<center> <h1>Nouvelle Fiche de frais</h1> <br> <p>Mois de Novembre 2023</p> </center> <br> <h3 class="fw-bold offset-1">Frais forfaitaires</h3> <div class="col-11 d-flex mx-auto my-3"> <table class="table table-striped-columns align-middle"> <thead class="table-dark"> <tr> <th scope="col">Intitulé</th> <th scope="col">Quantité</th> <th scope="col">Montant</th> <th scope="col">Total</th> </tr> </thead> <tbody class="table-group-divider border-secondary-subtle"> <tr> <th scope="row">Hotel</th> <td><input type="text" class="form-control"></td> <td>20 €</td> <td>400€</td> </tr> </tbody> </table> </div> <span class="border-3 border-bottom border-black col-10 mx-auto my-5 d-flex"></span> <h3 class="fw-bold offset-1">Hors forfait</h3> <div class="col-11 d-flex mx-auto my-3"> <table class="table table-striped-columns align-middle"> <thead class="table-dark"> <tr> <th>Date</th> <th>Libelle</th> <th>Montant</th> <th>Justificatif</th> <th>Valider</th> </tr> </thead> <tbody class="table-group-divider border-secondary-subtle"> <tr> <td scope="row">23/12/2023</td> <td>Salle de réunion</td> <td>130 €</td> <td>facture.pdf</td> <td><button type="button" class="btn btn-outline-primary">Supprimer</button></td> </tr> <tr> <td scope="row"><input class="form-control" type="date"></td> <td><input type="text" class="form-control" placeholder="saisir un titre"></td> <td><input type="text" class="form-control" placeholder="Saisir un Montant"></td> <td><input type="file" class="form-control"></td> <td><button type="button" class="btn btn-outline-primary">Valider</button></td> </tr> </tbody> </table> </div> <span class="border-3 border-bottom border-black col-10 mx-auto my-5 d-flex"></span> <h3 class="fw-bold offset-1">Commentaire (facultatif)</h3> <div class="col-8 d-flex mx-auto"> <textarea name="commentaireFiche" id="commentaireFiche" class="form-control border-black"></textarea> </div> <div class="col-3 d-flex mx-auto my-5 justify-content-center"> <button type="button" class="btn btn-outline-primary">Envoyer la Fiche</button> </div>