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- <div style="margin-top:10px;" class="lr-form-container">
- <div class="lr-form-row lr-form-row-title">
- <label>选择车牌号</label>
- </div>
- <!--<div class="lr-form-row">
- <label>车牌选择</label>
- <div id="plateselect"></div>
- </div>-->
- <div class="lr-form-row">
- <label>车牌号<font style="color:red;position:initial;"> *</font></label>
- <input id='plate' type="text" readonly>
- </div>
- <div class="lr-form-row">
- <label>手机号码<font style="color:red;position:initial;"> *</font></label>
- <input id='mobile' type="text">
- </div>
- <div class="lr-form-row">
- <label>报警种类<font style="color:red;position:initial;"> *</font></label>
- <div id="select4"></div>
- </div>
- <div class="lr-form-row">
- <label>被盗日期<font style="color:red;position:initial;"> *</font></label>
- <div id="date2"></div>
- </div>
- <div class="lr-form-row">
- <label>事发城市<font style="color:red;position:initial;"> *</font></label>
- <div id="select3"></div>
- </div>
- <div class="lr-form-row">
- <label>事发地址<font style="color:red;position:initial;"> *</font></label>
- <input type="text" id="address">
- </div>
- <div class="lr-form-row lr-form-row-multi">
- <label>报警原因<font style="color:red;position:initial;"> *</font></label>
- <!--<div class="lrtextarea" contenteditable="true" ></div>-->
- <textarea id="textarea"></textarea>
- </div>
- </div>
- <div style="padding:10px;">
- <button type="button" class="lr-btn-primary lr-btn-block">报警</button>
- </div>
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