[(#VAL{id_petition}|_request|non)#ID_PETITION] [(#VILLE|couper_court{20,'..'})] #CODEPOSTAL [(#SET{nom,[(#FIRSTNAME) ]#LASTNAME})][(#GET{nom}|couper_court{20,'..'})] [(#DATE_TIME|affdate{'j/m/y'})] [(#NOM|couper_court{20,'..'})] #IP   [ ] []  []