<script>

function addBalance(amount)
{
document.getElementById("amount").value = amount;

}



</script>



<table width="550" border="0" cellspacing="0" cellpadding="0" class="tableBorder">

  <tr>
    <td>
<form id="formID"  method="post" action="<?=site_url('client/addANINumber')?>">
<input type='hidden' name='id_client' id='id_client' value='<?= $id_client; ?>' >
<input type='hidden' name='clienttype' id='clienttype' value='<?= $clienttype; ?>' >

<table width="100%" border="0" align="center" cellpadding="0" cellspacing="0" style="border-bottom:1px solid #99BBE8; border-top:1px solid #99BBE8">

  <tr>
    <td colspan="2" class="mainTableTitle" style="padding-top:0px;">

      <span>&nbsp;&nbsp;&raquo;</span> <?=TITLE063?>

    </td>
  </tr>


<tr>
	<td class='formLabelRigit' width='30%' style='padding-top:10px;padding-bottom:3px;padding-left:5px;'>  ANI Number :  </td>
	<td class='formLabelLeft' width='70%' style='padding-top:10px;padding-bottom:3px;padding-left:5px;'><input type='text' class='formInput' name='aninumber' id='aninumber' style='width:150px;' value='<?= $aninumber; ?>' /></td>
</tr>


<tr>
<td class='formLabelRigit' style="padding-top:3px;padding-bottom:3px;"> Date : </td>
<td class='formLabelLeft' style="padding-top:3px;padding-bottom:3px;padding-left:5px;">
<input type='text'  class = 'formInput' name='creationdate' id='creationdate' style='width:150px;' value='<?=$creationdate?>'  disabled="disabled" />
</td>
</tr>

  <tr>
    <td colspan="2" align="center" style="padding:15px;"><input type="submit" name="submit" value="Add Now" class="input-submit" /></td>
  </tr>



</table>

</form>
    </td>
  </tr>
</table>



