Loop to create a new form for each line

gronkette

New Member
Joined
May 5, 2012
Messages
30
Good Morning,

I have a spread sheet with the following:

<TABLE style="WIDTH: 314pt; BORDER-COLLAPSE: collapse" border=0 cellSpacing=0 cellPadding=0 width=419><COLGROUP><COL style="WIDTH: 56pt; mso-width-source: userset; mso-width-alt: 2742" width=75><COL style="WIDTH: 48pt" span=3 width=64><COL style="WIDTH: 66pt; mso-width-source: userset; mso-width-alt: 3218" width=88><COL style="WIDTH: 48pt" width=64><TBODY><TR style="HEIGHT: 15pt" height=20><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: #d8d8d8; WIDTH: 56pt; HEIGHT: 15pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: #ece9d8" class=xl65 height=20 width=75>Date of</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: windowtext 1pt solid; BACKGROUND-COLOR: #d8d8d8; WIDTH: 48pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: #ece9d8" class=xl66 width=64> </TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: #d8d8d8; WIDTH: 48pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: #ece9d8" class=xl65 width=64>Vet</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: #d8d8d8; WIDTH: 48pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: #ece9d8" class=xl65 width=64>Vet/Clinic</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: #d8d8d8; WIDTH: 66pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: #ece9d8" class=xl65 width=88>Owner</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: #d8d8d8; WIDTH: 48pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: #ece9d8" class=xl65 width=64>Owner</TD></TR><TR style="HEIGHT: 15.75pt" height=21><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: #d8d8d8; HEIGHT: 15.75pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67 height=21>Service</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl68>Voucher #</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67>Charge</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67>Name</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67>Last Name</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67>First Name</TD></TR><TR style="HEIGHT: 15pt" height=20><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 15pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl69 height=20 align=right>04/03/12</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70 align=right>1470</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl71 align=right>$115.00</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl72>ECAS</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Radziejewski</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Cassie</TD></TR><TR style="HEIGHT: 15pt" height=20><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 15pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl69 height=20 align=right>04/03/12</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70 align=right>1469</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl71 align=right>$90.00</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl72>ECAS</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Baylis</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Brenda</TD></TR><TR style="HEIGHT: 15pt" height=20><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 15pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl69 height=20 align=right>04/10/12</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70 align=right>1471</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl71 align=right>$80.00</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl72>ECAS</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Whitlow</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Jeanne</TD></TR><TR style="HEIGHT: 15pt" height=20><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 15pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl69 height=20 align=right>04/10/12</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70 align=right>1472</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl71 align=right>$80.00</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl72>ECAS</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Whitlow</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Jeanne</TD></TR><TR style="HEIGHT: 15pt" height=20><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 15pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl69 height=20 align=right>04/13/12</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70 align=right>1474</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl71 align=right>$60.00</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl72>ECAS</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Smith</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Rebecca</TD></TR><TR style="HEIGHT: 15pt" height=20><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 15pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl69 height=20 align=right>04/13/12</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70 align=right>1473</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl71 align=right>$80.00</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl72>ECAS</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Fennell</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Brandon</TD></TR><TR style="HEIGHT: 15pt" height=20><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 15pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl69 height=20 align=right>04/13/12</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70 align=right>1475</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl71 align=right>$90.00</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl72>ECAS</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Ross</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Kelly</TD></TR><TR style="HEIGHT: 15pt" height=20><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 15pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl69 height=20 align=right>04/17/12</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70 align=right>1476</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl71 align=right>$80.00</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl72>ECAS</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Elliott</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl70>Marci</TD></TR></TBODY></TABLE>

I need to create a "form" for each line.... so form 1 would have the data on line 1, form 2 data from line 2.... etc.

thanks for any suggestions !:)
 

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Any idea what that form would look like? Pretty difficult to suggest anything without knowing how the data is to be orgainzed on the form. Rows, columns, cells, etc.
 
