25 lines
945 B
Cheetah
25 lines
945 B
Cheetah
<TMPL_INCLUDE Name="members-top.inc">
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<Center><h3>Manual Invoice</h3></center>
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<form action=/cgi-bin/koha/maninvoice.pl method=post>
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<table cellpadding=2 cellspacing=0 border=0>
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<input type=hidden name=bornum value="<TMPL_VAR Name="bornum">">
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<tr><td><b>Borrowernumber<b></td><td><TMPL_VAR Name="bornum"></td></tr>
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<tr><td><b>Type</b></td><Td>
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<select name=type>
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<option value=L>Lost Item</option>
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<option value=F>Fine</option>
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<option value=A>Account Management Fee</option>
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<option value=N>New Card</option>
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<option value=M>Sundry</option>
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<option value=REF>Cash Refund</option>
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</select>
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</td></tr>
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<tr><td><b>Itemnumber</b></td><td><input type=text name=itemnum></td></tr>
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<tr><td><b>Description</b></td><td><input type=text name=desc size=50></td></tr>
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<tr><td><b>Amount</b></td><td><input type=text name=amount></td></tr>
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<tr><td><input type=submit name=add value=Add></td></tr>
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</table>
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</form>
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<TMPL_INCLUDE Name="members-bottom.inc">
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