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<?php
require_once('ossce_headMain.php');
?>
<table width="50%" align="center" cellpadding="3" cellspacing="5">
<tr>
<td><fieldset>
<legend>
<h2>Enter Payment Receipt Number</h2>
</legend>
<form id="form1" name="form1" method="post" action="ossce_stdPayment_process.php">
<label for="serial"></label>
<table width="80%" align="center" cellpadding="3" cellspacing="5">
<tr>
<td align="center"><input name="serial" type="text" class="form-control" required="required" id="txtRound" size="40" placeholder="Receipt Number" /></td>
</tr>
<tr>
<td align="center"> <br><input type="submit" name="button" id="button" value="Check Payment" class="btn btn-primary form-control" /></td>
</tr>
</table>
</form>
<p> </p>
</fieldset></td>
</tr>
</table>
<!-- InstanceEndEditable --></td>
<td align="right" valign="top"><!-- InstanceBeginEditable name="EditRegion4" --><!-- InstanceEndEditable --></td>
</tr>
</table></td>
</tr>
<tr>
<td> </td>
</tr>
</table></td>
</tr>
</table>
<p> </p>
<script type="text/javascript">
var MenuBar1 = new Spry.Widget.MenuBar("MenuBar1", {imgDown:"../SpryAssets/SpryMenuBarDownHover.gif", imgRight:"../SpryAssets/SpryMenuBarRightHover.gif"});
</script>
</body>
<!-- InstanceEnd --></html>