Poor Man's Invoice

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Dispatch Services
Billing Invoice Form

Service Order Information

Contractors Information

Customers Information

Flat Rate :( If using Flat Rate don't fill in the "Hourly Rate" or any "Material Costs")

Hourly Rate : ( If using Hourly Rate don't fill in "Flat Rate" )

Describe the Material that was used to Repair the Product :

Product/s Replaced : ( Not Repaired )

Calculations :

%

%

Even though this is quite extensive, all fields can be modified for your needs. Have fun!

<HTML>
<HEAD>
<TITLE> Poor Man's Invoice </title>
</head>

<Script Language="JavaScript">
<!-- 
function fmtPrice(value) {
result=+Math.floor(value)+".";
var cents=100*(value-Math.floor(value))+0.5;
result += Math.floor(cents/10);
result += Math.floor(cents%10);
return result;
}

function calclabor(){
var labor1 = (document.forms[0].worked1.value*1)*(document.forms[0].labor_per_hour1.value*1);
document.forms[0].labor1.value = labor1;
var labor2 = (document.forms[0].worked2.value*1)*(document.forms[0].labor_per_hour2.value*1);
document.forms[0].labor2.value = labor2;
document.forms[0].cost1.value =(document.forms[0].labor1.value*1)+(document.forms[0].labor2.value*1)+
(document.forms[0].trip_charge.value*1);
}
function calcmaterial(){
var cost2 = (document.forms[0].flat_rate.value*1)+(document.forms[0].p1.value*1)+(document.forms[0].p2.value*1)+(document.forms[0].p3.value*1)+(document.forms[0].p4.value*1)+(document.forms[0].p5.value*1)+(document.forms[0].p6.value*1)+(document.forms[0].p7.value*1)+(document.forms[0].p8.value*1)+(document.forms[0].rpl_cost1.value*1)+(document.forms[0].rpl_cost2.value*1);
document.forms[0].cost2.value = cost2;
}
function compute() {
var unformatted1 = (document.forms[0].cost1.value)*(document.forms[0].tax1.value);
document.forms[0].unformatted1.value=unformatted1;
var formatted1 = fmtPrice(unformatted1);
document.forms[0].formatted1.value=formatted1;
var cost3= eval( document.forms[0].cost1.value );   
cost3 += eval( (document.forms[0].cost1.value)*(document.forms[0].tax1.value) ); 
var labor_cost1 = fmtPrice(cost3);
document.forms[0].labor_cost1.value=labor_cost1;

var unformatted2 = (document.forms[0].cost2.value)*(document.forms[0].tax2.value);
document.forms[0].unformatted2.value=unformatted2;
var formatted2 = fmtPrice(unformatted2);
document.forms[0].formatted2.value=formatted2;
var cost3= eval( document.forms[0].cost2.value );   
cost3 += eval( (document.forms[0].cost2.value)*(document.forms[0].tax2.value) ); 
var material_cost2 = fmtPrice(cost3);
document.forms[0].material_cost2.value=material_cost2;
}
function calctotal(){
var total = (document.forms[0].material_cost2.value*1)+(document.forms[0].labor_cost1.value*1)-(document.forms[0].ded.value*1);
document.forms[0].total.value = total;
return result;
}
function resetIt() {
document.forms[0].cost1.value="";
document.forms[0].tax1.value="";
document.forms[0].unformatted1.value="";
document.forms[0].formatted1.value="";
document.forms[0].labor_cost.value="";
document.forms[0].total.value="";    
}
// -->
</Script>

<FORM ACTION="mailto:commandstation@yahoo.com?subject=Billing" METHOD="POST" ENCTYPE="text/plain">
<P>
<CENTER>
<FONT SIZE="5" FACE="Verdana,Helvetica,Arial">
<B>Dispatch Services<BR>Billing Invoice Form</b></font>
<BR>
<HR WIDTH="240" SIZE="2">
</center>
<P>
<TABLE BORDER="2" ALIGN="CENTER" bordercolor="CCAF00" BGCOLOR="#CCCC77">
<TR>
<TD>
<TABLE BORDER="0" CELLSPACING="0" CELLPADDING="0">
<FONT FACE="Verdana,Arial" SIZE="2"><B>Service Order Information</b></font>
<TR>
<TD>
<INPUT TYPE="text" NAME="" VALUE=" Tracking #" SIZE="12" >  
<INPUT TYPE="text" NAME="tracking" SIZE="18" TABINDEX="1">
</td>
<TD>    </td>

