<!-- Edit this file to change the layout of the detail view print preview page -->


<div class="panel-heading"><h3 class="panel-title">
	<strong><%%DETAIL_VIEW_TITLE%%></strong>
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		<div class="btn-group">
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</h3></div>

<div class="panel-body">
	<fieldset class="form-horizontal">
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Date</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%COMBOTEXT(date)%%></div>
			</div>
		</div>
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Nom et Pr&#233;nom du demandeur</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(nom_prenom)%%></div>
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		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Nationalit&#233;</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(nationalite)%%></div>
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			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(profession)%%></div>
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		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
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			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(adresse)%%></div>
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		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">N&#176; de compte &#224; d&#233;biter</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(num_compte)%%></div>
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		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Nature operation</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(nature_operation)%%></div>
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		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Pieces justificatives</label>
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			<label class="col-xs-3 control-label">Nature des devises</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(nature_devises)%%></div>
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		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Montant en chiffre</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(montant_chiffre)%%></div>
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		</div>
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Cours</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(cours)%%></div>
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		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Commissions</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(commission)%%></div>
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		</div>
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Contre valeur francs CFA</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(contre_valeur)%%></div>
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		</div>
	</fieldset>
</div>
