48 lines
2.1 KiB
Cheetah
48 lines
2.1 KiB
Cheetah
<!-- TMPL_INCLUDE NAME="members-top.inc" -->
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<h1>Payer une amende pour <!-- TMPL_VAR name="firstname" --> <!-- TMPL_VAR name="surname" --></h1><P>
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<center>
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<p>
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<form action=/cgi-bin/koha/pay.pl 1
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<TABLE CELLSPACING=0 CELLPADDING=5 border=1 >
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<TR VALIGN=TOP>
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<td bgcolor="#99cc33" background="/images/background-mem.gif" colspan=4><B>AMENDES & FRAIS</B></TD>
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<td bgcolor="#99cc33" background="/images/background-mem.gif" colspan=4><B>Montant de l'avoir</B></TD>
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</TR>
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<input type="hidden" name="bornum" value="<!-- TMPL_VAR name="bornum" -->">
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<!-- TMPL_LOOP name="loop_pay" -->
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<tr VALIGN=TOP >
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<TD><input type=radio name="payfine<!-- TMPL_VAR name="i" -->" value="no" checked>Unpaid
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<input type=radio name="payfine<!-- TMPL_VAR name="i" -->" value="oui">Pay
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<input type=radio name="payfine<!-- TMPL_VAR name="i" -->" value="wo">Writeoff
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<input type=hidden name="itemnumber<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="itemnumber" -->">
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<input type=hidden name="accounttype<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="accounttype" -->">
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<input type=hidden name="amount<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="amount'}" -->">
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<input type=hidden name="out<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="amountoutstanding" -->">
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<input type=hidden name="bornum<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="bornum" -->">
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<input type=hidden name="accountno<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="accountno" -->">
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</td>
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<TD><!-- TMPL_VAR name="description" --> <!-- TMPL_VAR name="title" --></td>
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<TD><!-- TMPL_VAR name="accounttype" --></td>
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<td><!-- TMPL_VAR name="amount" --></td>
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<TD><!-- TMPL_VAR name="amountoutstanding" --></td>
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</tr>
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<!-- /TMPL_LOOP -->
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<tr VALIGN=TOP >
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<TD colspan=4 align=right><b>Total dû</b></td>
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<TD><b><!-- TMPL_VAR name="total" --></b></td>
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</tr>
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<tr VALIGN=TOP >
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<TD colspan=5 align=right>
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<INPUT TYPE="submit" name="submit" VALUE="pay" class="button"></td>
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</tr>
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</table>
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</form>
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<br clear=all>
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<p> </p>
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<br>
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<a href="moremember.pl?bornum=<!-- TMPL_VAR name="bornum" -->">Return</a> to Lecteur Record
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<!-- TMPL_INCLUDE NAME="members-bottom.inc" -->
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