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="u84566" class="ax_default" data-left="81" data-top="69" data-width="1000" data-height="1200">

        <!-- Unnamed (Rectangle) -->
        <div id="u84567" class="ax_default paragraph">
          <div id="u84567_div" class=""></div>
          <div id="u84567_text" class="text " style="display:none; visibility: hidden">
            <p></p>
          </div>
        </div>

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        <div id="u84568" class="ax_default paragraph">
          <div id="u84568_div" class=""></div>
          <div id="u84568_text" class="text ">
            <p><span>退款申请</span></p>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u84569" class="ax_default" data-left="1029" data-top="69" data-width="52" data-height="40">

          <!-- Unnamed (Rectangle) -->
          <div id="u84570" class="ax_default paragraph">
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              <p><span>x</span></p>
            </div>
          </div>

          <!-- Unnamed (Shape) -->
          <div id="u84571" class="ax_default icon1">
            <img id="u84571_img" class="img " src="images/确认处理/u6201.svg"/>
            <div id="u84571_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u84572" class="ax_default" data-left="81" data-top="1199" data-width="1000" data-height="70">

          <!-- Unnamed (Rectangle) -->
          <div id="u84573" class="ax_default paragraph">
            <div id="u84573_div" class=""></div>
            <div id="u84573_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u84574" class="ax_default box_1">
            <div id="u84574_div" class=""></div>
            <div id="u84574_text" class="text ">
              <p><span>提交</span></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u84575" class="ax_default box_1">
            <div id="u84575_div" class=""></div>
            <div id="u84575_text" class="text ">
              <p><span>取消</span></p>
            </div>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u84576" class="ax_default" data-left="347" data-top="428" data-width="705" data-height="40">

          <!-- Unnamed (Rectangle) -->
          <div id="u84577" class="ax_default box_1">
            <div id="u84577_div" class=""></div>
            <div id="u84577_text" class="text ">
              <p><span>可退金额1.22元</span></p>
            </div>
          </div>

          <!-- 选项内容 (Text Field) -->
          <div id="u84578" class="ax_default text_field" data-label="选项内容">
            <div id="u84578_div" class=""></div>
            <input id="u84578_input" type="text" value="" class="u84578_input"/>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u84579" class="ax_default paragraph">
          <div id="u84579_div" class=""></div>
          <div id="u84579_text" class="text ">
            <p><span>*退款原因：</span></p>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u84580" class="ax_default" data-left="239" data-top="528" data-width="813" data-height="90">

          <!-- Unnamed (Rectangle) -->
          <div id="u84581" class="ax_default box_1">
            <div id="u84581_div" class=""></div>
            <div id="u84581_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>

          <!-- 选项内容 (Text Field) -->
          <div id="u84582" class="ax_default text_field" data-label="选项内容">
            <div id="u84582_div" class=""></div>
            <input id="u84582_input" type="text" value="" class="u84582_input"/>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u84583" class="ax_default paragraph">
          <div id="u84583_div" class=""></div>
          <div id="u84583_text" class="text ">
            <p><span>*退款类型：</span></p>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u84584" class="ax_default paragraph">
          <div id="u84584_div" class=""></div>
          <div id="u84584_text" class="text ">
            <p><span>上传附件：</span></p>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u84585" class="ax_default box_1">
          <div id="u84585_div" class=""></div>
          <div id="u84585_text" class="text ">
            <p><span>+</span></p>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u84586" class="ax_default paragraph">
          <div id="u84586_div" class=""></div>
          <div id="u84586_text" class="text ">
            <p><span>*退款费用：</span></p>
          </div>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u84587" class="ax_default" data-left="124" data-top="138" data-width="918" data-height="180">

          <!-- Unnamed (Rectangle) -->
          <div id="u84588" class="ax_default box_1">
            <div id="u84588_div" class=""></div>
            <div id="u84588_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u84589" class="ax_default paragraph">
            <div id="u84589_div" class=""></div>
            <div id="u84589_text" class="text ">
              <p><span>订单信息</span></p>
            </div>
          </div>

          <!-- Unnamed (Rectangle) -->
          <div id="u84590" class="ax_default paragraph">
            <div id="u84590_div" class=""></div>
            <div id="u84590_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="u84591" class="ax_default paragraph">
            <div id="u84591_div" class=""></div>
            <div id="u84591_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="u84592" class="ax_default paragraph">
            <div id="u84592_div" class=""></div>
            <div id="u84592_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="u84593" class="ax_default paragraph">
            <div id="u84593_div" class=""></div>
            <div id="u84593_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="u84594" class="ax_default paragraph">
            <div id="u84594_div" class=""></div>
            <div id="u84594_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="u84595" class="ax_default paragraph">
            <div id="u84595_div" class=""></div>
            <div id="u84595_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="u84596" class="ax_default icon">
            <img id="u84596_img" class="img " src="images/开通钱包/u7171.svg"/>
            <div id="u84596_text" class="text " style="display:none; visibility: hidden">
              <p></p>
            </div>
          </div>
        </div>

        <!-- Unnamed (Rectangle) -->
        <div id="u84597" class="ax_default paragraph">
          <div id="u84597_div" class=""></div>
          <div id="u84597_text" class="text ">
            <p><span>申请退款</span></p>
          </div>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u84598" class="ax_default radio_button selected">
          <label id="u84598_input_label" for="u84598_input" style="position: absolute; left: 0px;">
            <img id="u84598_img" class="img " src="images/退款申请_1/u84598_selected.svg"/>
            <div id="u84598_text" class="text ">
              <p><span>电费</span></p>
            </div>
          </label>
          <input id="u84598_input" type="radio" value="radio" name="u84598" checked/>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u84599" class="ax_default radio_button">
          <label id="u84599_input_label" for="u84599_input" style="position: absolute; left: 0px;">
            <img id="u84599_img" class="img " src="images/退款申请_1/u84599.svg"/>
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              <p><span>服务费</span></p>
            </div>
          </label>
          <input id="u84599_input" type="radio" value="radio" name="u84599"/>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u84600" class="ax_default radio_button">
          <label id="u84600_input_label" for="u84600_input" style="position: absolute; left: 0px;">
            <img id="u84600_img" class="img " src="images/退款申请_1/u84600.svg"/>
            <div id="u84600_text" class="text ">
              <p><span>全部退款</span></p>
            </div>
          </label>
          <input id="u84600_input" type="radio" value="radio" name="u84600"/>
        </div>

        <!-- Unnamed (Radio Button) -->
        <div id="u84601" class="ax_default radio_button selected">
          <label id="u84601_input_label" for="u84601_input" style="position: absolute; left: 0px;">
            <img id="u84601_img" class="img " src="images/退款申请_1/u84601_selected.svg"/>
            <div id="u84601_text" class="text ">
              <p><span>部分退款</span></p>
            </div>
          </label>
          <input id="u84601_input" type="radio" value="radio" name="u84601" checked/>
        </div>

        <!-- Unnamed (Group) -->
        <div id="u84602" class="ax_default" data-left="347" data-top="477" data-width="705" data-height="40">

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          <div id="u84603" class="ax_default box_1">
            <div id="u84603_div" class=""></div>
            <div id="u84603_text" class="text ">
              <p><span>可退金额0.00元</span></p>
            </div>
          </div>

          <!-- 选项内容 (Text Field) -->
          <div id="u84604" class="ax_default text_field" data-label="选项内容">
            <div id="u84604_div" class=""></div>
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