<div class="nf-repeater-row nf-item-alternating" id="2_ctl00_PlaceHolderMain_formFiller_FormView_ctl134_1f65a353_0d79_4b81_b7c6_787a3ba66bae_ctl00_2cd166fb-2a0f-4a1e-bae9-3297c8caae94" style="width: 100%; height: 55px; display: block; visibility: visible; position: relative;" name="2_undefined"><div class="nf-form-input nf-section nf-filler-control nf-filler-highlightonvalidationerror" style="left: 0px; top: 0px; width: 225px; height: 45px; overflow: hidden; z-index: 100;" data-formcontroltypeid="c0a89c70-0781-4bd4-8623-f73675005e03" data-controlid="5c211668-967d-47a4-a66b-2f57c1ad56f4" data-uniqueid="c0a89c70-0781-4bd4-8623-f73675005e03" data-controlname="Date" formcontrolid="5c211668-967d-47a4-a66b-2f57c1ad56f4" data-enabled="True"><div class="nf-filler-control-border"><div class="nf-filler-control-inner"><div title="" style="width: 100%;"><input name="2_ctl00$PlaceHolderMain$formFiller$FormView$ctl134$1f65a353_0d79_4b81_b7c6_787a3ba66bae$ctl00$ctl03$f380ff95_2c2f_49cb_bc87_bf4e09036c87Date" class="nf-date-picker nf-associated-control hasDatepicker" id="2_ctl00_PlaceHolderMain_formFiller_FormView_ctl134_1f65a353_0d79_4b81_b7c6_787a3ba66bae_ctl00_ctl03_f380ff95_2c2f_49cb_bc87_bf4e09036c87Date" type="text" maxlength="45" value="" formcontrolid="5c211668-967d-47a4-a66b-2f57c1ad56f4"><img width="16" height="15" title="Select a date." class="ui-datepicker-trigger" alt="Select a date." src="/_layouts/15/images/calendar.gif"></div><input name="ctl00$PlaceHolderMain$formFiller$FormView$ctl134$1f65a353_0d79_4b81_b7c6_787a3ba66bae$ctl00$ctl03$ctl02" class="nf-hidden-associated-control" style="visibility: hidden;" type="text" value="" formcontrolid="5c211668-967d-47a4-a66b-2f57c1ad56f4"><span class="nf-validator-error" id="ctl00_PlaceHolderMain_formFiller_FormView_ctl134_1f65a353_0d79_4b81_b7c6_787a3ba66bae_ctl00_ctl03_ctl03" style="display: none;"></span><span class="nf-validator-error" id="ctl00_PlaceHolderMain_formFiller_FormView_ctl134_1f65a353_0d79_4b81_b7c6_787a3ba66bae_ctl00_ctl03_ctl04" style="display: none;"></span></div></div></div><div class="nf-form-input nf-section nf-filler-control nf-filler-highlightonvalidationerror" style="left: 225px; top: 0px; width: 95px; height: 45px; overflow: hidden; z-index: 100;" data-formcontroltypeid="c0a89c70-0781-4bd4-8623-f73675005e04" data-controlid="9dfdcd83-58ed-4496-8a9a-4ed23b382210" data-uniqueid="c0a89c70-0781-4bd4-8623-f73675005e04" data-controlname="CHECKBOX_ID" formcontrolid="9dfdcd83-58ed-4496-8a9a-4ed23b382210" data-enabled="True"><div class="nf-filler-control-border"><div class="nf-filler-control-inner"><span class=" nf-associated-control" style="width: 100%; text-align: center; display: inline-block;"><input name="2_ctl00$PlaceHolderMain$formFiller$FormView$ctl134$1f65a353_0d79_4b81_b7c6_787a3ba66bae$ctl00$ctl07$6f2ec3ca_daac_4518_80e7_33d0cc75c516" id="2_ctl00_PlaceHolderMain_formFiller_FormView_ctl134_1f65a353_0d79_4b81_b7c6_787a3ba66bae_ctl00_ctl07_6f2ec3ca_daac_4518_80e7_33d0cc75c516" type="checkbox" value="on" formcontrolid="9dfdcd83-58ed-4496-8a9a-4ed23b382210"></span></div></div></div><div class="nf-form-input nf-section nf-filler-control nf-filler-highlightonvalidationerror nf-resizable" style="left: 320px; top: 0px; width: 90px; height: 45px; overflow: visible; z-index: 100;" data-formcontroltypeid="c0a89c70-0781-4bd4-8623-f73675005e02" data-controlid="0dfe21e6-55a5-455a-846c-a6d053777190" data-uniqueid="c0a89c70-0781-4bd4-8623-f73675005e02" data-controlname="LIST_ID" formcontrolid="0dfe21e6-55a5-455a-846c-a6d053777190" data-enabled="True" data-currentcontrolvalue="" data-multiselectcontrol="False"><div class="nf-filler-control-border"><div class="nf-filler-control-inner"><div><select name="2_ctl00$PlaceHolderMain$formFiller$FormView$ctl134$1f65a353_0d79_4b81_b7c6_787a3ba66bae$ctl00$ctl11$6059a4dc_689f_4a2f_80a6_50447419feb8" class=" nf-associated-control" id="2_ctl00_PlaceHolderMain_formFiller_FormView_ctl134_1f65a353_0d79_4b81_b7c6_787a3ba66bae_ctl00_ctl11_6059a4dc_689f_4a2f_80a6_50447419feb8" style="width: 100%;" data-use-attribute-as-value="data-nfChoiceValue" formcontrolid="0dfe21e6-55a5-455a-846c-a6d053777190">