<tr><td colspan='2'><hr></td></tr>
<tr><td>$_CUSTOMER (*):</td><td><input type=text name=CUSTOMER value='%CUSTOMER%'></td></tr>
<tr><td>ID (>,<)</td><td><input type=text name=DOC_ID value='%DOC_ID%'></td></tr>
<tr><td>$_ADMIN:</td><td><input type=text name=AID value='%AID%'></td></tr>
<tr><td>$_SUM:</td><td><input type=text name=SUM value='%SUM%'></td></tr>
