フランスの領収書フォームの編集

Edit this French administrative receipt form. Change the date to 08/10/2026. Change the name 'ELOUFLIN JEAN-EMMANUEL' to 'FALLE LAHON SYNTICHE'. Change the amount to 110000. Change the amount in words to 'CENT DIX MILLE FRANCS CFA'. Remove 'TEC 112' and 'TEC 114', keep only 'TEC 120'. Change the advance amount to 110000 and the remaining balance to 0.