Enterprise Document GenerationDocument Design, Presentation, Delivery and Management

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IBM System i, AS/400 UsersUpgrade for Adobe®, JetForm® Central, R-Forms and FormsPlus/400 Users

© Eclipse Corporation WSL Inc.

P11D EXPENSES AND BENEFITS 2002-03Note to employerComplete this return for a director, or an employee who earned at a rate of £8,500a year or more during the year 6 April 2002 to 5 April 2003. Do not includeexpenses and benefits covered by a dispensation or PAYE settlement agreement.Read the P11D Guide and booklet 480, Chapter 24, before you complete theform. Send the completed P11D and form P11D(b) to the Inland Revenue officeby 6 July 2003. You must give a copy of this information to the director oremployee by the same date. The term employee is used to cover both directorsand employees throughout the rest of this form.

Note to employeeYour employer has filled in this form. Keep it in a safe place as you may notbe able to get a duplicate. You will need it for your tax records and tocomplete your 2002-03 Tax Return if you get one. Your tax code may needto be adjusted to take account of the information given on this P11D. Thebox numbers on this P11D have the same numbering as the EmploymentPages of the Tax Return, for example, 1.12. Include the total figures in thecorresponding box on the Tax Return, unless you think some other figure ismore appropriate.

Employee’s detailsEmployee’s name

Works number /department National Insurance number

If a directortick here �

P11D

(200

3)BS

10/

02

Employer’s detailsEmployer’s name

PAYE tax reference

A

B

£ £

1.12 £

1.12 £

C

£ £ 1.13 £

D

E

Cash equivalent

Cash equivalent

£

£

£

£

£

£

£

£

£

£

£

£

£

£

Employers pay Class 1A National Insurance contributions on most benefits. These are shown in boxes which are brown and have a 1A indicator

F

Cash equivalent

1.12 £ 1A

1.14 £ 1A

1.16 £ 1A

1.17 £ 1A

Cost/ Market value

Gross amount

Amount made good orfrom which tax deducted

Amount made good orfrom which tax deducted

Assets transferred (cars, property, goods or other assets)

Description of asset – =

Payments made on behalf of employee

Description of payment

Tax on notional payments not borne by employee within 30 days of receipt of each notional payment

Vouchers or credit cards

Value of vouchers and payments made using credit cards or tokens – =

Living accommodation

Cash equivalent of accommodation provided for employee, or his/ her family or household

Mileage allowance and passenger payments

Amount of car and mileage allowances paid for employee’s own vehicle, and passenger payments, in excessof maximum exempt amounts (See P11D Guide for 2002-03 exempt rates)Cars and car fuel If more than two cars were made available, either at the same time or in succession, please give details on a separate sheet

Car 1 Car 2

Make and Model

Date first registered

Approved CO2 emissions figure for carsregistered on or after 1 January 1998 Tick box

if the car does not have an approved CO2 figure g/km g/km

Engine size cc ccType of fuel or power used Please use the key

letter shown in the P11D Guide (2003)

Dates car was available From to From toOnly enter a ‘from’ or ‘to’ date if the car was first made

available and/or ceased to be available in 2002-03List price of car If there is no list price, or if it is aclassic car, employers see booklet 480; employeessee leaflet IR172Price of optional accessories fitted when carwas first made available to the employee

Price of accessories added after the car wasfirst made available to the employee

Capital contributions (maximum £5,000)the employee made towards the cost ofcar or accessoriesAmount paid by employee for private use ofthe car

Cash equivalent of each car

Total cash equivalent of all cars availablein 2002-03

Cash equivalent of fuel for each car

Total cash equivalent of fuel for all cars available in 2002-03

See P11D Guide fordetails of cars that haveno approved C02 figure

See P11D Guide fordetails of cars that haveno approved C02 figure

1.15 £

Taxable amount

Abcdefg ABC, Mr. DEF

123/123456 30 AA123456B

Precious Metals 2,200.00 220.00 1,980.00

Season Tickets 22,000.00

2,200.00

2,000.00 200.00 1800.00

9,990.00

220.00

ABC classic ABC DEF

10/01/2000

160

2000

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02/04/2000 02/04/2000

15,000.00

420.00

200.00

100.00

2,232.50

3,453.21

2,250.00

17,289.45

01/01/2000

180

2000

D

01/04/2000 01/04/2003

11,000.00

1,220.71

12,439.45

AcknowledgementPage No.:Order Number:Order Date:

