/th>
              <th colspan="3">Triplicate for Supplier</th>
          </tr>
      </thead>
      <tbody>
          <tr>
            <td colspan="2">Invoice No.</td>
            <td colspan="3">%Invoice Number%</td>
	    <td colspan="2">Invoice Date : </td>
	    <td colspan="2"> %Invoice Date%</td>
	    <td colspan="2">Status: </td>
            <td colspan="2">%Invoice Status%</td>
	  </tr>
	    <tr>
	    <td colspan="2">Date of Supply : </td>
	    <td colspan="3">%Date of Supply%</td>
	    <td colspan="