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<template pageSize="(595.0,842.0)" title="Test" author="Martin Simon" allowSplitting="20">
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<paraStyle name="P1" fontName="Times-Roman" fontSize="6.0" leading="8" alignment="CENTER" spaceBefore="0.0" spaceAfter="6.0"/>
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<para style="P12">TABLEAU TRIMESTRIEL</para>
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<para style="P7">Caisse PIVOT : 1811 : CPAM DU TARN Effectifs au [[ data['form']['date'] ]]</para>
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<para style="P7">Raison Sociale : <font face="Times-Roman">[[ company.name ]]</font></para>
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<para style="P7">Catégorie : 200 Statut Juridique : 61 Mode de Fixation des tarifs : 07</para>
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<para style="P7">Discipline de prestations : 368 Section de cure médicale : </para>
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<para style="P7">N° FINESS : <font face="Times-Roman">81 000 380 Clé : 6</font></para>
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<para style="P7">Nombre totale de lits autorisés pris en charge par l'Assurance Maladie : 119</para>
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<para style="P7">dont lit en section de cure médicale</para>
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<para style="P7">Montant du forfait global annuel :</para>
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<para style="P7">Montant cumulé des acomptes payés :</para>
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<font color="white"> </font>
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<blockTable colWidths="253.0,229.0" style="Tableau1">
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<para style="P10">Régime</para>
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<para style="P10">Effectifs au 1er jour du trimestre</para>
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<para style="P9">[[ repeatIn(_lines(data['form']),'lignes') ]]</para>
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<para style="P8">[[ lignes['regime'] ]]</para>
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<para style="P5">[[ lignes['effectifs'] ]]</para>
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<blockTable colWidths="253.0,229.0" style="Tableau1">
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<para style="P14">Total des effectifs au premier jour du trimestre</para>
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<para style="P2">[[ total(data['form']) ]]</para>
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<font color="white"> </font>
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<para style="P4">SIGNATURES</para>
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<font color="white"> </font>
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<para style="P3">Directeur de l'établissement<font color="white"> .........</font><font color="white"> .........</font><font color="white"> .........</font><font color="white"> .........</font>Directeur Caisse Pivot<font color="white"> .........</font><font color="white"> .........</font>Agent Comptable caisse pivot</para>
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<font color="white"> </font>
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<font color="white"> </font>
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<blockTable colWidths="206.0,164.0,113.0" style="residents">
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<para style="P10">Nom</para>
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<para style="P10">N° de Secu</para>
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<para style="P10">Date d'Entrée</para>
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<para style="P9">[[ repeatIn(_lines_resident(data['form']),'lignes') ]]</para>
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<para style="P11">[[ lignes['regime'] ]] <font face="Times-Roman" size="8.0">[[ lignes['resident'] ]]</font></para>
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<para style="P6">[[ lignes['secu'] ]]</para>
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<para style="P6">[[ lignes['entree'] ]]</para>
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<font color="white"> </font>