top_rs_2"
scope
=
"row"
>11</
th
><
td
class
=
"rcWeekend"
title
=
"Sunday, March 06, 2011"
><
a
href
=
"#"
>6</
a
></
td
><
td
title
=
"Monday, March 07, 2011"
><
a
href
=
"#"
>7</
a
></
td
><
td
title
=
"Tuesday, March 08, 2011"
><
a
href
=
"#"
>8</
a
></
td
><
td
title
=
"Wednesday, March 09, 2011"
><
a
href
=
"#"
>9</
a
></
td
><
td
title
=
"Thursday, March 10, 2011"
><
a
href
=
"#"
>10</
a
></
td
><
td
title
=
"Friday, March 11, 2011"
><
a
href
=
"#"
>11</
a
></
td
><
td
class
=
"rcWeekend"
title
=
"Saturday, March 12, 2011"
><
a
href
=
"#"
>12</
a
></
td
>
</
tr
><
tr
class
=
"rcRow"
>
<
th
id
=
"ctl00_Cph1_RadDatePicker1_calendar_Top_rs_3"
scope
=
"row"
>12</
th
><
td
class
=
"rcWeekend"
title
=
"Sunday, March 13, 2011"
><
a
href
=
"#"
>13</
a
></
td
><
td
title
=
"Monday, March 14, 2011"
><
a
href
=
"#"
>14</
a
></
td
><
td
title
=
"Tuesday, March 15, 2011"
><
a
href
=
"#"
>15</
a
></
td
><
td
title
=
"Wednesday, March 16, 2011"
><
a
href
=
"#"
>16</
a
></
td
><
td
title
=
"Thursday, March 17, 2011"
><
a
href
=
"#"
>17</
a
></
td
><
td
title
=
"Friday, March 18, 2011"
><
a
href
=
"#"
>18</
a
></
td
><
td
class
=
"rcWeekend"
title
=
"Saturday, March 19, 2011"
><
a
href
=
"#"
>19</
a
></
td
>
</
tr
><
tr
class
=
"rcRow"
>
<
th
id
=
"ctl00_Cph1_RadDatePicker1_calendar_Top_rs_4"
scope
=
"row"
>13</
th
><
td
class
=
"rcWeekend"
title
=
"Sunday, March 20, 2011"
><
a
href
=
"#"
>20</
a
></
td
><
td
title
=
"Monday, March 21, 2011"
><
a
href
=
"#"
>21</
a
></
td
><
td
title
=
"Tuesday, March 22, 2011"
><
a
href
=
"#"
>22</
a
></
td
><
td
title
=
"Wednesday, March 23, 2011"
><
a
href
=
"#"
>23</
a
></
td
><
td
title
=
"Thursday, March 24, 2011"
><
a
href
=
"#"
>24</
a
></
td
><
td
title
=
"Friday, March 25, 2011"
><
a
href
=
"#"
>25</
a
></
td
><
td
class
=
"rcWeekend"
title
=
"Saturday, March 26, 2011"
><
a
href
=
"#"
>26</
a
></
td
>
</
tr
><
tr
class
=
"rcRow"
>
<
th
id
=
"ctl00_Cph1_RadDatePicker1_calendar_Top_rs_5"
scope
=
"row"
>14</
th
><
td
class
=
"rcWeekend"
title
=
"Sunday, March 27, 2011"
><
a
href
=
"#"
>27</
a
></
td
><
td
title
=
"Monday, March 28, 2011"
><
a
href
=
"#"
>28</
a
></
td
><
td
title
=
"Tuesday, March 29, 2011"
><
a
href
=
"#"
>29</
a
></
td
><
td
title
=
"Wednesday, March 30, 2011"
><
a
href
=
"#"
>30</
a
></
td
><
td
title
=
"Thursday, March 31, 2011"
><
a
href
=
"#"
>31</
a
></
td
><
td
class
=
"rcOtherMonth"
title
=
"Friday, April 01, 2011"
><
a
href
=
"#"
>1</
a
></
td
><
td
class
=
"rcOtherMonth"
title
=
"Saturday, April 02, 2011"
><
a
href
=
"#"
>2</
a
></
td
>
</
tr
><
tr
class
=
"rcRow"
>
<
th
id
=
"ctl00_Cph1_RadDatePicker1_calendar_Top_rs_6"
scope
=
"row"
>15</
th
><
td
class
=
"rcOtherMonth"
title
=
"Sunday, April 03, 2011"
><
a
href
=
"#"
>3</
a
></
td
><
td
class
=
"rcOtherMonth"
title
=
"Monday, April 04, 2011"
><
a
href
=
"#"
>4</
a
></
td
><
td
class
=
"rcOtherMonth"
title
=
"Tuesday, April 05, 2011"
><
a
href
=
"#"
>5</
a
></
td
><
td
class
=
"rcOtherMonth"
title
=
"Wednesday, April 06, 2011"
><
a
href
=
"#"
>6</
a
></
td
><
td
class
=
"rcOtherMonth"
title
=
"Thursday, April 07, 2011"
><
a
href
=
"#"
>7</
a
></
td
><
td
class
=
"rcOtherMonth"
title
=
"Friday, April 08, 2011"
><
a
href
=
"#"
>8</
a
></
td
><
td
class
=
"rcOtherMonth"
title
=
"Saturday, April 09, 2011"
><
a
href
=
"#"
>9</
a
></
td
>
</
tr
>
</
tbody
>
</
table
></
td
>
</
tr
>
</
tbody
>
</
table
><
input
type
=
"hidden"
name
=
"ctl00_Cph1_RadDatePicker1_calendar_SD"
id
=
"ctl00_Cph1_RadDatePicker1_calendar_SD"
value
=
"[]"
/><
input
type
=
"hidden"
name
=
"ctl00_Cph1_RadDatePicker1_calendar_AD"
id
=
"ctl00_Cph1_RadDatePicker1_calendar_AD"
value
=
"[[1980,1,1],[2099,12,30],[2011,3,16]]"
/></
div
></
td
>
</
tr
>
</
table
><
input
id
=
"ctl00_Cph1_RadDatePicker1_ClientState"
name
=
"ctl00_Cph1_RadDatePicker1_ClientState"
type
=
"hidden"
/>
</
div
>
</
td
>
<
td
align
=
"left"
>
<
span
id
=
"Cph1_rqdvaldate"
style
=
"visibility:hidden;"
>* Please select Date</
span
>
</
td
>
</
tr
>
</
table
>
<
table
style
=
"width:800px; text-align:left; "
border
=
"1"
bordercolor
=
"black"
>
<
tr
style
=
" vertical-align:text-top; width:100%; text-align:left; "
>
<
td
style
=
"width:50%; text-align:left; "
>
<
table
style
=
"width:100%; text-align:left; "
>
<
tr
style
=
"width:100%; text-align:left; "
>
<
td
style
=
"width:15%; text-align:left; "
>
<
label
for
=
"Cph1_txtttlrec"
id
=
"Cph1_Label16"
class
=
"label"
>4. TOTAL number of records: <
br
/> (100 character records)</
label
>
</
td
>
<
td
style
=
"width:5%; text-align:left; "
>
<
input
name
=
"ctl00$Cph1$txtttlrec"
type
=
"text"
maxlength
=
"15"
id
=
"Cph1_txtttlrec"
title
=
"TOTAL number of records"
class
=
"textbox"
OnBlur
=
"Comma(this)"
style
=
"font-size:Small;"
/>
</
td
>
</
tr
>
<
tr
>
<
td
align
=
"left"
>
<
label
for
=
"Cph1_txtstudysub"
id
=
"Cph1_Label17"
>
<
p
><
font
color
=
black
>
Number of study subjects*</
font
><
br
/>
*Charges are only based on<
br
/>
the number of subjects. </
p
>
</
label
>
</
td
>
<
td
align
=
"left"
>
<
input
name
=
"ctl00$Cph1$txtstudysub"
type
=
"text"
maxlength
=
"15"
id
=
"Cph1_txtstudysub"
title
=
"Number of study subjects"
class
=
"textbox"
OnBlur
=
"CalculateCharges()"
style
=
"font-size:Small;"
/>
</
td
>
</
tr
>
<
tr
>
<
td
align
=
"left"
>
<
label
for
=
"Cph1_txtttlaliasrec"
id
=
"Cph1_Label21"
class
=
"label"
>
<
p
><
font
color
=
black
>
Duplicate/alias records</
font
><
br
/>
(at no charge) (optional)</
p
>
</
label
>
</
td
>
<
td
align
=
"left"
>
<
input
name
=
"ctl00$Cph1$txtttlaliasrec"
type
=
"text"
maxlength
=
"15"
id
=
"Cph1_txtttlaliasrec"
title
=
"Duplicate/Alias Records"
class
=
"textbox"
OnBlur
=
"Comma(this)"
style
=
"font-size:Small;"
/>
</
td
>
</
tr
>