123 Main StreetLos Angeles, CA 90031

PDF-417 2-D Barcodewith Order No, Order Date,and Ship To No. Vendor Number:

Tel: (123)714-3400 Fax: (123)714-3401www.javajive.com

BILL TO

SHIP TO

TermsSalesman

Ordered Required ReferenceShip Via

F.O.BQuantityOrdered T

X UnitPriceExtendedPrice

Item NumberDescription

BO UM

UP

Total Number of Items ShippedOrder TotalYou have earned a 15%DISCOUNTRedeem Now, Scan QR Code

SAMPLE DocOrigin Form Bring this coupon to any Java Jive store location, or visit www.javajive.com/redeem and enter reference # 37658254

This Form Sample Was DesignedUsing DocOrigin.Scan The QR CodeTo Learn More.

Final Page

1 of 1564502/05/2012

144Joe's Gourmet Coffee100 Cape Coral ParkwaySuite 100Cape Coral, FL 33904 Old Towne Coffee21212 Lyons AvenueUnit B

Newhall, CA 91321NET 10

Harrison Luke 17 02/02/2012 02/22/2012 58SLUPS Ground

Destination

1462Espresso Accessory kit

N EA1.0000 Y 21.95000 EA

21.95

Includes:One stainless steel pitcher, with two long Stainless Steel scoops, One How To Guide,

One large dial thermometer for the perfect coffee temperature and better taste.

One plastic carafe and one glass carafe.Great kit for training your new employess. Buy 5 or more before April 30th 2012 and

get one kit FREE..

1528Stainless Steel Grinder

N EA1.0000 Y 29.95000 EA

29.95

For the freshest coffee, grind coffee beans every time you brew.

Internet Purchase Special: Receive a free set of stainless grinder

blades at www.javajive.com

5799-ST1100% French Roast Coffee Candy

Y EA1.0000 Y 4.95000 EA

Whole coffee beans roasted to perfection and covered with Belgian Chocolate

1798Four Canister Accessory Kit

N EA1.0000 Y 21.95000 EA

21.95

Includes:One four stainless steel canisters with lidsThis product qualifies for DOUBLE JavaJive bonus points

For details on JavaJive bonus program visit our website

1575Cups and Saucer Set.

N EA1.0000 Y 29.95000 EA

29.95

Includes two each cups, saucers, spoonsInternet Purchase Special:Join our coffeee club before April First, don't be a fool!

Get our free T-Shirt with logo and "I Jive at JavaJive, Join Me 4 a Cup"

Receive one free set of this item when you buy five sets.

5922-ST1Eight Piece Art Deco Coaster Set

Y EA1.0000 Y 4.95000 EA

Exclusive art deco designer coaster set, each coaster's design is unique4

$103.80

iForMagine is a document generation solution for IBM Midrange Systems, used for generating professional-looking, high-quality documents from new and legacy line-of-business applications.

The Designer and Transformation features create business documents quickly and easily, regardless of the application software producing the data.

With iForMagine, organizations can generate documents that maintain their professional brand and better communicate with customers, partners, and suppliers.

iForMagine is the result of 30 years of product enhancements, innovations, and customer’s recommendations.

Simplifying IBM System i Document Automation

iForMagine

www.EclipseCorp.US +1.678.408.1245 Info@EclipseCorp.US

• Previewyourdocumentanddatainsecondsatanypointduringthedesign.

• Fullfontsupport.• Pointandclickforlines,boxes,tablesandimages!• Fullbarcodesupportforbothstaticanddynamic

fielddrivendatatoincludeCode39,UPC-A,QRCode,PDF-417,PostNetandmore!

