1 <!-- TMPL_INCLUDE NAME="members-top.inc" -->
3 <h1>Pay Fines for <!-- TMPL_VAR NAME="firstname" --> <!-- TMPL_VAR NAME="surname" --></h1>
5 <form action="/cgi-bin/koha/pay.pl" method="post">
8 <th colspan="3">FINES & CHARGES</th>
9 <th colspan="2">AMOUNT OWING</th>
12 <!-- TMPL_LOOP NAME="loop_pay" -->
15 <input type="hidden" name="bornum" value="<!-- TMPL_VAR NAME="bornum" -->">
16 <input type="radio" name="payfine<!-- TMPL_VAR NAME="i" -->" value="no" checked="checked">Unpaid
17 <input type="radio" name="payfine<!-- TMPL_VAR NAME="i" -->" value="yes">Pay
18 <input type="radio" name="payfine<!-- TMPL_VAR NAME="i" -->" value="wo">Writeoff
19 <input type="hidden" name="itemnumber<!-- TMPL_VAR NAME="i" -->" value="<!-- TMPL_VAR NAME="itemnumber" -->">
20 <input type="hidden" name="accounttype<!-- TMPL_VAR NAME="i" -->" value="<!-- TMPL_VAR NAME="accounttype" -->">
21 <input type="hidden" name="amount<!-- TMPL_VAR NAME="i" -->" value="<!-- TMPL_VAR NAME="amount'}" -->">
22 <input type="hidden" name="out<!-- TMPL_VAR NAME="i" -->" value="<!-- TMPL_VAR NAME="amountoutstanding" -->">
23 <input type="hidden" name="bornum<!-- TMPL_VAR NAME="i" -->" value="<!-- TMPL_VAR NAME="bornum" -->">
24 <input type="hidden" name="accountno<!-- TMPL_VAR NAME="i" -->" value="<!-- TMPL_VAR NAME="accountno" -->">
26 <td><!-- TMPL_VAR NAME="description" --> <!-- TMPL_VAR NAME="title" --></td>
27 <td><!-- TMPL_VAR NAME="accounttype" --></td>
28 <td><!-- TMPL_VAR NAME="amount" --></td>
29 <td><!-- TMPL_VAR NAME="amountoutstanding" --></td>
33 <th colspan="4" align="right">Total Due</th>
34 <th><!-- TMPL_VAR NAME="total" --></th>
37 <td colspan="5" align="right">
38 <input type="submit" name="submit" value="Pay" class="button"></td>
43 <a href="/cgi-bin/koha/members/moremember.pl?bornum=<!-- TMPL_VAR NAME="bornum" -->" class="button member">Return to Member Record </a>
45 <!-- TMPL_INCLUDE NAME="members-bottom.inc" -->