</
table
>
</
td
>
<
td
style
=
" vertical-align:text-top; width:50%; text-align:left;"
>
<
table
style
=
" text-align:left;"
>
<
tr
align
=
"left"
>
<
td
style
=
"width:55%; text-align:left;"
>
<
span
id
=
"Cph1_Label22"
class
=
"label"
>5. Records submitted on:
<
br
/> (100 character records)</
span
>
</
td
>
</
tr
>
<
tr
align
=
"left"
>
<
td
align
=
"center"
>
<
table
id
=
"Cph1_rbtnTransmed"
title
=
"SelectRecords submitted Medium"
style
=
"color:Black;"
>
<
tr
>
<
td
><
input
id
=
"Cph1_rbtnTransmed_0"
type
=
"radio"
name
=
"ctl00$Cph1$rbtnTransmed"
value
=
"CDROM"
/><
label
for
=
"Cph1_rbtnTransmed_0"
>CD-ROM</
label
></
td
>
</
tr
><
tr
>
<
td
><
input
id
=
"Cph1_rbtnTransmed_1"
type
=
"radio"
name
=
"ctl00$Cph1$rbtnTransmed"
value
=
"DISK"
/><
label
for
=
"Cph1_rbtnTransmed_1"
>Diskette</
label
></
td
>
</
tr
>
</
table
>
</
td
>
</
tr
>
<
tr
align
=
"right"
>
<
td
style
=
" width:15%; text-align:right;"
>
</
td
>
</
tr
>
</
table
>
</
td
>
</
tr
>
</
table
>
<
table
style
=
" width:800px; text-align:left;"
>
<
tr
align
=
"left"
>
<
td
style
=
" width:50%; text-align:left;"
>
<
span
id
=
"Cph1_lbloutput"
class
=
"label"
>6. PREFERRED OUTPUT MEDIUM:<
br
/>
We plan to send your NDI results on a <
br
/>
CD-ROM unless you indicate that you <
br
/>
prefer a different medium.</
span
>
</
td
>
<
td
style
=
" width:50%; text-align:left;"
>
<
table
id
=
"Cph1_rbtnOutputMed"
title
=
"Seelct Output Medium"
style
=
"color:Black;"
>
<
tr
>
<
td
><
input
id
=
"Cph1_rbtnOutputMed_0"
type
=
"radio"
name
=
"ctl00$Cph1$rbtnOutputMed"
value
=
"CDROM"
checked
=
"checked"
/><
label
for
=
"Cph1_rbtnOutputMed_0"
>CD-ROM</
label
></
td
>
</
tr
><
tr
>
<
td
><
input
id
=
"Cph1_rbtnOutputMed_1"
type
=
"radio"
name
=
"ctl00$Cph1$rbtnOutputMed"
value
=
"DISK"
/><
label
for
=
"Cph1_rbtnOutputMed_1"
>Diskette</
label
></
td
>
</
tr
><
tr
>
<
td
><
input
id
=
"Cph1_rbtnOutputMed_2"
type
=
"radio"
name
=
"ctl00$Cph1$rbtnOutputMed"
value
=
"PRINT"
/><
label
for
=
"Cph1_rbtnOutputMed_2"
>Computer Printout</
label
></
td
>
</
tr
>
</
table
>
</
td
>
</
tr
>
</
table
>
<
table
style
=
" width:100%; "
>
<
tr
style
=
" width:100%; "
>
<
td
align
=
"left"
>
<
label
for
=
"Cph1_FileUploadControl"
id
=
"Cph1_lablfile"
class
=
"label"
>7. Input File</
label
>
</
td
>
<
td
align
=
"left"
>
<
input
type
=
"file"
name
=
"ctl00$Cph1$FileUploadControl"
id
=
"Cph1_FileUploadControl"
title
=
"Input File"
class
=
"Fileupload"
style
=
"width:480px;"
/>
</
td
>
<
td
align
=
"left"
style
=
" width:15%"
>
<
input
type
=
"submit"
name
=
"ctl00$Cph1$btnCancelUpoadedFile"
value
=
"Cancel Selected File"
id
=
"Cph1_btnCancelUpoadedFile"
title
=
"Cancel"
class
=
"button"
/>
</
td
>
</
tr
>
<
tr
>
<
td
>
<
span
id
=
"Cph1_fileupload"
style
=
"display:none;"
>* Please browse for a file to upload.</
span
>
</
td
>
</
tr
>
</
table
>
<
table
border
=
"1"
style
=
"border-color: #000000; border-top-width: 1px; width:100%"
>
<
tr
style
=
"border-color: #000000;width:100%;"
>
<
td
style
=
"border-width: 1px; border-color: #000000;width:55%; text-align:left;"
>
<
table
style
=
"width: 100%;vertical-align:text-top;"
>
<
tr
>
<
td
align
=
"left"
>
<
font
color
=
"black"
style
=
"font-weight: normal"
>
8. Payment is being made by:
</
font
>
</
td
>
</
tr
>
</
table
>
<
table
>
<
tr
>
<
td
style
=
"width: 222px; height: 118px; vertical-align:text-top;"
>
<
table
id
=
"Cph1_chkPaymentList"
onclick
=
"SelectPayment()"
style
=
"height:76px;"
>
<
tr
>
<
td
><
input
id
=
"Cph1_chkPaymentList_0"
type
=
"radio"
name
=
"ctl00$Cph1$chkPaymentList"
value
=
"C"
/><
label
for
=
"Cph1_chkPaymentList_0"
>Check:</
label
></
td
>
</
tr
><
tr
>
<
td
><
input
id
=
"Cph1_chkPaymentList_1"
type
=
"radio"
name
=
"ctl00$Cph1$chkPaymentList"
value
=
"P"
/><
label
for
=
"Cph1_chkPaymentList_1"
>Purchase Order:</
label
></
td
>
</
tr
><
tr
>
<
td
><
input
id
=
"Cph1_chkPaymentList_2"
type
=
"radio"
name
=
"ctl00$Cph1$chkPaymentList"
value
=
"A"
/><
label
for
=
"Cph1_chkPaymentList_2"
>Interagency Agreement (specify):</
label
></
td
>
</
tr
><
tr
>
<
td
><
input
id
=
"Cph1_chkPaymentList_3"
type
=
"radio"
name
=
"ctl00$Cph1$chkPaymentList"
value
=
"O"
/><
label
for
=
"Cph1_chkPaymentList_3"
>Other (spcecify):</
label
></
td
>
</
tr
>
</
table
>
<
label
for
=
"Cph1_txtpurchorder"
id
=
"Cph1_Label30"
style
=
"color:White;"
>.</
label
>
<
label
for
=
"Cph1_txtinterage"
id
=
"Cph1_Label31"
style
=
"color:White;"
>.</
label
>
<
label
for
=
"Cph1_txtother"
id
=
"Cph1_Label32"
style
=
"color:White;"
>.</
label
>
</
td
>
<
td
style
=
"vertical-align:top; height: 118px;"
>
<
table
id
=
"Cph1_rblCheck"
onclick
=
"SelectCheckType()"
style
=
"color:Black;width:151px;"
>
<
tr
>
<
td
><
input
id
=
"Cph1_rblCheck_0"
type
=
"radio"
name
=
"ctl00$Cph1$rblCheck"
value
=
"A"
/><
label
for
=
"Cph1_rblCheck_0"
>Attached</
label
></
td
><
td
><
input
id
=
"Cph1_rblCheck_1"
type
=
"radio"
name
=
"ctl00$Cph1$rblCheck"
value
=
"P"
/><
label
for
=
"Cph1_rblCheck_1"
>Pending</
label
></
td
>
</
tr
>
</
table
>
<
input
name
=
"ctl00$Cph1$txtpurchorder"
type
=
"text"
id
=
"Cph1_txtpurchorder"
disabled
=
"disabled"
class
=
"aspNetDisabled"
style
=
"height:16px;width:187px;"
/>
<
input
name
=
"ctl00$Cph1$txtinterage"
type
=
"text"
id
=
"Cph1_txtinterage"
disabled
=
"disabled"
class
=
"aspNetDisabled"
style
=
"height:16px;width:187px;"
/>
<
br
/>
<
input
name
=
"ctl00$Cph1$txtother"
type
=
"text"
id
=
"Cph1_txtother"
disabled
=
"disabled"
class
=
"aspNetDisabled"
style
=
"height:16px;width:187px;"
/>
</
td
>
</
tr
>
</
table
>
</
td
>
<
td
style
=
"border-color: #000000; border-width: 1px; vertical-align:text-top;width:45%;"
align
=
"left"
>
<
span
id
=
"Cph1_lblamount"
class
=
"label"
