<tbody><tr><th colspan="2">Eingescanntes Dokument</th>
  </tr><tr id="list_fields"><td colspan="2">
      <span type="form" width="80%" name="person_archive_scan:image" showhead="default"></span>
    </td>
  </tr><tr><td colspan="2">
      <span type="form" width="80%" name="person_archive_scan:document" showhead="default"></span>
    </td>
  </tr><tr><td>
      <span type="form" name="person_archive_scan:date" showhead="default"></span>
    </td>
    <td>
      <span type="form" name="person_archive_scan:description" showhead="default"></span>
    </td>
  </tr></tbody>