huangliyin
/
yuanxing


			
				
					
						
						
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							<!DOCTYPE html>
<html>
  <head>
    <title>退款申请</title>
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    </script>
  </head>
  <body>
    <div id="base" class="">

      <!-- Unnamed (Group) -->
      <div id="u85689" class="ax_default" data-left="81" data-top="69" data-width="1000" data-height="1200">

        <!-- Unnamed (Rectangle) -->
        <div id="u85690" class="ax_default paragraph">
          <div id="u85690_div" class=""></div>
          <div id="u85690_text" class="text " style="display:none; visibility: hidden">
            <p></p>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u85691" class="ax_default paragraph">
          <div id="u85691_div" class=""></div>
          <div id="u85691_text" class="text ">
            <p><span>退款申请</span></p>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u85692" class="ax_default" data-left="1029" data-top="69" data-width="52" data-height="40">

          <!-- Unnamed (Rectangle) -->
          <div id="u85693" class="ax_default paragraph">
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            <div id="u85693_text" class="text ">
              <p><span>x</span></p>
            </div>
          </div>

          <!-- Unnamed (Shape) -->
          <div id="u85694" class="ax_default icon1">
            <img id="u85694_img" class="img " src="images/确认处理/u6305.svg"/>
            <div id="u85694_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u85695" class="ax_default" data-left="81" data-top="1199" data-width="1000" data-height="70">

          <!-- Unnamed (Rectangle) -->
          <div id="u85696" class="ax_default paragraph">
            <div id="u85696_div" class=""></div>
            <div id="u85696_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u85697" class="ax_default box_1">
            <div id="u85697_div" class=""></div>
            <div id="u85697_text" class="text ">
              <p><span>提交</span></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u85698" class="ax_default box_1">
            <div id="u85698_div" class=""></div>
            <div id="u85698_text" class="text ">
              <p><span>取消</span></p>
            </div>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u85699" class="ax_default" data-left="347" data-top="428" data-width="705" data-height="40">

          <!-- Unnamed (Rectangle) -->
          <div id="u85700" class="ax_default box_1">
            <div id="u85700_div" class=""></div>
            <div id="u85700_text" class="text ">
              <p><span>可退金额1.22元</span></p>
            </div>
          </div>

          <!-- 选项内容 (Text Field) -->
          <div id="u85701" class="ax_default text_field" data-label="选项内容">
            <div id="u85701_div" class=""></div>
            <input id="u85701_input" type="text" value="" class="u85701_input"/>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u85702" class="ax_default paragraph">
          <div id="u85702_div" class=""></div>
          <div id="u85702_text" class="text ">
            <p><span>*退款原因：</span></p>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u85703" class="ax_default" data-left="239" data-top="528" data-width="813" data-height="90">

          <!-- Unnamed (Rectangle) -->
          <div id="u85704" class="ax_default box_1">
            <div id="u85704_div" class=""></div>
            <div id="u85704_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>

          <!-- 选项内容 (Text Field) -->
          <div id="u85705" class="ax_default text_field" data-label="选项内容">
            <div id="u85705_div" class=""></div>
            <input id="u85705_input" type="text" value="" class="u85705_input"/>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u85706" class="ax_default paragraph">
          <div id="u85706_div" class=""></div>
          <div id="u85706_text" class="text ">
            <p><span>*退款类型：</span></p>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u85707" class="ax_default paragraph">
          <div id="u85707_div" class=""></div>
          <div id="u85707_text" class="text ">
            <p><span>上传附件：</span></p>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u85708" class="ax_default box_1">
          <div id="u85708_div" class=""></div>
          <div id="u85708_text" class="text ">
            <p><span>+</span></p>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u85709" class="ax_default paragraph">
          <div id="u85709_div" class=""></div>
          <div id="u85709_text" class="text ">
            <p><span>*退款费用：</span></p>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u85710" class="ax_default" data-left="124" data-top="138" data-width="918" data-height="180">