> 9. Amount of Payment:(Confirm with NDI Staff if necessary)</
span
>
<
table
style
=
"width: 100%;vertical-align:text-top;"
>
<
tr
>
<
td
style
=
"width: 157px; height: 26px;"
>
<
label
for
=
"Cph1_txtServicecharge"
id
=
"Cph1_Label5"
style
=
"color:Black;"
>Service Charge:</
label
>
<
label
for
=
"Cph1_txtServiceChargeHidden"
id
=
"Cph1_lbl1"
style
=
"color:White;"
>.</
label
>
</
td
>
<
td
style
=
"height: 26px"
>
<
input
name
=
"ctl00$Cph1$txtServicecharge"
type
=
"text"
maxlength
=
"15"
id
=
"Cph1_txtServicecharge"
onchange
=
"ValidateCharges()"
style
=
"width:127px;"
/>
<
input
name
=
"ctl00$Cph1$txtServiceChargeHidden"
type
=
"text"
id
=
"Cph1_txtServiceChargeHidden"
disabled
=
"disabled"
class
=
"aspNetDisabled"
style
=
"border-color:Transparent;height:0px;width:0px;"
/>
</
td
>
</
tr
>
<
tr
>
<
td
style
=
"width: 157px; height: 26px;"
>
<
label
for
=
"Cph1_txtTtlrecords"
id
=
"Cph1_Label15"
style
=
"color:Black;"
>Total Record Charges:</
label
>
</
td
>
<
td
style
=
"height: 26px"
>
<
input
name
=
"ctl00$Cph1$txtTtlrecords"
type
=
"text"
maxlength
=
"15"
id
=
"Cph1_txtTtlrecords"
onchange
=
"ValidateCharges()"
style
=
"width:127px;"
/>
</
td
>
</
tr
>
<
tr
>
<
td
style
=
"width: 157px"
>
<
label
for
=
"Cph1_txtTtlPay"
id
=
"Cph1_Label26"
style
=
"color:Black;"
>Total Payment: </
label
>
</
td
>
<
td
style
=
"height: 25px"
>
<
input
name
=
"ctl00$Cph1$txtTtlPay"
type
=
"text"
maxlength
=
"15"
id
=
"Cph1_txtTtlPay"
disabled
=
"disabled"
class
=
"aspNetDisabled"
style
=
"width:125px;"
/>
</
td
>
</
tr
>
</
table
>
</
td
>
</
tr
>
</
table
>
</
div
>
<
br
/>
<
table
style
=
"width:800px; text-align:center;"
>
<
tr
style
=
"width:100%; text-align:center;"
>
<
td
style
=
"width:50%; text-align:right;"
>
<
input
type
=
"submit"
name
=
"ctl00$Cph1$btnsubmit"
value
=
"Submit"
id
=
"Cph1_btnsubmit"
disabled
=
"disabled"
title
=
"Submit"
class
=
"aspNetDisabled button"
/>
</
td
>
<
td
style
=
"width:50%; text-align:left;"
>
<
input
type
=
"submit"
name
=
"ctl00$Cph1$btnCancel"
value
=
"Cancel"
id
=
"Cph1_btnCancel"
disabled
=
"disabled"
title
=
"Cancel"
class
=
"aspNetDisabled button"
/>
<
input
name
=
"ctl00$Cph1$lblhiddenMatchCnt"
type
=
"hidden"
id
=
"Cph1_lblhiddenMatchCnt"
/>
</
td
>
</
tr
>
<
tr
>
<
td
>
</
td
>
</
tr
>
</
table
>
</
div
>
</
div
>
<
div
>
</
div
>
<
script
type
=
"text/javascript"
>
var PO = document.getElementById("Cph1_txtpurchorder");
var Agency = document.getElementById("Cph1_txtinterage");
var Other = document.getElementById("Cph1_txtother");
var chkList = document.getElementById("Cph1_chkPaymentList");
var CheckListArray = chkList.getElementsByTagName('input');
var chkType = '';
var rbCheck = document.getElementById("Cph1_rblCheck");
var radioButtonArray = rbCheck.getElementsByTagName('input');
var CalculatedRecCharges = ""
var rbtype = '';
var ServiceChargesChanged = false;
var RecordChargesChanged = false;
function SelectCheckType()
{
for(var i = 0; i <
radioButtonArray.length
; i++)
{
if (radioButtonArray[i].checked == true)
{
rbtype
=
radioButtonArray
[i].value;
}
}
}
function ClearCheckType()
{
for(var
i
=
0
; i < radioButtonArray.length; i++)
{
radioButtonArray[i]
.checked
=
false
;
}
}
function EnableDisable()
{
for(var
i
=
0
; i < radioButtonArray.length; i++)
{
radioButtonArray[i]
.disabled
=
true
;
// radioButtonArray[i]
.checked
=
false
;
}
Agency.disabled
=
true
;
Agency.value
=
""
;
PO.disabled
=
true
;
PO.value
=
""
;
Other.disabled
=
true
;
Other.value
=
""
;
}
function SelectPayment()
{
for(var
i
=
0
; i < CheckListArray.length; i++)
{
if (CheckListArray[i].checked == true)
{
switch (i)
{
case 0:
chkType
=
'C'
;
Agency.value
=
""
;
PO.value
=
""
;
Other.value
=
""
;
// EnableDisable();
//alert(radioButtonArray.length);
for (var
j
=
0
; j < radioButtonArray.length; j++) {
radioButtonArray[j]
.disabled
=
false
;
}
// radioButtonArray[0].focus();
break;
case 1:
chkType
=
'P'
;
// EnableDisable();
ClearCheckType();
Agency.value
=
""
;
Other.value
=
""
;
PO.disabled
=
false
;
PO.focus();
break;
case 2:
chkType
=
'A'
;
// EnableDisable();
ClearCheckType();
PO.value
=
""
;
Other.value
=
""
;
Agency.disabled
=
false
;
Agency.focus();
break;
case 3:
chkType
=
'O'
;
// EnableDisable();
ClearCheckType();
Agency.value
=
""
;
PO.value
=
""
;
Other.disabled
=
false
;
Other.focus();
break;
}
}
}
// if (CheckListArray[0].checked != true)
// {
// for(var
i
=
0
; i < radioButtonArray.length; i++)
// {
// if (radioButtonArray[i].checked == true)
// {
// radioButtonArray[i]
.checked
=
false
;
// }
// }
// }
}
function SelectCheck()
{
for(var
i
=
0
; i < radioButtonArray.length; i++)
{
if (radioButtonArray[i].checked == true)
{
rbtype
=
radioButtonArray
[i].value;
CheckListArray[0]
.checked
=
true
;
EnableDisable();
for(var
j
=
0
; j < radioButtonArray.length; j++)
{
radioButtonArray[j]
.disabled
=
false
;
}
return;
}
}
}
function ValidateCheckList()
{
SelectPayment();
switch (chkType)
{
case "C":
SelectCheckType();
if (rbtype == "")
{ alert("Please select Check Type");
return false;
}
break;
case "P":
if (PO.value == "")
{ alert("Please enter Purchase Order");
return false;
}
break;
case "A":
if (Agency.value == "")
{ alert("Please enter Interagency Agreement");
return false;
}
break;
case "O":
if (other.value == "")
{ alert("Please enter Other mode of Payment");
return false;
}
break;
default:
alert("Please select Payment method");
return false;
}
}
var
zipcode
=
document
.getElementById("Cph1_txtzipcode");
function validateZipCode()
{
if(zipcode.value.length < "4")
{
alert("Zipcode length should be 4 to 5 digits");
document.getElementById("Cph1_txtzipcode").focus();
return false;
}
else
{
return true;
}
}
function validate()
{
var
searchtype
=
document
