Koha/koha-tmpl/intranet-tmpl/npl/en/members/pay.tmpl

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<!-- TMPL_INCLUDE NAME="doc-head-open.inc" -->Koha -- Pay Fines for <!-- TMPL_VAR NAME="surname" -->, <!-- TMPL_VAR NAME="firstname" --><!-- TMPL_INCLUDE NAME="doc-head-close.inc" -->
<!-- TMPL_INCLUDE NAME="masthead.inc" -->
<!-- TMPL_INCLUDE NAME="members-topmenu.inc" -->
<!-- TMPL_INCLUDE NAME="intranet-nav.inc" -->
<div id="main">
<form class="inline" action="/cgi-bin/koha/pay.pl" method="post"><input type="hidden" name="bornum" value="<!-- TMPL_VAR name="bornum" -->" />
<div class="table"><table>
<caption>Pay Fines for <!-- TMPL_VAR name="firstname" --> <!-- TMPL_VAR name="surname" --></caption>
<tr>
<th>Fines &amp; Charges</th>
<th>Description</th>
<th>Account Type</th>
<th>Amount</th>
<th>Amount Outstanding</th>
</tr>
<!-- TMPL_LOOP name="loop_pay" -->
<tr>
<td><fieldset><label for="payfine<!-- TMPL_VAR name="i" -->">Unpaid</label><input id="payfine<!-- TMPL_VAR name="i" -->" type="radio" name="payfine<!-- TMPL_VAR name="i" -->" value="no" checked="checked" /><br>
<label for="payfine<!-- TMPL_VAR name="i" -->">Pay</label><input type="radio" id="payfine<!-- TMPL_VAR name="i" -->" name="payfine<!-- TMPL_VAR name="i" -->" value="yes" /><br>
<label for="payfine<!-- TMPL_VAR name="i" -->">Writeoff</label><input type="radio" id="payfine<!-- TMPL_VAR name="i" -->" name="payfine<!-- TMPL_VAR name="i" -->" value="wo" /></fieldset>
<input type="hidden" name="itemnumber<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="itemnumber" -->" />
<input type="hidden" name="accounttype<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="accounttype" -->" />
<input type="hidden" name="amount<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="amount'}" -->" />
<input type="hidden" name="out<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="amountoutstanding" -->" />
<input type="hidden" name="bornum<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="bornum" -->" />
<input type="hidden" name="accountno<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="accountno" -->" />
</td>
<td><!-- TMPL_VAR name="description" --><!-- TMPL_VAR name="title" --></td>
<td><!-- TMPL_VAR name="accounttype" --></td>
<td><!-- TMPL_VAR name="amount" --></td>
<td><!-- TMPL_VAR name="amountoutstanding" --></td>
</tr>
<!-- /TMPL_LOOP -->
<tr>
<td colspan="4">Total Due</td>
<td><!-- TMPL_VAR name="total" --></td>
</tr>
</table></div>
<input type="submit" name="submit" value="Make Payment" class="submit" /></form> <form class="inline" action="moremember.pl" method="get"><input type="hidden" value="<!-- TMPL_VAR name="bornum" -->" name="bornum" /> <input type="submit" class="submit" value="Return to Member Record" /></form>
</div>
<!-- TMPL_INCLUDE NAME="intranet-bottom.inc" -->