Upvote 0
Here's the actual form:

<TABLE style="WIDTH: 606pt; BORDER-COLLAPSE: collapse" border=0 cellSpacing=0 cellPadding=0 width=807><COLGROUP><COL style="WIDTH: 94pt; mso-width-source: userset; mso-width-alt: 4571" width=125><COL style="WIDTH: 48pt" span=3 width=64><COL style="WIDTH: 61pt; mso-width-source: userset; mso-width-alt: 2962" width=81><COL style="WIDTH: 49pt; mso-width-source: userset; mso-width-alt: 2377" width=65><COL style="WIDTH: 81pt; mso-width-source: userset; mso-width-alt: 3949" width=108><COL style="WIDTH: 57pt; mso-width-source: userset; mso-width-alt: 2779" width=76><COL style="WIDTH: 48pt" width=64><COL style="WIDTH: 52pt; mso-width-source: userset; mso-width-alt: 2523" width=69><COL style="WIDTH: 20pt; mso-width-source: userset; mso-width-alt: 987" width=27><TBODY><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; WIDTH: 94pt; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" height=22 width=125></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; WIDTH: 48pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" width=64></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; WIDTH: 48pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" width=64></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; WIDTH: 48pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" width=64></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; WIDTH: 61pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" width=81></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; WIDTH: 49pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" width=65></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; WIDTH: 81pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" width=108></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; WIDTH: 57pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" width=76></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; WIDTH: 48pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" width=64></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; WIDTH: 52pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" width=69></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; WIDTH: 20pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" width=27></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl68 height=22>Voucher #</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: black 0.5pt solid" class=xl76 colSpan=2>1470</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 0.5pt solid" class=xl78 colSpan=2>Date of Issue:</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: windowtext 0.5pt solid" class=xl69 align=right>4/3/2012</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" height=22></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl68 height=22>Referred to: Name</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: black 0.5pt solid" class=xl80 colSpan=3>Elk Country Animal Shelter</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 0.5pt solid" class=xl78 colSpan=3>Veterinarian's Spay/Neuter Charge</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: windowtext 0.5pt solid" class=xl70>$ 115.00 </TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl71></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" height=22></TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: black 0.5pt solid" class=xl80 colSpan=3>PO Box 434</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: windowtext 0.5pt solid" class=xl72>Atlanta</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: windowtext 0.5pt solid" class=xl73>MI</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: windowtext 0.5pt solid" class=xl74>989-785-3738</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" height=22></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl68 height=22>Pet Owner Name:</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: black 0.5pt solid" class=xl80 colSpan=2>Radziejewski</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: black 0.5pt solid" class=xl80 colSpan=2>Cassie</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl71 height=22>Address:</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: black 0.5pt solid" class=xl80 colSpan=3>4350 Co. Rd. 489</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext; BORDER-RIGHT: windowtext 0.5pt solid" class=xl75>Lewiston</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: windowtext 0.5pt solid" class=xl73>MI</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: windowtext 0.5pt solid" class=xl74>989-858-3508</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" height=22></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl68 height=22>Animal Name:</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: black 0.5pt solid" class=xl80 colSpan=2>Foxy</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl71>Weight:</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: windowtext 0.5pt solid" class=xl72 align=right>62.8</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8">lbs</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl71>Sex:</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: windowtext 0.5pt solid" class=xl73>F</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" height=22></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl68 height=22 colSpan=10>List any other vouchers or subsidies used in addition to the DJ&T Foundation Voucher for this client:</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl83 height=22 colSpan=9></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" height=22></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl68 height=22 colSpan=10>List any payment (co-payment) made by client to either the participating veterinarian or your organization.</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; BACKGROUND-COLOR: #d8d8d8; HEIGHT: 17.1pt; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: windowtext 0.5pt solid" class=xl70 height=22>$ 40.00 </TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl71>Clinic:</TD><TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; BACKGROUND-COLOR: #d8d8d8; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: black 0.5pt solid" class=xl76 colSpan=6>Elk Country Animal Shelter</TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD><TD style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></TD></TR><TR style="HEIGHT: 17.1pt; mso-height-source: userset" height=22><TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; HEIGHT: 17.1pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67 height=22></TD><TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67></TD><TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67></TD><TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67></TD><TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67></TD><TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67></TD><TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67></TD><TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67></TD><TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67></TD><TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67></TD><TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8" class=xl67></TD></TR></TBODY></TABLE>
 
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Sorry, I thought the form had already been designed as an Excel sheet with specific cells for specific data. What you appear to be needing is a total building of the form from scratch, with borders, fonts, etc. Which is out of my range in this forum.
 
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