.getElementById("Cph1_ddlsearchtype");
var
InvestigatorlastName
=
document
.getElementById("Cph1_txtlname");
var
InvestigatorFirstName
=
document
.getElementById("Cph1_txtfname");
var
InvestigatorMI
=
document
.getElementById("Cph1_txtmi");
var
InveOrganization
=
document
.getElementById("Cph1_txtPIOrganiza");
var
Cert
=
document
.getElementById("Cph1_rbtnCustCert");
var
radioButtonArray
=
Cert
.getElementsByTagName('input');
var
certtype
=
''
;
// var
datepicker
=
ctl00_Cph1_RadDatePicker1
;
// alert(datepicker.value);
for(var
i
=
0
; i < radioButtonArray.length; i++)
{
if (radioButtonArray[i].checked == true)
{
certtype
=
radioButtonArray
[i].value;
}
}
if(searchtype.value == "- Select -")
{
alert("Please select SearchType.");
document.getElementById("Cph1_ddlsearchtype").focus();
return false;
}
if(certtype == '')
{
alert("Please select Customer has Certificates.");
document.getElementById("Cph1_rbtnCustCert").focus();
return false;
}
if (InvestigatorFirstName.value == "")
{
alert("Please Enter First Name.");
document.getElementById("Cph1_txtfname").focus();
return false;
}
if(InvestigatorlastName.value == "")
{
alert("Please Enter Last Name.");
document.getElementById("Cph1_txtlname").focus();
return false;
}
if(InveOrganization.value == "")
{
alert("Please Enter Organization.");
document.getElementById("Cph1_txtPIOrganiza").focus();
return false;
}
var
InveAddres
=
document
.getElementById("Cph1_txtadress1");
var
InveEmail
=
document
.getElementById("Cph1_txtInveEmail");
var
city
=
document
.getElementById("Cph1_txtcity");
var
state
=
document
.getElementById("Cph1_txtstate");
var
InvePhoneNo
=
document
.getElementById("Cph1_txtInvePhoneNo");
if(InveAddres.value == "")
{
alert("Please Enter Address.");
return false;
document.getElementById("Cph1_txtadress1").focus();
}
if(city.value == "")
{
alert("Please Enter city");
if (document.getElementById("Cph1_txtcity").disabled == false)
{
document.getElementById("Cph1_txtcity").focus();
return false;
}
else
{
document.getElementById("Cph1_txtzipcode").focus();
}
}
if(state.value == "")
{
alert("Please Enter state");
if (document.getElementById("Cph1_txtstate").disabled == false)
{
document.getElementById("Cph1_txtstate").focus();
return false;
}
else
{
document.getElementById("Cph1_txtzipcode").focus();
return false;
}
}
if(zipcode.value == "")
{
alert("Please Enter zipcode");
document.getElementById("Cph1_txtzipcode").focus();
return false;
}
if (zipcode.value.length < "4")
{
alert("Zipcode length should be 4 to 5 digits");
document.getElementById("Cph1_txtzipcode").focus();
return false;
}
if (InvePhoneNo.value == "")
{
alert("Please Enter Phone No");
document.getElementById("Cph1_txtInvePhoneNo").focus();
return false;
}
if(InveEmail.value == "")
{
alert("Please Enter E-mail Address.");
document.getElementById("Cph1_txtInveEmail").focus();
return false;
}
var emailPat = /^([A-Za-z0-9_\-\.])+\@([A-Za-z0-9_\-\.])+\.([A-Za-z]{2,4})$/;
///^(\".*\"|[A-Za-z]\w*)@(\[\d{1,3}(\.\d{1,3}){3}]|[A-Za-z]\w*(\.[A-Za-z]\w*)+)$/;
var
emailid
=
document
.getElementById("Cph1_txtInveEmail").value;
var
matchArray1
=
InveEmail
.value.match(emailPat);
if (matchArray1 == null)
{
alert("Please enter correct format of E-mail Address.");
document.getElementById("Cph1_txtInveEmail").focus();
return false;
}
var
CoInvestigatorlastName
=
document
.getElementById("Cph1_txtCOPIlname");
var
CoInvestigatorFirstName
=
document
.getElementById("Cph1_txtCOPIfname");
var
CoInvestigatorFirstName
=
document
.getElementById("Cph1_txtCOPImi");
var
CoInveEmail
=
document
.getElementById("Cph1_txtCOPIemail");
var
matchArray2
=
CoInveEmail
.value.match(emailPat);
if (CoInveEmail.value != "")
{
if (matchArray2 == null)
{
alert("Please enter correct format of E-mail Address.");
document.getElementById("Cph1_txtCOPIemail").focus();
return false;
}
}
var BOY = $find('ctl00_Cph1_ddlbeginyod');
var
BOYValue
= BOY.get_value();
var
BOYinput
= BOY.get_inputDomElement();
var EOY = $find('ctl00_Cph1_ddlendyod');
var
EOYValue
= EOY.get_value();
var
EOYinput
= EOY.get_inputDomElement();
// alert(BOYValue);
if(BOYValue == "")
{
alert("Please select Beginning Year.");
BOYinput.focus();
return false;
}
if(EOYValue == "")
{
alert("Please select Ending Year.");
EOYinput.focus();
return false;
}
var
RevisedataYN
=
document
.getElementById("Cph1_rbtnRdataY");
var
ReviseradioButtonArray
=
RevisedataYN
.getElementsByTagName('input');
var
ReviseType
=
''
;
for(var
i
=
0
; i < ReviseradioButtonArray.length; i++)
{
if (ReviseradioButtonArray[i].checked == true)
{
ReviseType
=
ReviseradioButtonArray
[i].value;
}
}
if(ReviseType == '')
{
alert("Please select REVISED date submission.");
document.getElementById("Cph1_rbtnRdataY").focus();
return false;
}
var
TotalREc
=
document
.getElementById("Cph1_txtttlrec");
var
StudySub
=
document
.getElementById("Cph1_txtstudysub");
if(CoInveEmail.value == "")
{
alert("Please Enter E-mail Address.");
document.getElementById("Cph1_txtCOPIemail").focus();
return false;
}
if(TotalREc.value == "")
{
alert("Please Enter Total Number of Records.");
document.getElementById("Cph1_txtttlrec").focus();
return false;
}
if(StudySub.value == "")
{
alert("Please Enter Number of study subjects");
document.getElementById("Cph1_txtstudysub").focus();
return false;
}
var
RecSubmitYN
=
document
.getElementById("Cph1_rbtnTransmed");
var
RecSubmitradioButtonArray
=
RecSubmitYN
.getElementsByTagName('input');
var
RecSubmitType
=
''
;
for(var
i
=
0
; i < RecSubmitradioButtonArray.length; i++)
{
if (RecSubmitradioButtonArray[i].checked == true)
{
RecSubmitType
=
RecSubmitradioButtonArray
[i].value;
}
}
if(RecSubmitType == '')
{
alert("Please select Records submitted.");