          <!-- Unnamed (Rectangle) -->
          <div id="u85711" class="ax_default box_1">
            <div id="u85711_div" class=""></div>
            <div id="u85711_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u85712" class="ax_default paragraph">
            <div id="u85712_div" class=""></div>
            <div id="u85712_text" class="text ">
              <p><span>订单信息</span></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u85713" class="ax_default paragraph">
            <div id="u85713_div" class=""></div>
            <div id="u85713_text" class="text ">
              <p><span>订单号：</span></p><p><span>结算金额：</span></p><p><span>优惠金额：</span></p><p><span>开票状态：</span></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u85714" class="ax_default paragraph">
            <div id="u85714_div" class=""></div>
            <div id="u85714_text" class="text ">
              <p><span>JSDD329482342394239</span></p><p><span>1.22元</span></p><p><span>0元</span></p><p><span>未开票</span></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u85715" class="ax_default paragraph">
            <div id="u85715_div" class=""></div>
            <div id="u85715_text" class="text ">
              <p style="line-height:30px;"><span>订单类型：</span></p><p style="line-height:30px;"><span>结算电费：</span></p><p style="line-height:30px;"><span>已退金额：</span></p><p style="line-height:normal;"><span>所属项目：</span></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u85716" class="ax_default paragraph">
            <div id="u85716_div" class=""></div>
            <div id="u85716_text" class="text ">
              <p style="line-height:30px;"><span>电瓶车充电</span></p><p style="line-height:30px;"><span>1.22元</span></p><p style="line-height:30px;"><span>0.00元</span></p><p style="line-height:normal;"><span>厦门源昌小区电瓶车充电</span></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u85717" class="ax_default paragraph">
            <div id="u85717_div" class=""></div>
            <div id="u85717_text" class="text ">
              <p style="line-height:30px;"><span>订单金额：</span></p><p style="line-height:30px;"><span>结算服务费：</span></p><p style="line-height:30px;"><span>可退金额：</span></p><p style="line-height:normal;"><span>所属电站：</span></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u85718" class="ax_default paragraph">
            <div id="u85718_div" class=""></div>
            <div id="u85718_text" class="text ">
              <p style="line-height:30px;"><span>1.22元</span></p><p style="line-height:30px;"><span>0.00元</span></p><p style="line-height:30px;"><span>1.22元</span></p><p style="line-height:normal;"><span>厦门源昌A小区</span></p>
            </div>
          </div>

          <!-- Unnamed (Shape) -->
          <div id="u85719" class="ax_default icon">
            <img id="u85719_img" class="img " src="images/开通钱包/u7275.svg"/>
            <div id="u85719_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u85720" class="ax_default paragraph">
          <div id="u85720_div" class=""></div>
          <div id="u85720_text" class="text ">
            <p><span>申请退款</span></p>
          </div>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u85721" class="ax_default radio_button selected">
          <label id="u85721_input_label" for="u85721_input" style="position: absolute; left: 0px;">
            <img id="u85721_img" class="img " src="images/退款申请_1/u85721_selected.svg"/>
            <div id="u85721_text" class="text ">
              <p><span>电费</span></p>
            </div>
          </label>
          <input id="u85721_input" type="radio" value="radio" name="u85721" checked/>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u85722" class="ax_default radio_button">
          <label id="u85722_input_label" for="u85722_input" style="position: absolute; left: 0px;">
            <img id="u85722_img" class="img " src="images/退款申请_1/u85722.svg"/>
            <div id="u85722_text" class="text ">
              <p><span>服务费</span></p>
            </div>
          </label>
          <input id="u85722_input" type="radio" value="radio" name="u85722"/>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u85723" class="ax_default radio_button">
          <label id="u85723_input_label" for="u85723_input" style="position: absolute; left: 0px;">
            <img id="u85723_img" class="img " src="images/退款申请_1/u85723.svg"/>
            <div id="u85723_text" class="text ">
              <p><span>全部退款</span></p>
            </div>
          </label>
          <input id="u85723_input" type="radio" value="radio" name="u85723"/>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u85724" class="ax_default radio_button selected">
          <label id="u85724_input_label" for="u85724_input" style="position: absolute; left: 0px;">
            <img id="u85724_img" class="img " src="images/退款申请_1/u85724_selected.svg"/>
            <div id="u85724_text" class="text ">
              <p><span>部分退款</span></p>
            </div>
          </label>
          <input id="u85724_input" type="radio" value="radio" name="u85724" checked/>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u85725" class="ax_default" data-left="347" data-top="477" data-width="705" data-height="40">

          <!-- Unnamed (Rectangle) -->
          <div id="u85726" class="ax_default box_1">
            <div id="u85726_div" class=""></div>
            <div id="u85726_text" class="text ">
              <p><span>可退金额0.00元</span></p>
            </div>
          </div>

          <!-- 选项内容 (Text Field) -->
          <div id="u85727" class="ax_default text_field" data-label="选项内容">
            <div id="u85727_div" class=""></div>
            <input id="u85727_input" type="text" value="" class="u85727_input"/>
          </div>
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      </div>
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