// JavaScript Document
document.write('<form id="paye" name="paye" method="post" action="http://apps.wesa.info/Formulaires/paye.php">');
document.write('<table width="400" border="0" cellspacing="0" cellpadding="6">');
document.write('<tr>');
document.write('<td colspan="2"><strong>Entreprise : </strong></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td width="33%">Nom : </td>');
document.write('<td><input name="entreprise" type="text" id="matricule" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td width="33%">Matricule : </td>');
document.write('<td><input name="matricule" type="text" id="matricule" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Mois : </td>');
document.write('<td><select name="mois" id="mois">');
document.write('<option value="Janvier">Janvier</option>');
document.write('<option value="F&eacute;vrier">F&eacute;vrier</option>');
document.write('<option value="Mars">Mars</option>');
document.write('<option value="Avril">Avril</option>');
document.write('<option value="Mai">Mai</option>');
document.write('<option value="Juin">Juin</option>');
document.write('<option value="Juillet">Juillet</option>');
document.write('<option value="Ao&ucirc;t">Ao&ucirc;t</option>');
document.write('<option value="Septembre">Septembre</option>');
document.write('<option value="Octobre">Octobre</option>');
document.write('<option value="Novembre">Novembre</option>');
document.write('<option value="D&eacute;cembre">D&eacute;cembre</option>');
document.write('</select>	</td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Ann&eacute;e : </td>');
document.write('<td><input name="annee" type="text" id="annee" size="6" maxlength="4" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>E-mail : </td>');
document.write('<td><input name="email" type="text" id="email" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>&nbsp;</td>');
document.write('<td>&nbsp;</td>');
document.write('</tr>');

document.write('<tr>');
document.write('<td colspan="2">		<strong>Salari&eacute; N&deg;1</strong> </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>NOM, Pr&eacute;nom </td>');
document.write('<td><input name="1_nom" type="text" id="1_nom" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Brut Mensuel </td>');
document.write('<td><input name="1_brut" type="text" id="1_brut" size="6" maxlength="10" /> ');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Nombre d\'heure d\'absence : </td>');
document.write('<td><input name="1_heuresabsences" type="text" id="1_heuresabsences" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Heures Suppl&eacute;mentaires : </td>');
document.write('<td><table width="100%" border="0" cellspacing="0" cellpadding="2">');
document.write('<tr>');
document.write('<td nowrap="nowrap">Semaine 1 : </td>');
document.write('<td width="100%"><input name="1_heuressupS1" type="text" id="1_heuressupS1" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Semaine 2 : </td>');
document.write('<td><input name="1_heuressupS2" type="text" id="1_heuressupS2" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Semaine 3 : </td>');
document.write('<td><input name="1_heuressupS3" type="text" id="1_heuressupS3" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Semaine 4 : </td>');
document.write('<td><input name="1_heuressupS4" type="text" id="1_heuressupS4" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('</table></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Primes : </td>');
document.write('<td><input name="1_primes" type="text" id="1_primes" size="6" maxlength="10" />');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Commissions : </td>');
document.write('<td><input name="1_commissions" type="text" id="1_commissions" size="6" maxlength="10" />');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Cong&eacute;s pay&eacute;s : </td>');
document.write('<td>Du ');
document.write('<input name="1_conges_du" type="text" id="1_conges_du" size="10" maxlength="10" /> ');
document.write('(inclu)<br />');
document.write('<br />');
document.write('Au ');
document.write('<input name="1_conges_au" type="text" id="1_conges_au" size="10" maxlength="10" /> ');
document.write('(inclu) </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Avantages en nature : </td>');
document.write('<td>Nombre de repas ');
document.write('<input name="1_nombre_repas" type="text" id="1_nombre_repas" size="6" maxlength="10" />');
document.write('<br />');
document.write('<br />');
document.write('Autre ');
document.write('<input name="1_autre" type="text" id="1_autre" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Accompte : </td>');
document.write('<td><input name="1_accompte" type="text" id="1_accompte" size="6" maxlength="10" />');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Indemnit&eacute; de transport : </td>');
document.write('<td>Carte Orange ');
document.write('<input name="1_carte_orange" type="text" id="1_carte_orange" size="6" maxlength="10" />');
