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@tobyink
Created March 6, 2014 11:52
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<!-- Generated by CGI::FormBuilder v3.09 available from www.formbuilder.org -->
<form method="post" onsubmit="return validate(this);">
<div><input id="_submitted" name="_submitted" type="hidden" value="1" /></div>
<table>
<tr valign="top">
<td><b>Activity Desc</b></td>
<td><input id="activity_desc" name="activity_desc" type="text" value="Other" /></td>
</tr>
<tr valign="top">
<td><b>Historic</b></td>
<td><input id="historic" name="historic" type="text" value="0" /></td>
</tr>
<tr valign="top">
<td align="center" colspan="2"><input id="_submit" name="_submit" type="submit" value="Submit" /></td>
</tr>
</table>
</form>
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