Form Demo tableselect

fieldset001a
fieldset002a
OptionCitation NumberAmount DueIssue DateLic PlateLic State
Citation# 1234567 $50.00 2018-07-17 ABC123 NY
Citation# 1234567 $50.00 2018-07-17 ABC123 MY
Citation# 5674567 $50.00 2018-07-17 ABC567 LY