document.write('<br />');
document.write('<br />');
document.write('Forfait ');
document.write('<input name="1_forfait" type="text" id="1_forfait" size="6" maxlength="10" />');
document.write('<br /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>&nbsp;</td>');
document.write('<td>&nbsp;</td>');
document.write('</tr>');



document.write('<tr>');
document.write('<td colspan="2">		<strong>Salari&eacute; N&deg;2</strong> </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>NOM, Pr&eacute;nom </td>');
document.write('<td><input name="2_nom" type="text" id="1_nom" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Brut Mensuel </td>');
document.write('<td><input name="2_brut" type="text" id="1_brut" size="6" maxlength="10" /> ');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Nombre d\'heure d\'absence : </td>');
document.write('<td><input name="2_heuresabsences" type="text" id="1_heuresabsences" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Heures Suppl&eacute;mentaires : </td>');
document.write('<td><table width="100%" border="0" cellspacing="0" cellpadding="2">');
document.write('<tr>');
document.write('<td nowrap="nowrap">Semaine 1 : </td>');
document.write('<td width="100%"><input name="2_heuressupS1" type="text" id="1_heuressupS1" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Semaine 2 : </td>');
document.write('<td><input name="2_heuressupS2" type="text" id="1_heuressupS2" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Semaine 3 : </td>');
document.write('<td><input name="2_heuressupS3" type="text" id="1_heuressupS3" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Semaine 4 : </td>');
document.write('<td><input name="2_heuressupS4" type="text" id="1_heuressupS4" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('</table></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Primes : </td>');
document.write('<td><input name="2_primes" type="text" id="1_primes" size="6" maxlength="10" />');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Commissions : </td>');
document.write('<td><input name="2_commissions" type="text" id="1_commissions" size="6" maxlength="10" />');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Cong&eacute;s pay&eacute;s : </td>');
document.write('<td>Du ');
document.write('<input name="2_conges_du" type="text" id="1_conges_du" size="10" maxlength="10" /> ');
document.write('(inclu)<br />');
document.write('<br />');
document.write('Au ');
document.write('<input name="2_conges_au" type="text" id="1_conges_au" size="10" maxlength="10" /> ');
document.write('(inclu) </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Avantages en nature : </td>');
document.write('<td>Nombre de repas ');
document.write('<input name="2_nombre_repas" type="text" id="1_nombre_repas" size="6" maxlength="10" />');
document.write('<br />');
document.write('<br />');
document.write('Autre ');
document.write('<input name="2_autre" type="text" id="1_autre" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Accompte : </td>');
document.write('<td><input name="2_accompte" type="text" id="1_accompte" size="6" maxlength="10" />');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Indemnit&eacute; de transport : </td>');
document.write('<td>Carte Orange ');
document.write('<input name="2_carte_orange" type="text" id="1_carte_orange" size="6" maxlength="10" />');
document.write('<br />');
document.write('<br />');
document.write('Forfait ');
document.write('<input name="2_forfait" type="text" id="1_forfait" size="6" maxlength="10" />');
document.write('<br /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>&nbsp;</td>');
document.write('<td>&nbsp;</td>');
document.write('</tr>');




document.write('<tr>');
document.write('<td colspan="2">		<strong>Salari&eacute; N&deg;3</strong> </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>NOM, Pr&eacute;nom </td>');
document.write('<td><input name="3_nom" type="text" id="1_nom" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Brut Mensuel </td>');
document.write('<td><input name="3_brut" type="text" id="1_brut" size="6" maxlength="10" /> ');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Nombre d\'heure d\'absence : </td>');
document.write('<td><input name="3_heuresabsences" type="text" id="1_heuresabsences" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Heures Suppl&eacute;mentaires : </td>');
document.write('<td><table width="100%" border="0" cellspacing="0" cellpadding="2">');
document.write('<tr>');
document.write('<td nowrap="nowrap">Semaine 1 : </td>');
document.write('<td width="100%"><input name="3_heuressupS1" type="text" id="1_heuressupS1" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Semaine 2 : </td>');
document.write('<td><input name="3_heuressupS2" type="text" id="1_heuressupS2" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Semaine 3 : </td>');
document.write('<td><input name="3_heuressupS3" type="text" id="1_heuressupS3" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Semaine 4 : </td>');
