huangliyin
/
yuanxing


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

      <!-- Unnamed (Group) -->
      <div id="u84511" class="ax_default" data-left="81" data-top="69" data-width="1000" data-height="1200">

        <!-- Unnamed (Rectangle) -->
        <div id="u84512" class="ax_default paragraph">
          <div id="u84512_div" class=""></div>
          <div id="u84512_text" class="text " style="display:none; visibility: hidden">
            <p></p>
          </div>
        </div>

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        <div id="u84513" class="ax_default paragraph">
          <div id="u84513_div" class=""></div>
          <div id="u84513_text" class="text ">
            <p><span>退款申请</span></p>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u84514" class="ax_default" data-left="1029" data-top="69" data-width="52" data-height="40">

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          <div id="u84515" class="ax_default paragraph">
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              <p><span>x</span></p>
            </div>
          </div>

          <!-- Unnamed (Shape) -->
          <div id="u84516" class="ax_default icon1">
            <img id="u84516_img" class="img " src="images/确认处理/u6201.svg"/>
            <div id="u84516_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u84517" class="ax_default" data-left="81" data-top="1199" data-width="1000" data-height="70">

          <!-- Unnamed (Rectangle) -->
          <div id="u84518" class="ax_default paragraph">
            <div id="u84518_div" class=""></div>
            <div id="u84518_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u84519" class="ax_default box_1">
            <div id="u84519_div" class=""></div>
            <div id="u84519_text" class="text ">
              <p><span>提交</span></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u84520" class="ax_default box_1">
            <div id="u84520_div" class=""></div>
            <div id="u84520_text" class="text ">
              <p><span>取消</span></p>
            </div>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u84521" class="ax_default" data-left="347" data-top="428" data-width="705" data-height="40">

          <!-- Unnamed (Rectangle) -->
          <div id="u84522" class="ax_default box_1">
            <div id="u84522_div" class=""></div>
            <div id="u84522_text" class="text ">
              <p><span>可退金额1.22元</span></p>
            </div>
          </div>

          <!-- 选项内容 (Text Field) -->
          <div id="u84523" class="ax_default text_field" data-label="选项内容">
            <div id="u84523_div" class=""></div>
            <input id="u84523_input" type="text" value="" class="u84523_input"/>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u84524" class="ax_default paragraph">
          <div id="u84524_div" class=""></div>
          <div id="u84524_text" class="text ">
            <p><span>*退款原因：</span></p>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u84525" class="ax_default" data-left="239" data-top="528" data-width="813" data-height="90">

          <!-- Unnamed (Rectangle) -->
          <div id="u84526" class="ax_default box_1">
            <div id="u84526_div" class=""></div>
            <div id="u84526_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>

          <!-- 选项内容 (Text Field) -->
          <div id="u84527" class="ax_default text_field" data-label="选项内容">
            <div id="u84527_div" class=""></div>
            <input id="u84527_input" type="text" value="" class="u84527_input"/>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u84528" class="ax_default paragraph">
          <div id="u84528_div" class=""></div>
          <div id="u84528_text" class="text ">
            <p><span>*退款类型：</span></p>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u84529" class="ax_default paragraph">
          <div id="u84529_div" class=""></div>
          <div id="u84529_text" class="text ">
            <p><span>上传附件：</span></p>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u84530" class="ax_default box_1">
          <div id="u84530_div" class=""></div>
          <div id="u84530_text" class="text ">
            <p><span>+</span></p>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u84531" class="ax_default paragraph">
          <div id="u84531_div" class=""></div>
          <div id="u84531_text" class="text ">
            <p><span>*退款费用：</span></p>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u84532" class="ax_default" data-left="124" data-top="138" data-width="918" data-height="180">

          <!-- Unnamed (Rectangle) -->
          <div id="u84533" class="ax_default box_1">
            <div id="u84533_div" class=""></div>
            <div id="u84533_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u84534" class="ax_default paragraph">
            <div id="u84534_div" class=""></div>
            <div id="u84534_text" class="text ">
              <p><span>订单信息</span></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u84535" class="ax_default paragraph">
            <div id="u84535_div" class=""></div>
            <div id="u84535_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="u84536" class="ax_default paragraph">
            <div id="u84536_div" class=""></div>
            <div id="u84536_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="u84537" class="ax_default paragraph">
            <div id="u84537_div" class=""></div>
            <div id="u84537_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="u84538" class="ax_default paragraph">
            <div id="u84538_div" class=""></div>
            <div id="u84538_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="u84539" class="ax_default paragraph">
            <div id="u84539_div" class=""></div>
            <div id="u84539_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="u84540" class="ax_default paragraph">
            <div id="u84540_div" class=""></div>
            <div id="u84540_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="u84541" class="ax_default icon">
            <img id="u84541_img" class="img " src="images/开通钱包/u7171.svg"/>
            <div id="u84541_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u84542" class="ax_default paragraph">
          <div id="u84542_div" class=""></div>
          <div id="u84542_text" class="text ">
            <p><span>申请退款</span></p>
          </div>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u84543" class="ax_default radio_button selected">
          <label id="u84543_input_label" for="u84543_input" style="position: absolute; left: 0px;">
            <img id="u84543_img" class="img " src="images/退款申请_1/u84543_selected.svg"/>
            <div id="u84543_text" class="text ">
              <p><span>电费</span></p>
            </div>
          </label>
          <input id="u84543_input" type="radio" value="radio" name="u84543" checked/>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u84544" class="ax_default radio_button">
          <label id="u84544_input_label" for="u84544_input" style="position: absolute; left: 0px;">
            <img id="u84544_img" class="img " src="images/退款申请_1/u84544.svg"/>
            <div id="u84544_text" class="text ">
              <p><span>服务费</span></p>
            </div>
          </label>
          <input id="u84544_input" type="radio" value="radio" name="u84544"/>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u84545" class="ax_default radio_button">
          <label id="u84545_input_label" for="u84545_input" style="position: absolute; left: 0px;">
            <img id="u84545_img" class="img " src="images/退款申请_1/u84545.svg"/>
            <div id="u84545_text" class="text ">
              <p><span>全部退款</span></p>
            </div>
          </label>
          <input id="u84545_input" type="radio" value="radio" name="u84545"/>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u84546" class="ax_default radio_button selected">
          <label id="u84546_input_label" for="u84546_input" style="position: absolute; left: 0px;">
            <img id="u84546_img" class="img " src="images/退款申请_1/u84546_selected.svg"/>
            <div id="u84546_text" class="text ">
              <p><span>部分退款</span></p>
            </div>
          </label>
          <input id="u84546_input" type="radio" value="radio" name="u84546" checked/>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u84547" class="ax_default" data-left="347" data-top="477" data-width="705" data-height="40">

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          <div id="u84548" class="ax_default box_1">
            <div id="u84548_div" class=""></div>
            <div id="u84548_text" class="text ">
              <p><span>可退金额0.00元</span></p>
            </div>
          </div>

          <!-- 选项内容 (Text Field) -->
          <div id="u84549" class="ax_default text_field" data-label="选项内容">
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