• DynamicTableToolmakescreationsimple.• DynamicRowHeight&AlternatingBackground

Color(i.e.greenbar)

• CheckboxandRadioButtonsupport.• Fieldformattingfornumbers,currency,dateand

time.• Localizeddynamiccontrolforlanguageanddata

formatting.• Definitionofjavascriptatindividualfieldandobject

leveltocontrolmergeprocess.• FormExplorerviewdisplaysdocument’sxml

structure.• Supportsmulti-pagedocuments.

TheDocOriginDesignerisatruegraphicaluserinterface(GUI)withpointandclicktechnologyforbuildingthemostcomplexbusinessdocumentstoinclude:Insurancepackets,financecontracts,HRformsandallERP,CRM,&SCMdocuments!

Startingnew,ormovingfromanobsoleteformspackage,theDesignerwillimportindustrystandardXDPfiles,acceleratingthedesignprocessinDocOrigin.

Addingformelementslikelines,boxes,tablesandfieldsisasimpledraganddropprocess.Itemsareeasilypositionedusing“snapto”gridorprecisexycoordinates.

DocOriginsupportsIntelligentDocumentReduction®(IDR)whichcanreducethenumberofpagesgeneratedupto66%whileusingyourexistingdataandwithoutmodificationtoyourbusinesssoftware!Enhancingperformance,creatingsmallerfilesandusinglesspaper,andsavingyoumoneyeveryday!IDRcandynamicallysuppressrepetitiveheadersandfooters,allowingmore“variabledata”perpage.

Windows based user interface is intuitive and easy to learn!

iForMagine Designerpowered by DocOrigin

Merge your data with documents, forms and contracts using any Business Software!

• AvailableonAIX,Windows,Linux,Unix,IBMiSeriesandAS400.• StitchmultipledocumentstogethertocreatePortfoliosorPackets.• ProcessstandardXML,Spool,ASCII,TEXT,CSVandFNF3files.• Optionaldataconversionfilterthattransformsnon-xmldata.• Fullunicodesupport.• Paginatedocumentsbasedontemplate-definedpaginationrules.• HighlyefficientPCLandPostscriptprintdrivers-capableof

feedingprintersatratedprintspeeds.• ProduceoneormoreprintstreamsorPDFfilesinasinglemerge.

◦ Datacanbestreamedtoalternateoutputsbasedonembeddedlogic.

Extensive PDF output support• Embeddedsubsetfonts.• Filecompression.• RSAencryption.• Passwordprotection.• Bookmarkgeneration.• CreateasinglePDFfilewiththousandsofembeddedcustomer

documentsforuseinarchiveandsearch.Substantialfilesizereductionforarchivingandperformanceinfulltextsearch.

• Generateupto15,000PDFpagesperminute.• Downloadselectedfontstoprinterorembedindatastream.

Convert Data like this...

The DocOrigin Merge engine combines your data with dynamic templates to produce high quality, customer facing

documents for Print, Fax, Email, Web and Archive!

For screen shots, document samples and more, see us online atEclipseCorp.us/docorigin.html

3DocOrigin’s FNF filter will produce an XML file that contains all the original data for ^Field and ^Global information. Other ^ commands are ignored. Eclipse offers an optional filter for more complex FNF files.

AcknowledgementPage No.:Order Number:

This Form Sample WasDesigned Using DocOrigin.Scan The QR CodeTo Learn More.

QuantityOrdered TX Unit

Price ExtendedPrice

Item NumberDescription

BO UM

UP

Total Number of Items ShippedOrder TotalYou have earned a 15%DISCOUNTRedeem Now, Scan QR Code

SAMPLE DocOrigin Form Bring this coupon to any Java Jive store location, or visitwww.javajive.com/redeemand enter reference #37658254

This Form Sample Was DesignedUsing DocOrigin.Scan The QR CodeTo Learn More.

Final Page

2 of 25645

5566-ST1Coffee Mug, Butterfly Lovers

Y EA 1.0000 Y 4.95000 EA

Butterfly art by Harrison Luke. Collectors edition classic cup

5566-ST1USB Mug Warmer, CPU keeps it HOT! Y EA 1.0000 Y 4.95000 EA

USB Coffee warmer plug in to your PC or Laptop, keepsyour coffee warm.