document.write('<td><input name="3_heuressupS4" type="text" id="1_heuressupS4" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('</table></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Primes : </td>');
document.write('<td><input name="3_primes" type="text" id="1_primes" size="6" maxlength="10" />');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Commissions : </td>');
document.write('<td><input name="3_commissions" type="text" id="1_commissions" size="6" maxlength="10" />');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Cong&eacute;s pay&eacute;s : </td>');
document.write('<td>Du ');
document.write('<input name="3_conges_du" type="text" id="1_conges_du" size="10" maxlength="10" /> ');
document.write('(inclu)<br />');
document.write('<br />');
document.write('Au ');
document.write('<input name="3_conges_au" type="text" id="1_conges_au" size="10" maxlength="10" /> ');
document.write('(inclu) </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Avantages en nature : </td>');
document.write('<td>Nombre de repas ');
document.write('<input name="3_nombre_repas" type="text" id="1_nombre_repas" size="6" maxlength="10" />');
document.write('<br />');
document.write('<br />');
document.write('Autre ');
document.write('<input name="3_autre" type="text" id="1_autre" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Accompte : </td>');
document.write('<td><input name="3_accompte" type="text" id="1_accompte" size="6" maxlength="10" />');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Indemnit&eacute; de transport : </td>');
document.write('<td>Carte Orange ');
document.write('<input name="3_carte_orange" type="text" id="1_carte_orange" size="6" maxlength="10" />');
document.write('<br />');
document.write('<br />');
document.write('Forfait ');
document.write('<input name="3_forfait" type="text" id="1_forfait" size="6" maxlength="10" />');
document.write('<br /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>&nbsp;</td>');
document.write('<td>&nbsp;</td>');
document.write('</tr>');




document.write('<tr>');
document.write('<td colspan="2">		<strong>Salari&eacute; N&deg;4</strong> </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>NOM, Pr&eacute;nom </td>');
document.write('<td><input name="4_nom" type="text" id="1_nom" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Brut Mensuel </td>');
document.write('<td><input name="4_brut" type="text" id="1_brut" size="6" maxlength="10" /> ');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Nombre d\'heure d\'absence : </td>');
document.write('<td><input name="4_heuresabsences" type="text" id="1_heuresabsences" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Heures Suppl&eacute;mentaires : </td>');
document.write('<td><table width="100%" border="0" cellspacing="0" cellpadding="2">');
document.write('<tr>');
document.write('<td nowrap="nowrap">Semaine 1 : </td>');
document.write('<td width="100%"><input name="4_heuressupS1" type="text" id="1_heuressupS1" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Semaine 2 : </td>');
document.write('<td><input name="4_heuressupS2" type="text" id="1_heuressupS2" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Semaine 3 : </td>');
document.write('<td><input name="4_heuressupS3" type="text" id="1_heuressupS3" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Semaine 4 : </td>');
document.write('<td><input name="4_heuressupS4" type="text" id="1_heuressupS4" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('</table></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Primes : </td>');
document.write('<td><input name="4_primes" type="text" id="1_primes" size="6" maxlength="10" />');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Commissions : </td>');
document.write('<td><input name="4_commissions" type="text" id="1_commissions" size="6" maxlength="10" />');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Cong&eacute;s pay&eacute;s : </td>');
document.write('<td>Du ');
document.write('<input name="4_conges_du" type="text" id="1_conges_du" size="10" maxlength="10" /> ');
document.write('(inclu)<br />');
document.write('<br />');
document.write('Au ');
document.write('<input name="4_conges_au" type="text" id="1_conges_au" size="10" maxlength="10" /> ');
document.write('(inclu) </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Avantages en nature : </td>');
document.write('<td>Nombre de repas ');
document.write('<input name="4_nombre_repas" type="text" id="1_nombre_repas" size="6" maxlength="10" />');
document.write('<br />');
document.write('<br />');
document.write('Autre ');
document.write('<input name="4_autre" type="text" id="1_autre" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Accompte : </td>');
document.write('<td><input name="4_accompte" type="text" id="1_accompte" size="6" maxlength="10" />');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Indemnit&eacute; de transport : </td>');
