<input type="hidden" name="max_dunning_level" value="[% HTML.escape(max_dunning_level) %]">
<input type="hidden" name="media" value="[% HTML.escape(media) %]">
<input type="hidden" name="message" value="[% HTML.escape(message) %]">
- <input type="hidden" name="payment_id" value="[% HTML.escape(payment_id) %]">
<input type="hidden" name="printed" value="[% HTML.escape(printed) %]">
<input type="hidden" name="proforma" value="[% HTML.escape(proforma) %]">
<input type="hidden" name="queued" value="[% HTML.escape(queued) %]">
<input type="hidden" name="title" value="[% HTML.escape(title) %]">
<input type="hidden" name="type" value="[% HTML.escape(type) %]">
<input type="hidden" name="vc" value="[% HTML.escape(vc) %]">
+ <input type="hidden" name="lastmtime" value="[% HTML.escape(lastmtime) %]">
<p>
<table width="100%">