9009Splenda Bulk Pack 1000

N EA 1.0000 Y 21.95000 EA21.95

Includes:Bulk package of 1000 packets, includes 10 individual table holders,

each table holder holds 50 packets of splenda for customer convenience.

Table holders can be order seperately from www.JavaJIve.com

9522Table with two stools.

N EA 1.0000 Y 29.95000 EA29.95

Mini Table for your dolls to have their morning coffee.Your little girl will be the talk of the neigborhood with :this very cool table. Scale sized just right for Barbie and friends.

8769-ST1Beaver Coffee Mug

Y EA 1.0000 Y 4.95000 EA

For the animal lovers, start your collection today!

1463Coffee Art Wall Poster

N EA 1.0000 Y 21.95000 EA21.95

Poster 20 x 30 inches with laminated surface for easy cleaning.

This is one of a series of 4 availble from artist Gidget Grace

the award winning artist from Paris.

1502Wifi Window Signs, Qty 4

N EA 1.0000 Y 29.95000 EA29.95

Four large easy to apply window signs to draw in customers on he move.

Just apply on the inside you your window or door glass in seconds:

MAKE YOUR OWN SIGN: We offer custom signs, you design it, we do the rest.

5700-ST92011 Glass Latte Art Saucer

Y EA 1.0000 Y 4.95000 EA

One artistic glass saucer by Gidget Grace

1444Truffles, so good their sold by the ounce. N EA 1.0000 Y 21.95000 EA

21.95

Includes:12 ounces of truffles that will melt in your mouth and delight your taste buds.

These truffles are made with a new non sugar sweatner and have 1/2 the calories

per ounce. Now you can enjoy twice as much without feeling guilty.

Caution: We are not responsible for the amount you enjoy!

1115Expresso Coffee Pot

N EA 1.0000 Y 29.95000 EA29.95

For the best coffee, this is an insulated pot.Internet Purchase Special:Receive a free pound of your favorite coffee when you buy the pot.

5700-ST9Glass Latte Art Saucer 2012

Y EA 1.0000 Y 4.95000 EA

One artistic glass saucer by Gidget Grace released in Feb 2012

12

$311.70

...into Documents like this

www.EclipseCorp.US +1.678.408.1245 Info@EclipseCorp.US

The headers on multi-page documents are dynamically replaced with smaller headers to save space and improve the presentation of data. This is one of the many features of Intelligent Document Reduction® (“IDR”). Using IDR on multi-page documents can

reduce the amount of paper, toner and storage space required by up to 66%. *Not all e-forms solutions support IDR.

AcknowledgementPage No.:

Order Number:

Order Date:

123 Main Street

Los Angeles, CA 90031

PDF-417 2-D Barcode

with Order No, Order Date,

and Ship To No.Vendor Number:

Tel: (123)714-3400 Fax: (123)714-3401

www.javajive.com

BILL TO

SHIP TO

TermsSalesman

Ordered Required ReferenceShip Via

F.O.B

QuantityOrdered

TX

UnitPrice

ExtendedPrice

Item NumberDescription

BO

UM

UP

Continued on Next Page

1 of 2

5645

02/05/2012

144

Joe's Gourmet Coffee

100 Cape Coral Parkway

Suite 100Cape Coral, FL 33904

Old Towne Coffee

21212 Lyons Avenue

Unit BNewhall, CA 91321

NET 10 Harrison Luke 17 02/02/2012 02/22/2012 58SL UPS Ground Destination

1462Espresso Acces

sory kitN EA 1.0000 Y 21.95000 EA

21.95

Includes:

One stainless steel pitcher, with two long Stainless Steel scoops, One How To Guide,

One large dial thermometer for the perfect coffee temperature and better taste.

One plastic carafe and one glass carafe.

Great kit for training your new employess. Buy 5 or more before April 30th 2012 and

get one kit FREE..

1528Stainless Steel G

rinderN EA 1.0000 Y 29.95000 EA

29.95

For the freshest coffee, grind coffee beans every time you brew.

