3 <form name="appform" id="appform" method="post">
4 <div id="city_div"> City: <input name="city" type="text"/> </div>
5 <div id="state_div"> State: <input value="catatonic" name="state" type="text"/> </div>
6 <div id="company_div"> Company: <input name="company" type="text"/> </div>
7 <div id="data_source_div"> Data Source: <input name="data_source" type="text"/> </div>
8 <input value="locate records" type="submit"/>