<TR>
<TD>
<INPUT TYPE="text" NAME="" VALUE=" Product" SIZE="10" >  
<SELECT NAME="product" size="1" tabindex="3">
<OPTION VALUE=""> ---------- Select ----------
<OPTION VALUE=" appliance"> Appliance
<OPTION VALUE=" drywall"> Drywall
<OPTION VALUE="heating"> Heating
<OPTION VALUE="a_c"> Air Conditioning
<OPTION VALUE=" plumbing"> Plumbing
<OPTION VALUE=" pool_spa">Pool and Spa</select></td>
<TD>    </td>
<TD>
<INPUT TYPE="text" NAME="" VALUE=" Was this a Recall ?" SIZE="18" >  
<SELECT NAME="was_recall" size="1" tabindex="8">
<OPTION VALUE="no">No
<OPTION VALUE="yes">Yes</select>
</tr>

<TR>
<TD>
<TABLE BORDER="0">
<BR>
<FONT FACE="Verdana,Arial" SIZE="2"><B>Contractors Information</b></font>
<TR>
<TD>
<INPUT TYPE="text" NAME="" VALUE=" Name" SIZE="10" >  
<INPUT TYPE="text" NAME="con_name" SIZE="20" TABINDEX="10">
</td>
</tr>

</tr>
<TR>
<TD>
<INPUT TYPE="text" NAME="" VALUE=" State " SIZE="10" >  
<INPUT TYPE="text" NAME="con_state" SIZE="2" TABINDEX="13">   
<INPUT TYPE="text" NAME="" SIZE="4" VALUE=" Zip" >  
<INPUT TYPE="text" NAME="con_zip" SIZE="7" TABINDEX="14">
</td>
</tr>

</table>

</td>

<TR>
<BR>
<FONT FACE="Verdana,Arial" SIZE="2"><B>Customers Information</b></font>
<TD>
<INPUT TYPE="text" NAME=""  VALUE=" Name" SIZE="10" >  
<INPUT TYPE="text" NAME="cust_name" SIZE="20" TABINDEX="18">
</td>
</tr>

</tr>
<TR>
<TD>
<INPUT TYPE="text" NAME="" VALUE=" Cell Phone" SIZE="10" >  
<INPUT TYPE="text" NAME="cust_cell" SIZE="20" TABINDEX="25">
</td>
</table>

</td>
</table>

<TABLE BORDER="0">
<TR>
<BR>
<FONT FACE="Verdana,Arial" SIZE="2"><B>Flat Rate :</b></font> 
<FONT FACE="Verdana,Arial" SIZE="-3">( If using Flat Rate don't  fill in the "Hourly Rate" or any "Material Costs")</font>
<TD>
<INPUT TYPE="text" NAME="" VALUE=" What is the Flat Rate Amount ? " SIZE="59" >
<INPUT TYPE="text" NAME="flat_rate" VALUE=" " SIZE="10" tabindex="26" >
</td>
</tr>

</table>

<TABLE BORDER="0">
<TR>
<FONT FACE="Verdana,Arial" SIZE="2">
<B>Hourly Rate :</b></font> 
<FONT FACE="Verdana,Arial" SIZE="-3"> ( If using Hourly Rate don't  fill in "Flat Rate"  )</font>
<TD>
<INPUT TYPE="text" NAME="" VALUE=" (Senior Tech) How long did it take to complete this Job ?" SIZE="59" >
<INPUT TYPE="text" NAME="worked1" VALUE=" " SIZE="10" tabindex="27" >
</td>
</tr>
</table>

<TABLE BORDER="0">
<TR>
<FONT FACE="Verdana,Arial" SIZE="2">
<B> Describe the Material that was used to Repair the Product :</b></font>
<TD>
<INPUT TYPE="text" NAME="part_1" VALUE=" " SIZE="59" tabindex="32" >
<INPUT TYPE="text" NAME="p1" VALUE=" " SIZE="10" tabindex="33" >
</td>
</tr>
</table>

<TD>
<INPUT TYPE="text" NAME="part_8" VALUE=" " SIZE="59" tabindex="46" >
<INPUT TYPE="text" NAME="p8" VALUE=" " SIZE="10" tabindex="47" >
</td>
</tr>
</table>
<TABLE BORDER="0">
<TR>
<FONT FACE="Verdana,Arial" SIZE="2">
<B> Product/s Replaced : ( Not Repaired )</b></font>
<TD>
<INPUT TYPE="text" NAME="rpl_1" VALUE=" " SIZE="59" tabindex="48" >
<INPUT TYPE="text" NAME="rpl_cost1" VALUE=" " SIZE="10" tabindex="49" >
</td>
</tr>
</table>

<TABLE BORDER="0">
<TR>
 <FONT FACE="Verdana,Arial" SIZE="2"><B> Calculations :</b></font>
<TD>
<INPUT TYPE="text" NAME="" VALUE=" Material Sub Total" SIZE="59" >
<INPUT TYPE="text" NAME="cost2" VALUE="" SIZE="10" tabindex="0" onClick="this.blur()" onFocus="this.blur()">
</td>
</tr>
</table>

</table>

<P>

</body>
</HTML>

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