document.getElementById("Cph1_rbtnTransmed").focus();
return false;
}
var
FileUploadControl
=
document
.getElementById("Cph1_FileUploadControl");
if(FileUploadControl.value == "")
{
alert("Please browse a file to upload.");
document.getElementById("Cph1_rbtnTransmed").focus();
return false;
}
if (ValidateCheckList() == false)
{
return false;
}
else
{
CalculateCharges();
}
}
function ChkExtNumber()
{
var
Invextno
=
document
.getElementById("Cph1_txtInveext");
var
COPIextno
=
document
.getElementById("Cph1_txtCOPIext");
if (Invextno.value != "")
{
if( Invextno.value.length < "4" )
{
alert("Please enter valid Investigator Phone Number Extension 'xxxx'");
document.getElementById("Cph1_txtInveext").focus();
return false;
}
}
if(COPIextno.value != "")
{
if(COPIextno.value.length < "4")
{
alert("Please Enter valid Co-Principal Investigator Phone Number Extension 'xxxx'.");
document.getElementById("Cph1_txtCOPIext").focus();
return false;
}
}
}
function AddHyphen(PhoneFax)
{
var Temp;
Temp = (PhoneFax.substr(0,3) + "-" + PhoneFax.substr(3,3) + "-" + PhoneFax.substr(6,4));
return Temp;
}
function CalculateCharges()
{
var
RevisedYesNo
=
document
.getElementById("Cph1_rbtnRdataY");
var
RevisedArray
=
RevisedYesNo
.getElementsByTagName('input');
var
RevisedType
=
''
;
for (var
i
=
0
; i < RevisedArray.length; i++)
{
if (RevisedArray[i].checked == true)
{
RevisedType
=
RevisedArray
[i].value;
}
}
if (RevisedType == "YES")
{
document.getElementById("Cph1_txtServicecharge")
.value
=
"$"
+ "0.00";
document.getElementById("Cph1_txtTtlrecords")
.value
=
"$"
+ "0.00";
document.getElementById("Cph1_txtTtlPay")
.value
=
"$"
+ "0.00";
return;
}
var ApplicationNo = $find('ctl00_Cph1_radddlAppNo');
var
SearchType
=
document
.getElementById("Cph1_ddlsearchtype");
var
NoSubjects
=
document
.getElementById("Cph1_txtstudysub");
var
TotalRecCharges
=
document
.getElementById("Cph1_txtTtlrecords");
var
TotalSerCharges
=
document
.getElementById("Cph1_txtServiceChargeHidden");
document.getElementById("Cph1_txtstudysub")
.value
=
addCommas
(document.getElementById("Cph1_txtstudysub").value);
if (ApplicationNo.get_value() != "")
{
TotalSerCharges
= TotalSerCharges.value.substr(1,TotalSerCharges.value.length);
}
else
TotalSerCharges
=
"0"
;
var
TotalPay
=
''
;
var
Cert
=
document
.getElementById("Cph1_rbtnCustCert");
var
radioButtonArray
=
Cert
.getElementsByTagName('input');
var
CertType
=
''
;
var BOY = $find('ctl00_Cph1_ddlbeginyod');
var
BOYValue
= BOY.get_value();
var EOY = $find('ctl00_Cph1_ddlendyod');
var
EOYValue
= EOY.get_value();
var NoYears;
for (var
i
=
0
; i < radioButtonArray.length; i++)
{
if (radioButtonArray[i].checked == true)
{
CertType
=
radioButtonArray
[i].value;
}
}
if (BOYValue > 0 && EOYValue > 0)
{
if(EOYValue <
BOYValue
)
{
alert("Please select End Year Same / Greater than Begin year .");
return false;
}
if (BOYValue == EOYValue)
{
NoYears
=
1
;
}
else
{
NoYears
=
EOYValue
- BOYValue;
}
}
var
NoSubjectsRemoveCommas
=
removeCommas
(NoSubjects.value);
if (SearchType.selectedIndex > 0 && NoYears >= 0 && CertType != "" && NoSubjectsRemoveCommas > 0)
{
switch (SearchType.selectedIndex)
{
case 1:
TotalRecCharges = NoYears * NoSubjectsRemoveCommas * .15;
break;
case 2:
TotalRecCharges = NoYears * NoSubjectsRemoveCommas * .21;
break;
case 3:
if (CertType == "Y")
{
TotalRecCharges = NoYears * NoSubjectsRemoveCommas * 2.50;
break;
}
else
{
TotalRecCharges = NoYears * NoSubjectsRemoveCommas * 5.00;
break;
}
}
TotalPay = Number(TotalSerCharges) + Number(TotalRecCharges);
TotalRecCharges = addCommas(TotalRecCharges.toFixed(2));
TotalPay = addCommas(TotalPay.toFixed(2));
//alert(addCommas(Number(TotalSerCharges).toFixed(2)) + addCommas(Number(TotalRecCharges).toFixed(2)));
document.getElementById("Cph1_txtServicecharge").value = "$" + TotalSerCharges; ///.toFixed(2);
document.getElementById("Cph1_txtTtlrecords").value = "$" + TotalRecCharges;
document.getElementById("Cph1_txtTtlPay").value = "$" + TotalPay;
CalculatedRecCharges = Number(IsNumeric(TotalRecCharges));
}
else
{
return;
}
}
// alert(radioButtonArray[i].value);
// alert(SearchType.value);
// alert(SearchType.selectedIndex);
// alert(radioButtonArray.length);
// alert(BOYValue);
// alert(EOYValue);
// alert(NoYears);
// alert(CertType);
// alert(NoSubjectsRemoveCommas);
function IsNumeric(str)
{
if (str.substr(0,1) == "$")
str = str.substr(1,str.length);
if (str.indexOf(",") != -1)
str = str.replace(",", "");
return str;
}
function removeCommas(aNum)
{
//remove any commas
aNum=aNum.replace(/,/g,"");
//remove any spaces
//aNum=aNum.replace(/\s/g,"");
return aNum;
}
function ValidateCharges()
{
var ServiceCharges = document.getElementById("Cph1_txtServicecharge").value;
var CalculatedServiceCharges = document.getElementById("Cph1_txtServiceChargeHidden");
var TotalRecCharges = document.getElementById("Cph1_txtTtlrecords").value;
var TotalPay = "";
ServiceCharges = IsNumeric(ServiceCharges);
CalculatedServiceCharges = CalculatedServiceCharges.value.substr(1,CalculatedServiceCharges.value.length);
TotalRecCharges = IsNumeric(TotalRecCharges);
// CalculatedRecCharges = TotalRecCharges;
document.getElementById("Cph1_txtServicecharge").value = "$" + addCommas(Number(ServiceCharges).toFixed(2));
CheckCharges(ServiceCharges, CalculatedServiceCharges, "Service", TotalRecCharges );
CheckCharges(TotalRecCharges, CalculatedRecCharges, "Record", ServiceCharges);
}
function CheckCharges(ServiceCharges, CalculatedServiceCharges, strText, TotalRecCharges)
{
if (Number(ServiceCharges) != Number(CalculatedServiceCharges))
{
var response = confirm (strText + " Charge is different from the calculated amount, do you want to continue with the changes?")