Internet Purchase Special: Receive a free set of stainless grinder

blades at www.javajive.com

5799-ST1100% French Roast C

offee CandyY EA 1.0000 Y 4.95000 EA

Whole coffee beans roasted to perfection and covered with Belgian Chocolate

1798Four Canister A

ccessory KitN EA 1.0000 Y 21.95000 EA

21.95

Includes:

One four stainless steel canisters with lids

This product qualifies for DOUBLE JavaJive bonus points

For details on JavaJive bonus program visit our website

1575Cups and Saucer Set.

N EA 1.0000 Y 29.95000 EA29.95

Includes two each cups, saucers, spoons

Internet Purchase Special:

Receive one free set of this item when you buy five sets at www.javajive.com

5922-ST1Eight Piece Art Deco Coaste

r SetY EA 1.0000 Y 4.95000 EA

Exclusive art deco designer coaster set, each coaster's design is unique

9875Long Handle Sta

inless Steel Spoon Set

N EA 1.0000 Y 21.95000 EA21.95

Includes:

Set of twelve long handle stainless steel spoons

These long handle spoons are great for the deep grande cups

SPECIAL NOTE: We have these spoons in two other sizes

2845Sugar and Creamer S

etN EA 1.0000 Y 29.95000 EA

29.95

The highest grade stainless steel available.

This set is designed for commercail use to last a lifetime.

Receive a free set when you buy five or more at www.javajive.com

iForMagine Mergepowered by DocOrigin

• English• French• German• Swedish• Spanish• Italian• Finnish• Norwegian• Danish• Portuguese• Czech• Polish• Hungarian• Russian• Simplified Chinese• Traditional Chinese• Korean• Japanese

DOCUMENT GENERATIONLANGUAGES SUPPORTED

Simplifying IBM System i Document Automation

iForMagine is the result of 30 years of product enhancements, innovations, and customer’s recommendations. Our founders delivered their first IBM Midrange e-forms and document generation solution in 1982. In 1987, we delivered a 26 PPM e-Forms Laser Printer for the IBM 3X System. In 1992, our first AS/400 e-forms solution with a GUI designer was introduced. In 2001 we delivered a cross platform enterprise document generation solution for AIX, AS/400, UNIX, LINUX, and Windows. In 2009 we delivered our newest document generation software, iFORMagine, with the kind of enhancements you have come to expect from Eclipse Corporation.

AboutiForMagine

Document GenerationDesign • Presentation • Merge • Deliver • Archive

POWERFUL • SCALABLE • GLOBAL

iForMagine has proven scalability with global multinational companies like International Brake Industries and TransMontaigne. A powerful, flexible, and scalable solution, iForMagine is designed to handle small business or multinational global enterprises and is priced based on the volume you generate. Why pay for more than you need?

Languages Supported

In a global, competitive business environment, documents must be created and delivered worldwide. Documents must meet the legal and technical requirements for the locale they are delivered to. A global corporation managing multiple businesses and operating in multiple languages can have hundreds of requirements for a single document. For effective communication, documents should be

tailored to the recipients and presented to them in their native languages in an intuitive view.

iForMagine supports the needs of organizations around the globe and can generate documents in English, French, German, Swedish, Spanish, Italian, Finnish, Norwegian, Danish, Portuguese, Czech, Polish, Hungarian, Russian, Simplified Chinese, Traditional Chinese, Korean, and Japanese.

Integration without modification

iForMagine uses your data to drive the logical and dynamic creation of the document. No modification to your line of business software is required to generate the dynamic presentation of your document or meet the delivery requirements your customers demand. Using the data in your spool file or XML, your documents will be delivered when you want them, where you want them, and presented the way you want them.

iForMagine is a powerful document generation solution; the enhanced version 3.1 was released in September 2011. Designed with the power and flexibility to deliver documents for all industries, iForMagine works with any data generated on the System i or AS/400 V6.1 and higher. iForMagine runs natively on your System i or AS/400 but can also merge documents from Windows, Linux, and UNIX systems. Data generated from any business software is dynamically and logically merged into documents or forms to create personalized and professional output which can be delivered without operator intervention. Your documents can be delivered by print, email, fax, web, and be archived using our content management system or yours.

iForMagine

Simplifying IBM System i Document Automation

iForMagine server automates document output processes by executing several agents that perform individual tasks, as shown above. iForMagine is installed on the IBM i system and includes the DocOrigin GUI Designer. All user configurations for iForMagine are performed natively on your IBM system. The GUI Designer has been enhanced so that all document based logic is now controlled in the designer. Advanced features; Intelligent Document Reduction (“IDR”). Page X of Y, Data Driven Logic, Parent-Child overflow, Font Control, Cross Promo Ads, etc. are easily configured in the designer.

