1 <!-- TMPL_INCLUDE NAME="doc-head-open.inc" -->Pay Fines for <!-- TMPL_VAR NAME="surname" -->, <!-- TMPL_VAR NAME="firstname" --><!-- TMPL_INCLUDE NAME="doc-head-close.inc" -->
3 <!-- TMPL_INCLUDE NAME="menus.inc" -->
4 <!-- TMPL_INCLUDE NAME="menu-members.inc" -->
6 <h1>Pay Fines for <!-- TMPL_VAR name="firstname" --> <!-- TMPL_VAR name="surname" --></h1>
7 <form action="/cgi-bin/koha/pay.pl" method="post">
8 <input type="hidden" name="bornum" value="<!-- TMPL_VAR name="bornum" -->" />
11 <th>Fines & Charges</th>
15 <th>Amount Outstanding</th>
18 <!-- TMPL_LOOP name="loop_pay" -->
20 <td><select name="payfine<!-- TMPL_VAR name="i" -->">
21 <option value="no">Unpaid</option>
22 <option value="yes">Paid</option>
23 <option value="wo">Writeoff</option>
25 <input type="hidden" name="itemnumber<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="itemnumber" -->" />
26 <input type="hidden" name="accounttype<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="accounttype" -->" />
27 <input type="hidden" name="amount<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="amount" -->" />
28 <input type="hidden" name="out<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="amountoutstanding" -->" />
29 <input type="hidden" name="bornum<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="bornum" -->" />
30 <input type="hidden" name="accountno<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="accountno" -->" />
32 <td><!-- TMPL_VAR name="description" --><!-- TMPL_VAR name="title" --></td>
33 <td><!-- TMPL_VAR name="accounttype" --></td>
34 <td class="debit"><!-- TMPL_VAR name="amount" --></td>
35 <td class="debit"><!-- TMPL_VAR name="amountoutstanding" --></td>
39 <td colspan="4">Total Due</td>
40 <td><!-- TMPL_VAR name="total" --></td>
43 <input type="submit" name="submit" value="Make Payment" class="submit" /></form>
45 <!-- TMPL_INCLUDE NAME="intranet-bottom.inc" -->