!form222start!
!TOP_CONTENTS!
 Payment Capture
 
  Payer/payee: !form222_rv_payment_payer!
  Date: !select_day!!select_month!!year!
  Currency: !form222_rv_payment_rf_currency_id!
  Method of payment: !form222_rv_payment_rf_mthd_pmnt_id!
  Reference/Receipt number: !form222_rv_payment_rv_pmnt_ref!
  Notes: !form222_rv_payment_rv_pmnt_note!
 Res Number  Res Name  Agent Amount  
!rows!
Total:  !currSymbol!  
 
!pgJobs! !form222hide! !form222end!