1 <TMPL_INCLUDE NAME="members-top.inc">
3 <FONT SIZE=6><em>Pay Fines for <TMPL_VAR name="firstname"> <TMPL_VAR name="surname"></em></FONT><P>
6 <TABLE CELLSPACING=0 CELLPADDING=5 border=1 >
8 <td bgcolor="99cc33" background="/images/background-mem.gif" colspan=4><B>FINES & CHARGES</TD>
9 <td bgcolor="99cc33" background="/images/background-mem.gif" colspan=4><B>AMOUNT OWING</TD>
11 <form action=/cgi-bin/koha/pay.pl method=post>
12 <input type="hidden" name="bornum" value="<TMPL_VAR name="bornum">">
13 <TMPL_LOOP name="loop_pay">
15 <TD><input type=radio name="payfine<TMPL_VAR name="i">" value="no" checked>Unpaid
16 <input type=radio name="payfine<TMPL_VAR name="i">" value="yes">Pay
17 <input type=radio name="payfine<TMPL_VAR name="i">" value="wo">Writeoff
18 <input type=hidden name="itemnumber<TMPL_VAR name="i">" value="<TMPL_VAR name="itemnumber">">
19 <input type=hidden name="accounttype<TMPL_VAR name="i">" value="<TMPL_VAR name="accounttype">">
20 <input type=hidden name="amount<TMPL_VAR name="i">" value="<TMPL_VAR name="amount'}">">
21 <input type=hidden name="out<TMPL_VAR name="i">" value="<TMPL_VAR name="amountoutstanding">">
22 <input type=hidden name="bornum<TMPL_VAR name="i">" value="<TMPL_VAR name="bornum">">
23 <input type=hidden name="accountno<TMPL_VAR name="i">" value="<TMPL_VAR name="accountno">">
25 <TD><TMPL_VAR name="description"> <TMPL_VAR name="title"></td>
26 <TD><TMPL_VAR name="accounttype"></td>
27 <td><TMPL_VAR name="amount"></td>
28 <TD><TMPL_VAR name="amountoutstanding"></td>
33 <TD colspan=2><b>Total Due</b></td>
34 <TD><b><TMPL_VAR name="total"></b></td>
37 <TD colspan=5 align=right>
38 <INPUT TYPE="image" name="submit" VALUE="pay" height=42 WIDTH=187 BORDER=0 src="/images/pay-fines.gif"></td>
44 <TMPL_INCLUDE NAME="members-bottom.inc">