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="u81837" class="ax_default" data-left="81" data-top="69" data-width="1000" data-height="1200">

        <!-- Unnamed (Rectangle) -->
        <div id="u81838" class="ax_default paragraph">
          <div id="u81838_div" class=""></div>
          <div id="u81838_text" class="text " style="display:none; visibility: hidden">
            <p></p>
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        <!-- Unnamed (Rectangle) -->
        <div id="u81839" class="ax_default paragraph">
          <div id="u81839_div" class=""></div>
          <div id="u81839_text" class="text ">
            <p><span>退款申请</span></p>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u81840" class="ax_default" data-left="1029" data-top="69" data-width="52" data-height="40">

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          <div id="u81841" class="ax_default paragraph">
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              <p><span>x</span></p>
            </div>
          </div>

          <!-- Unnamed (Shape) -->
          <div id="u81842" class="ax_default icon1">
            <img id="u81842_img" class="img " src="images/确认处理/u6547.svg"/>
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              <p></p>
            </div>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u81843" class="ax_default" data-left="81" data-top="1199" data-width="1000" data-height="70">

          <!-- Unnamed (Rectangle) -->
          <div id="u81844" class="ax_default paragraph">
            <div id="u81844_div" class=""></div>
            <div id="u81844_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u81845" class="ax_default box_1">
            <div id="u81845_div" class=""></div>
            <div id="u81845_text" class="text ">
              <p><span>提交</span></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u81846" class="ax_default box_1">
            <div id="u81846_div" class=""></div>
            <div id="u81846_text" class="text ">
              <p><span>取消</span></p>
            </div>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u81847" class="ax_default" data-left="347" data-top="428" data-width="705" data-height="40">

          <!-- Unnamed (Rectangle) -->
          <div id="u81848" class="ax_default box_1">
            <div id="u81848_div" class=""></div>
            <div id="u81848_text" class="text ">
              <p><span>可退金额1.22元</span></p>
            </div>
          </div>

          <!-- 选项内容 (Text Field) -->
          <div id="u81849" class="ax_default text_field" data-label="选项内容">
            <div id="u81849_div" class=""></div>
            <input id="u81849_input" type="text" value="" class="u81849_input"/>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u81850" class="ax_default paragraph">
          <div id="u81850_div" class=""></div>
          <div id="u81850_text" class="text ">
            <p><span>*退款原因：</span></p>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u81851" class="ax_default" data-left="239" data-top="528" data-width="813" data-height="90">

          <!-- Unnamed (Rectangle) -->
          <div id="u81852" class="ax_default box_1">
            <div id="u81852_div" class=""></div>
            <div id="u81852_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>

          <!-- 选项内容 (Text Field) -->
          <div id="u81853" class="ax_default text_field" data-label="选项内容">
            <div id="u81853_div" class=""></div>
            <input id="u81853_input" type="text" value="" class="u81853_input"/>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u81854" class="ax_default paragraph">
          <div id="u81854_div" class=""></div>
          <div id="u81854_text" class="text ">
            <p><span>*退款类型：</span></p>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u81855" class="ax_default paragraph">
          <div id="u81855_div" class=""></div>
          <div id="u81855_text" class="text ">
            <p><span>上传附件：</span></p>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u81856" class="ax_default box_1">
          <div id="u81856_div" class=""></div>
          <div id="u81856_text" class="text ">
            <p><span>+</span></p>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u81857" class="ax_default paragraph">
          <div id="u81857_div" class=""></div>
          <div id="u81857_text" class="text ">
            <p><span>*退款费用：</span></p>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u81858" class="ax_default" data-left="124" data-top="138" data-width="918" data-height="180">

          <!-- Unnamed (Rectangle) -->
          <div id="u81859" class="ax_default box_1">
            <div id="u81859_div" class=""></div>
            <div id="u81859_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u81860" class="ax_default paragraph">
            <div id="u81860_div" class=""></div>
            <div id="u81860_text" class="text ">
              <p><span>订单信息</span></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u81861" class="ax_default paragraph">
            <div id="u81861_div" class=""></div>
            <div id="u81861_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="u81862" class="ax_default paragraph">
            <div id="u81862_div" class=""></div>
            <div id="u81862_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="u81863" class="ax_default paragraph">
            <div id="u81863_div" class=""></div>
            <div id="u81863_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="u81864" class="ax_default paragraph">
            <div id="u81864_div" class=""></div>
            <div id="u81864_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="u81865" class="ax_default paragraph">
            <div id="u81865_div" class=""></div>
            <div id="u81865_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="u81866" class="ax_default paragraph">
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              <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="u81867" class="ax_default icon">
            <img id="u81867_img" class="img " src="images/开通钱包/u7517.svg"/>
            <div id="u81867_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u81868" class="ax_default paragraph">
          <div id="u81868_div" class=""></div>
          <div id="u81868_text" class="text ">
            <p><span>申请退款</span></p>
          </div>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u81869" class="ax_default radio_button selected">
          <label id="u81869_input_label" for="u81869_input" style="position: absolute; left: 0px;">
            <img id="u81869_img" class="img " src="images/退款申请_1/u81869_selected.svg"/>
            <div id="u81869_text" class="text ">
              <p><span>电费</span></p>
            </div>
          </label>
          <input id="u81869_input" type="radio" value="radio" name="u81869" checked/>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u81870" class="ax_default radio_button">
          <label id="u81870_input_label" for="u81870_input" style="position: absolute; left: 0px;">
            <img id="u81870_img" class="img " src="images/退款申请_1/u81870.svg"/>
            <div id="u81870_text" class="text ">
              <p><span>服务费</span></p>
            </div>
          </label>
          <input id="u81870_input" type="radio" value="radio" name="u81870"/>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u81871" class="ax_default radio_button">
          <label id="u81871_input_label" for="u81871_input" style="position: absolute; left: 0px;">
            <img id="u81871_img" class="img " src="images/退款申请_1/u81871.svg"/>
            <div id="u81871_text" class="text ">
              <p><span>全部退款</span></p>
            </div>
          </label>
          <input id="u81871_input" type="radio" value="radio" name="u81871"/>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u81872" class="ax_default radio_button selected">
          <label id="u81872_input_label" for="u81872_input" style="position: absolute; left: 0px;">
            <img id="u81872_img" class="img " src="images/退款申请_1/u81872_selected.svg"/>
            <div id="u81872_text" class="text ">
              <p><span>部分退款</span></p>
            </div>
          </label>
          <input id="u81872_input" type="radio" value="radio" name="u81872" checked/>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u81873" class="ax_default" data-left="347" data-top="477" data-width="705" data-height="40">

          <!-- Unnamed (Rectangle) -->
          <div id="u81874" class="ax_default box_1">
            <div id="u81874_div" class=""></div>
            <div id="u81874_text" class="text ">
              <p><span>可退金额0.00元</span></p>
            </div>
          </div>

          <!-- 选项内容 (Text Field) -->
          <div id="u81875" class="ax_default text_field" data-label="选项内容">
            <div id="u81875_div" class=""></div>
            <input id="u81875_input" type="text" value="" class="u81875_input"/>
          </div>
        </div>
      </div>
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