Dynamic, Personalized Document Generation

iForMagine helps improve customer communications and increase customer retention by giving customers easy-to-understand, professional documents in their requested format. The logical and dynamic document features in iForMagine allow application data to control the look and feel of each document. The Variable Data Printing (VDP) included in iForMagine provides personalized messaging in documents, promoting successful up-selling and cross-selling of your products and services.

Transforming Business Information Into Effective Documents

Today’s enterprises are discovering that documents can do much more than just communicate and inform customers with basic information provided in typical communications such as statements and packing slips. Compelling documents generated with Variable Data Printing (VDP) produce high-quality personalized documents—from printed one-page invoices to web-delivered 1,000+ page user manuals can actually drive new business and generate increased revenue.

Targeted marketing campaigns rely on brochures and other documents created for highly specific audiences. Documents generated using VDP can help build customer satisfaction and loyalty. The key to producing documents that drive business is a document generation solution that takes content from multiple sources, dynamically generates documents, and then delivers documents via print, email, smart device, and the web. Anywhere, anytime, anyway your customer wants it.

The Components of iForMagine

Professional Presentation

With iForMagine, organizations cangenerate documents that maintain their professional brand and bettercommunicate with customers, partners, and suppliers. In many cases, invoices, purchase orders, contracts, and shipping documents are a company’s only touch point with their customers, business partners, and other key audiences. iForMagine helps ensure that business documents clearly convey valuable information and reinforce an organization’s image and branding.

Web Delivery Saves Trees, Toner, $$

Everyone wants to help the environment and leave a better place for our children to live. Delivering documents via email and the web helps save the environment. This, combined with “Intelligent Document Reduction©”, IDR can save you thousands of dollars and countless trees. IDR can reduce the number of pages required to represent your information by 33 to 66% when generating traditional multipage documents. IDR logically eliminates the fixed headers and footers generated by most line of business software packages. Reducing the number of pages presented; reduces paper, toner, and printer maintenance cost when you print, and bandwidth and storage space when transmitting and archiving documents.

iForMagine

Simplifying IBM System i Document Automation

Document GenerationDocument Design, Presentation, Delivery and Management

About Eclipse Corporation

Eclipse Corporation is a leading provider of document automation software solutions. Our products help companies manage information by making documents easily accessible and more dynamic in their customer-facing and internal uses. The Eclipse team has provided document automation solutions to thousands of companies, AAA, Chase, GE, J&J, Konica-Minolta, Toyota, Verizon and Xenith just to name a few. Eclipse is a pioneer developer of enterprisedocument generation, document automation, and document management software. Our employees’ experience is unsurpassed in the industry. We listen to our clients and deliver the right solution for a fair value. We offer more than one solution, so we can provide the right solution for your requirements.

Contact Eclipse

Eclipse is the owner and developer of iForMagine and authorized distributor for DocOrigin in North America and the Caribbean. Please contact Eclipse at +1.678.408.1245 or e-mail us at Info@EclipseCorp.US.

+1.678.408.1245 (Tel)

+1.800.719.7790 (Fax)

info@EclipseCorp.US

www.EclipseCorp.US

PostScript is either a registered trademark or trademark of Adobe Systems Incorporated. IBM, AIX, System I, AS/400 are registered trademarks of IBM Corporation. Intelligent Document Reduction, iForMagine, and iForMagine.com are trademarks of Eclipse Corporation.

iForMagine includes the popular Eclipse IDE for the development of form templates and extraction definitions, as well as to perform all setup and configuration tasks. This is your central workbench and from here, configuration files and templates are deployed to the IBM i. Through the iForMagine menu on the IBM i, you control the iForMagine subsystem and the iForMagine processes.

iForMagine as your central workbench

iForMagine