if (response)
{
strText == "Service" ?
document.getElementById("Cph1_txtServicecharge").value = "$" + addCommas(Number(ServiceCharges).toFixed(2))
:
document.getElementById("Cph1_txtTtlrecords").value = "$" + addCommas(Number(ServiceCharges).toFixed(2));
TotalPay = Number(ServiceCharges) + Number(TotalRecCharges);
TotalPay = addCommas(TotalPay.toFixed(2));
document.getElementById("Cph1_txtTtlPay").value = "$" + TotalPay;
}
else
{
strText == "Service" ?
document.getElementById("Cph1_txtServicecharge").value = "$" + addCommas(Number(CalculatedServiceCharges).toFixed(2))
:
document.getElementById("Cph1_txtTtlrecords").value = "$" + addCommas(Number(CalculatedRecCharges).toFixed(2));
TotalPay = Number(CalculatedServiceCharges) + Number(TotalRecCharges);
TotalPay = addCommas(TotalPay.toFixed(2));
document.getElementById("Cph1_txtTtlPay").value = "$" + TotalPay;
}
}
}
function Comma(ctrl)
{
ctrl.value = addCommas(ctrl.value)
}
function addCommas(nStr)
{
nStr += '';
x = nStr.split('.');
x1 = x[0];
x2 = x.length > 1 ? '.' + x[1] : '';
var rgx = /(\d+)(\d{3})/;
while (rgx.test(x1))
{
x1 = x1.replace(rgx, '$1' + ',' + '$2');
}
return x1 + x2;
}
var today = new Date();
var todaydate = today.toDateString();
function ConfirmSearch(respone)
{
var MatchCount = document.getElementById("Cph1_lblhiddenMatchCnt");
if (MatchCount != "") {
respone = window.confirm("Search is already existing in Database for Application No, Do you want to run the search?");
if (respone == true)
{
document.getElementById("Cph1_lblhiddenMatchCnt").value = "1";
alert("You pressed OK!");
respone = 1;
}
else {
document.getElementById("Cph1_lblhiddenMatchCnt").value = "0";
respone = 0;
alert("You pressed Cancel!");
// var frm_elements = this.document.elements.length;
// for (i = 0; i <
frm_elements
; i++) {
// var
field_type
=
frm_elements
[i].type.toLowerCase();
// switch (field_type) {
// case "text":
// frm_elements[i]
.value
=
""
;
// break;
// case "hidden":
// frm_elements[i]
.value
=
""
;
// break;
// case "radio":
// frm_elements[i]
.checked
=
false
;
// break;
// case "select-one":
// case "select-multi":
// frm_elements[i].selectedIndex = -1;
// break;
// default:
// break;
// }
// }
}
}
return respone;
}
function CheckPhoneFaxNumbers(str, ctrl)
{
var Temp;
var strCtrl;
if (ctrl.id == "Cph1_txtInveFaxNo")
{
strCtrl
=
" Investigator Fax "
;
}
else if (ctrl.id == "Cph1_txtCOPIphone")
{
strCtrl
=
" Co-Principal Investigator Phone "
;
//alert(strCtrl);
}
else if (ctrl.id == "Cph1_txtInvePhoneNo")
{
strCtrl
=
" Investigator Phone "
;
//alert(strCtrl);
}
if (str != "")
{
if (str.indexOf("-") == -1)
{
Temp
=
str
.substr(0, 3) + str.substr(3, 3) + str.substr(6, 6);
}
else
{
Temp
=
str
.substr(0, 3) + str.substr(4, 3) + str.substr(8, 6);
}
if (Temp.length == 10)
{
if (str.indexOf("-") == -1)
{
ctrl.value
=
AddHyphen
(str);
}
}
if (Temp.length < 10)
{
alert("Please enter valid " + strCtrl + " Number. " + strCtrl + " No should be 10 digit.");
ctrl.focus();
return false;
}
}
}
</script>
</
div
>
<
script
type
=
"text/javascript"
>
//
<![CDATA[
var Page_Validators = new Array(document.getElementById("Cph1_rqdsewerachtype"), document.getElementById("Cph1_RequiredFieldValidator2"), document.getElementById("Cph1_rqdvaldate"), document.getElementById("Cph1_fileupload"));
//]]>
</
script
>
<
script
type
=
"text/javascript"
>
//
<![CDATA[
var Cph1_rqdsewerachtype = document.all ? document.all["Cph1_rqdsewerachtype"] : document.getElementById("Cph1_rqdsewerachtype");
Cph1_rqdsewerachtype.controltovalidate = "Cph1_ddlsearchtype";
Cph1_rqdsewerachtype.focusOnError = "t";
Cph1_rqdsewerachtype.errormessage = "* Please select Search Type.";
Cph1_rqdsewerachtype.display = "Dynamic";
Cph1_rqdsewerachtype.validationGroup = "SearchFormValidationGroup";
Cph1_rqdsewerachtype.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
Cph1_rqdsewerachtype.initialvalue = "- Select -";
var Cph1_RequiredFieldValidator2 = document.all ? document.all["Cph1_RequiredFieldValidator2"] : document.getElementById("Cph1_RequiredFieldValidator2");
Cph1_RequiredFieldValidator2.controltovalidate = "Cph1_rbtnCustCert";
Cph1_RequiredFieldValidator2.focusOnError = "t";
Cph1_RequiredFieldValidator2.errormessage = "* Please Select \'Customer has Certificates\'";
Cph1_RequiredFieldValidator2.display = "Dynamic";
Cph1_RequiredFieldValidator2.validationGroup = "SearchFormValidationGroup";
Cph1_RequiredFieldValidator2.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
Cph1_RequiredFieldValidator2.initialvalue = "";
var Cph1_rqdvaldate = document.all ? document.all["Cph1_rqdvaldate"] : document.getElementById("Cph1_rqdvaldate");
Cph1_rqdvaldate.controltovalidate = "ctl00_Cph1_RadDatePicker1";
Cph1_rqdvaldate.errormessage = "* Please select Date";
Cph1_rqdvaldate.validationGroup = "SearchFormValidationGroup";
Cph1_rqdvaldate.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
Cph1_rqdvaldate.initialvalue = "";
var Cph1_fileupload = document.all ? document.all["Cph1_fileupload"] : document.getElementById("Cph1_fileupload");
Cph1_fileupload.controltovalidate = "Cph1_FileUploadControl";
Cph1_fileupload.focusOnError = "t";
Cph1_fileupload.errormessage = "* Please browse for a file to upload.";
Cph1_fileupload.display = "Dynamic";
Cph1_fileupload.validationGroup = "SearchFormValidationGroup";
Cph1_fileupload.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
Cph1_fileupload.initialvalue = "";
//]]>
</
script
>
<
div
class
=
"aspNetHidden"
>
<
input
type
=
"hidden"
name
=
"__EVENTVALIDATION"
id
=
"__EVENTVALIDATION"
value
=
"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"
/>
</
div
>
<
script
type
=
"text/javascript"
>
//
<![CDATA[
EnableDisable()//]]>
</
script
>
<
script
type
=
"text/javascript"
></
script
>
<
script
type
=
"text/javascript"
>
//
<![CDATA[
var Page_ValidationActive = false;
if (typeof(ValidatorOnLoad) == "function") {
ValidatorOnLoad();
}
function ValidatorOnSubmit() {
if (Page_ValidationActive) {