document.write('<td>Carte Orange ');
document.write('<input name="4_carte_orange" type="text" id="1_carte_orange" size="6" maxlength="10" />');
document.write('<br />');
document.write('<br />');
document.write('Forfait ');
document.write('<input name="4_forfait" type="text" id="1_forfait" size="6" maxlength="10" />');
document.write('<br /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>&nbsp;</td>');
document.write('<td>&nbsp;</td>');
document.write('</tr>');





document.write('<tr>');
document.write('<td colspan="2">		<strong>Salari&eacute; N&deg;5</strong> </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>NOM, Pr&eacute;nom </td>');
document.write('<td><input name="5_nom" type="text" id="1_nom" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Brut Mensuel </td>');
document.write('<td><input name="5_brut" type="text" id="1_brut" size="6" maxlength="10" /> ');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Nombre d\'heure d\'absence : </td>');
document.write('<td><input name="5_heuresabsences" type="text" id="1_heuresabsences" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Heures Suppl&eacute;mentaires : </td>');
document.write('<td><table width="100%" border="0" cellspacing="0" cellpadding="2">');
document.write('<tr>');
document.write('<td nowrap="nowrap">Semaine 1 : </td>');
document.write('<td width="100%"><input name="5_heuressupS1" type="text" id="1_heuressupS1" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Semaine 2 : </td>');
document.write('<td><input name="5_heuressupS2" type="text" id="1_heuressupS2" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Semaine 3 : </td>');
document.write('<td><input name="5_heuressupS3" type="text" id="1_heuressupS3" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Semaine 4 : </td>');
document.write('<td><input name="5_heuressupS4" type="text" id="1_heuressupS4" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('</table></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Primes : </td>');
document.write('<td><input name="5_primes" type="text" id="1_primes" size="6" maxlength="10" />');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Commissions : </td>');
document.write('<td><input name="5_commissions" type="text" id="1_commissions" size="6" maxlength="10" />');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Cong&eacute;s pay&eacute;s : </td>');
document.write('<td>Du ');
document.write('<input name="5_conges_du" type="text" id="1_conges_du" size="10" maxlength="10" /> ');
document.write('(inclu)<br />');
document.write('<br />');
document.write('Au ');
document.write('<input name="5_conges_au" type="text" id="1_conges_au" size="10" maxlength="10" /> ');
document.write('(inclu) </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Avantages en nature : </td>');
document.write('<td>Nombre de repas ');
document.write('<input name="5_nombre_repas" type="text" id="1_nombre_repas" size="6" maxlength="10" />');
document.write('<br />');
document.write('<br />');
document.write('Autre ');
document.write('<input name="5_autre" type="text" id="1_autre" size="6" maxlength="10" /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>Accompte : </td>');
document.write('<td><input name="5_accompte" type="text" id="1_accompte" size="6" maxlength="10" />');
document.write('&euro; </td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td valign="top">Indemnit&eacute; de transport : </td>');
document.write('<td>Carte Orange ');
document.write('<input name="5_carte_orange" type="text" id="1_carte_orange" size="6" maxlength="10" />');
document.write('<br />');
document.write('<br />');
document.write('Forfait ');
document.write('<input name="5_forfait" type="text" id="1_forfait" size="6" maxlength="10" />');
document.write('<br /></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>&nbsp;</td>');
document.write('<td>&nbsp;</td>');
document.write('</tr>');







document.write('<tr>');
document.write('<td>&nbsp;</td>');
document.write('<td>&nbsp;</td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td colspan="2"><strong>Observations : </strong></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td colspan="2"><em>Libell&eacute; &agrave; faire figurer sur les bulletins de salaires, maladie, maternit&eacute;, solde de tout compte, primes, commissions, etc.). </em></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td colspan="2"><textarea name="observations" cols="55" rows="4" id="observations"></textarea></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>&nbsp;</td>');
document.write('<td align="center"><input type="hidden" name="destinataire" value="' + destinataire + '" /><input type="hidden" name="societe" value="' + societe + '" /><input type="hidden" name="siteinternet" value="' + siteinternet + '" /><input type="submit" name="Submit" value="Envoyer" /></td>');
document.write('</tr>');
document.write('</table>');
document.write('</form>');