1 <!-- TMPL_INCLUDE NAME="main-top.inc" -->
2 <!-- TMPL_INCLUDE NAME="masthead.inc" -->
3 <!-- TMPL_INCLUDE NAME="members-topmenu.inc" -->
4 <!-- TMPL_INCLUDE NAME="intranet-nav.inc" -->
7 <form class="inline" action="/cgi-bin/koha/pay.pl" method="post"><input type="hidden" name="bornum" value="<!-- TMPL_VAR name="bornum" -->" />
8 <div class="table"><table>
9 <caption>Pay Fines for <!-- TMPL_VAR name="firstname" --> <!-- TMPL_VAR name="surname" --></caption>
11 <th>Fines & Charges</th>
15 <th>Amount Outstanding</th>
18 <!-- TMPL_LOOP name="loop_pay" -->
20 <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>
21 <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>
22 <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>
23 <input type="hidden" name="itemnumber<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="itemnumber" -->" />
24 <input type="hidden" name="accounttype<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="accounttype" -->" />
25 <input type="hidden" name="amount<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="amount'}" -->" />
26 <input type="hidden" name="out<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="amountoutstanding" -->" />
27 <input type="hidden" name="bornum<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="bornum" -->" />
28 <input type="hidden" name="accountno<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="accountno" -->" />
30 <td><!-- TMPL_VAR name="description" --><!-- TMPL_VAR name="title" --></td>
31 <td><!-- TMPL_VAR name="accounttype" --></td>
32 <td><!-- TMPL_VAR name="amount" --></td>
33 <td><!-- TMPL_VAR name="amountoutstanding" --></td>
37 <td colspan="4">Total Due</td>
38 <td><!-- TMPL_VAR name="total" --></td>
41 <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>
44 <!-- TMPL_INCLUDE NAME="intranet-bottom.inc" -->