<div class="rsform-table" id="rsform-table1">
	<div class="rsform-table-row">
		<div class="rsform-left-col">{TOTAL AMOUNT:caption}</div>
		<div class="rsform-right-col">{TOTAL AMOUNT:value}</div>
	</div>
	<div class="rsform-table-row">
		<div class="rsform-left-col">{EXPENSE_CATEGORIES:caption}</div>
		<div class="rsform-right-col">{EXPENSE_CATEGORIES:value}</div>
	</div>
	<div class="rsform-table-row">
		<div class="rsform-left-col">{RECIEPT_DESCRIPTION:caption}</div>
		<div class="rsform-right-col">{RECIEPT_DESCRIPTION:value}</div>
	</div>
	<div class="rsform-table-row">
		<div class="rsform-left-col">{ADDITIONAL_NOTES:caption}</div>
		<div class="rsform-right-col">{ADDITIONAL_NOTES:value}</div>
	</div>
	<div class="rsform-table-row">
		<div class="rsform-left-col">{UPLOAD_FILE:caption}</div>
		<div class="rsform-right-col">{UPLOAD_FILE:value}</div>
	</div>
	<div class="rsform-table-row">
		<div class="rsform-left-col">Date Submitted</div>
		<div class="rsform-right-col">{global:date_added}</div>
	</div>
	<div class="rsform-table-row">
		<div class="rsform-left-col">Submitter's Username</div>
		<div class="rsform-right-col">{global:username}</div>
	</div>
	<div class="rsform-table-row">
		<div class="rsform-left-col">Submitter's User ID</div>
		<div class="rsform-right-col">{global:userid}</div>
	</div>
</div>