return ValidatorCommonOnSubmit();
}
else {
return true;
}
}
WebForm_InitCallback();Sys.Application.add_init(function() {
$create(Telerik.Web.UI.RadComboBox, {"_dropDownWidth":0,"_height":300,"_postBackReference":"__doPostBack(\u0027ctl00$Cph1$radddlAppNo\u0027,\u0027arguments\u0027)","_showMoreResultsBox":true,"_skin":"Web20","_text":"-Type/Select Application No-","_uniqueId":"ctl00$Cph1$radddlAppNo","_value":"0","allowCustomText":true,"clientStateFieldID":"ctl00_Cph1_radddlAppNo_ClientState","collapseAnimation":"{\"duration\":450}","expandAnimation":"{\"duration\":450}","itemData":[{"value":"0","selected":true},{"value":"1234-TST"},{"value":"TEST-992"},{"value":"test-ap2"},{"value":"test-App"},{"value":"Y08-0555"}],"markFirstMatch":true,"selectedIndex":0}, null, null, $get("ctl00_Cph1_radddlAppNo"));
});
Sys.Application.add_init(function() {
$create(Telerik.Web.UI.RadComboBox, {"_dropDownWidth":0,"_height":300,"_postBackReference":"__doPostBack(\u0027ctl00$Cph1$radddlsearchNo\u0027,\u0027arguments\u0027)","_skin":"Default","_text":"- Select Search No -","_uniqueId":"ctl00$Cph1$radddlsearchNo","allowCustomText":true,"clientStateFieldID":"ctl00_Cph1_radddlsearchNo_ClientState","collapseAnimation":"{\"duration\":450}","enabled":false,"expandAnimation":"{\"duration\":450}","itemData":[],"markFirstMatch":true}, null, null, $get("ctl00_Cph1_radddlsearchNo"));
});
document.getElementById('Cph1_rqdsewerachtype').dispose = function() {
Array.remove(Page_Validators, document.getElementById('Cph1_rqdsewerachtype'));
}
document.getElementById('Cph1_RequiredFieldValidator2').dispose = function() {
Array.remove(Page_Validators, document.getElementById('Cph1_RequiredFieldValidator2'));
}
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":13,"ValidChars":" -\u0027","id":"Cph1_FilteredTextBoxResuConfname"}, null, null, $get("Cph1_txtResuConfname"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":13,"ValidChars":" -\u0027","id":"Cph1_FilteredTextBoxResuConlname"}, null, null, $get("Cph1_txtResuConlname"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":13,"ValidChars":" -\u0027","id":"Cph1_FilteredTextBoxResuConmi"}, null, null, $get("Cph1_txtResuConmi"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":13,"ValidChars":" -\u0027","id":"Cph1_FilteredTextBoxCOPIfname"}, null, null, $get("Cph1_txtCOPIfname"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":13,"ValidChars":" -\u0027","id":"Cph1_FilteredTextBoxCOPIlname"}, null, null, $get("Cph1_txtCOPIlname"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":13,"ValidChars":" -\u0027","id":"Cph1_FilteredTextBoxCOPImi"}, null, null, $get("Cph1_txtCOPImi"));
});
Sys.Application.add_init(function() {
$create(Telerik.Web.UI.RadComboBox, {"_dropDownWidth":0,"_height":220,"_showMoreResultsBox":true,"_skin":"Web20","_text":"- Select -","_uniqueId":"ctl00$Cph1$ddlbeginyod","clientStateFieldID":"ctl00_Cph1_ddlbeginyod_ClientState","collapseAnimation":"{\"duration\":450}","expandAnimation":"{\"duration\":450}","itemData":[{"selected":true},{"value":"2007"},{"value":"2006"},{"value":"2005"},{"value":"2004"},{"value":"2003"},{"value":"2002"},{"value":"2001"},{"value":"2000"},{"value":"1999"},{"value":"1998"},{"value":"1997"},{"value":"1996"},{"value":"1995"},{"value":"1994"},{"value":"1993"},{"value":"1992"},{"value":"1991"},{"value":"1990"},{"value":"1989"},{"value":"1988"},{"value":"1987"},{"value":"1986"},{"value":"1985"},{"value":"1984"},{"value":"1983"},{"value":"1982"},{"value":"1981"},{"value":"1980"},{"value":"1979"}],"markFirstMatch":true,"selectedIndex":0}, {"selectedIndexChanged":CalculateCharges}, null, $get("ctl00_Cph1_ddlbeginyod"));
});
Sys.Application.add_init(function() {
$create(Telerik.Web.UI.RadComboBox, {"_dropDownWidth":0,"_height":220,"_showMoreResultsBox":true,"_skin":"Web20","_text":"- Select -","_uniqueId":"ctl00$Cph1$ddlendyod","allowCustomText":true,"clientStateFieldID":"ctl00_Cph1_ddlendyod_ClientState","collapseAnimation":"{\"duration\":450}","expandAnimation":"{\"duration\":450}","itemData":[{"selected":true},{"value":"2007"},{"value":"2006"},{"value":"2005"},{"value":"2004"},{"value":"2003"},{"value":"2002"},{"value":"2001"},{"value":"2000"},{"value":"1999"},{"value":"1998"},{"value":"1997"},{"value":"1996"},{"value":"1995"},{"value":"1994"},{"value":"1993"},{"value":"1992"},{"value":"1991"},{"value":"1990"},{"value":"1989"},{"value":"1988"},{"value":"1987"},{"value":"1986"},{"value":"1985"},{"value":"1984"},{"value":"1983"},{"value":"1982"},{"value":"1981"},{"value":"1980"},{"value":"1979"}],"markFirstMatch":true,"selectedIndex":0}, {"selectedIndexChanged":CalculateCharges}, null, $get("ctl00_Cph1_ddlendyod"));
});
Sys.Application.add_init(function() {
$create(Telerik.Web.UI.RadDateInput, {"_focused":false,"_originalValue":"","_postBackEventReferenceScript":"__doPostBack(\u0027ctl00$Cph1$RadDatePicker1\u0027,\u0027\u0027)","_skin":"Default","autoPostBack":true,"clientStateFieldID":"ctl00_Cph1_RadDatePicker1_dateInput_ClientState","dateFormat":"M/d/yyyy","dateFormatInfo":{"DayNames":["Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday"],"MonthNames":["January","February","March","April","May","June","July","August","September","October","November","December",""],"AbbreviatedDayNames":["Sun","Mon","Tue","Wed","Thu","Fri","Sat"],"AbbreviatedMonthNames":["Jan","Feb","Mar","Apr","May","Jun","Jul","Aug","Sep","Oct","Nov","Dec",""],"AMDesignator":"AM","PMDesignator":"PM","DateSeparator":"/","TimeSeparator":":","FirstDayOfWeek":0,"DateSlots":{"Month":0,"Day":1,"Year":2},"ShortYearCenturyEnd":2029,"TimeInputOnly":false},"displayDateFormat":"M/d/yyyy","emptyMessage":"- Select Date -","enabled":true,"incrementSettings":{InterceptArrowKeys:true,InterceptMouseWheel:true,Step:1},"styles":{HoveredStyle: ["width:100%;", "riTextBox riHover"],InvalidStyle: ["width:100%;", "riTextBox riError"],DisabledStyle: ["width:100%;", "riTextBox riDisabled"],FocusedStyle: ["width:100%;", "riTextBox riFocused"],EmptyMessageStyle: ["width:100%;", "riTextBox riEmpty"],ReadOnlyStyle: ["width:100%;", "riTextBox riRead"],EnabledStyle: ["width:100%;", "riTextBox riEnabled"]}}, null, null, $get("ctl00_Cph1_RadDatePicker1_dateInput"));
