6 <form name="appform" id="appform" method="post">
7 <div id="city_div"> City:
8 <input /="/" name="city" type="text">
10 <div id="state_div"> State:
11 <input /="/" value="catatonic" name="state" type="text">
13 <div id="company_div"> Company:
14 <input /="/" name="company" type="text">
16 <div id="data_source_div"> Data Source:
17 <input /="/" name="data_source" type="text">
19 <input /="/" value="locate records" type="submit">