});
Sys.Application.add_init(function() {
$create(Telerik.Web.UI.RadCalendar, {"_DayRenderChangedDays":{},"_FormatInfoArray":[["Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday"],["Sun","Mon","Tue","Wed","Thu","Fri","Sat"],["January","February","March","April","May","June","July","August","September","October","November","December",""],["Jan","Feb","Mar","Apr","May","Jun","Jul","Aug","Sep","Oct","Nov","Dec",""],"dddd, MMMM dd, yyyy h:mm:ss tt","dddd, MMMM dd, yyyy","h:mm:ss tt","MMMM dd","ddd, dd MMM yyyy HH\u0027:\u0027mm\u0027:\u0027ss \u0027GMT\u0027","M/d/yyyy","h:mm tt","yyyy\u0027-\u0027MM\u0027-\u0027dd\u0027T\u0027HH\u0027:\u0027mm\u0027:\u0027ss","yyyy\u0027-\u0027MM\u0027-\u0027dd HH\u0027:\u0027mm\u0027:\u0027ss\u0027Z\u0027","MMMM, yyyy","AM","PM","/",":",0],"_ViewRepeatableDays":{},"_ViewsHash":{"ctl00_Cph1_RadDatePicker1_calendar_Top" : [[2011,3,1], 1]},"_calendarWeekRule":0,"_culture":"en-US","_enableKeyboardNavigation":false,"_enableViewSelector":false,"_firstDayOfWeek":7,"_postBackCall":"__doPostBack(\u0027ctl00$Cph1$RadDatePicker1$calendar\u0027,\u0027@@\u0027)","clientStateFieldID":"ctl00_Cph1_RadDatePicker1_calendar_ClientState","enableMultiSelect":false,"enabled":true,"monthYearNavigationSettings":["Today","OK","Cancel","Date is out of range.","False","True","300","1","300","1"],"skin":"Default","specialDaysArray":[],"stylesHash":{"DayStyle": ["", ""],"CalendarTableStyle": ["", "rcMainTable"],"OtherMonthDayStyle": ["", "rcOtherMonth"],"TitleStyle": ["", ""],"SelectedDayStyle": ["", "rcSelected"],"SelectorStyle": ["", ""],"DisabledDayStyle": ["", "rcDisabled"],"OutOfRangeDayStyle": ["", "rcOutOfRange"],"WeekendDayStyle": ["", "rcWeekend"],"DayOverStyle": ["", "rcHover"],"FastNavigationStyle": ["", "RadCalendarMonthView RadCalendarMonthView_Default"],"ViewSelectorStyle": ["", "rcViewSel"]},"useColumnHeadersAsSelectors":false,"useRowHeadersAsSelectors":false}, null, null, $get("ctl00_Cph1_RadDatePicker1_calendar"));
});
Sys.Application.add_init(function() {
$create(Telerik.Web.UI.RadDatePicker, {"_PopupButtonSettings":{ ResolvedImageUrl : "", ResolvedHoverImageUrl : ""},"_animationSettings":{ShowAnimationDuration:300,ShowAnimationType:1,HideAnimationDuration:0,HideAnimationType:1},"_popupControlID":"ctl00_Cph1_RadDatePicker1_popupButton","clientStateFieldID":"ctl00_Cph1_RadDatePicker1_ClientState","focusedDate":"2011-03-16-00-00-00"}, null, {"calendar":"ctl00_Cph1_RadDatePicker1_calendar","dateInput":"ctl00_Cph1_RadDatePicker1_dateInput"}, $get("ctl00_Cph1_RadDatePicker1"));
});
document.getElementById('Cph1_rqdvaldate').dispose = function() {
Array.remove(Page_Validators, document.getElementById('Cph1_rqdvaldate'));
}
document.getElementById('Cph1_fileupload').dispose = function() {
Array.remove(Page_Validators, document.getElementById('Cph1_fileupload'));
}
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":13,"ValidChars":" -\u0027","id":"Cph1_FilteredTextBox"}, null, null, $get("Cph1_txtlname"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":13,"ValidChars":" -\u0027","id":"Cph1_FilteredTextBoxExtender1"}, null, null, $get("Cph1_txtfname"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":13,"ValidChars":" -\u0027","id":"Cph1_FilteredTextBoxExtender2"}, null, null, $get("Cph1_txtmi"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":13,"ValidChars":" -\u0027","id":"Cph1_FilteredTextBoxExtender3"}, null, null, $get("Cph1_txtPIOrganiza"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":13,"ValidChars":" -\u0027","id":"Cph1_FilteredTextBoxExtender4"}, null, null, $get("Cph1_txtcity"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":13,"ValidChars":" -\u0027","id":"Cph1_FilteredTextBoxExtender5"}, null, null, $get("Cph1_txtstate"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":2,"id":"Cph1_FilteredTextBoxExtender6"}, null, null, $get("Cph1_txtzipcode"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":3,"ValidChars":"+-=/*().","id":"Cph1_FilteredTextBoxExtender7"}, null, null, $get("Cph1_txtInvePhoneNo"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":3,"ValidChars":"+-=/*().","id":"Cph1_FilteredTextBoxExtender8"}, null, null, $get("Cph1_txtInveFaxNo"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":3,"ValidChars":"+-=/*().","id":"Cph1_FilteredTextBoxExtender10"}, null, null, $get("Cph1_txtInveext"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":3,"ValidChars":"+-=/*().","id":"Cph1_FilteredTextBoxExtender11"}, null, null, $get("Cph1_txtCOPIext"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":3,"ValidChars":"+-=/*().","id":"Cph1_FilteredTextBoxExtender9"}, null, null, $get("Cph1_txtCOPIphone"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":3,"ValidChars":",","id":"Cph1_FilteredTextBoxExtender12"}, null, null, $get("Cph1_txtttlrec"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":3,"ValidChars":",","id":"Cph1_FilteredTextBoxExtender13"}, null, null, $get("Cph1_txtstudysub"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":3,"ValidChars":",","id":"Cph1_FilteredTextBoxExtender14"}, null, null, $get("Cph1_txtttlaliasrec"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":3,"ValidChars":".$,","id":"Cph1_FilteredTextBoxExtender15"}, null, null, $get("Cph1_txtServicecharge"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":3,"ValidChars":".$,","id":"Cph1_FilteredTextBoxExtender16"}, null, null, $get("Cph1_txtTtlrecords"));
});
Sys.Application.add_init(function() {
$create(AjaxControlToolkit.FilteredTextBoxBehavior, {"FilterType":3,"ValidChars":".$,","id":"Cph1_FilteredTextBoxExtender17"}, null, null, $get("Cph1_txtTtlPay"));
});
//]]>
</
script
>
</
form
>
</
body
>
</
html
>