<?php $__env->startSection('content'); ?>
	<h2><?php echo trans('labels.payment'); ?></h2>
	<?php echo Form::open(array('url' => 'payment/create')); ?>
	<div class="box ffr">
		<div class="label"><?php echo trans('labels.date'); ?> : </div>
		<div class="data"><?php echo Form::text('pay_date', Input::old('pay_date'), array('class' => 'date')); ?></div>
	</div>
	<div class="box ffr">
		<div class="label"><?php echo trans('labels.amount'); ?> : </div>
		<div class="data"><?php echo Form::text('pay_amount', Input::old('pay_amount')); ?></div>
	</div>
	<div class="box ffr">
		<div class="label"><?php echo trans('labels.benef'); ?> : </div>
		<div class="data"><?php echo Form::select('pay_actor', $actor_options, Input::old('pay_actor')); ?></div>
	</div>
	<div class="box ffr">
		<div class="label"><?php echo trans('labels.reason'); ?> : </div>
		<div class="text"><?php echo Form::textarea('pay_desc', Input::old('pay_desc')); ?></div>
	</div>
	<div class="box ffr">
		<div class="label">&nbsp;</div>
		<div class="data">
			<?php echo Form::submit('OK'			, array( 'class' => 'button bn ok')); ?>
			<input onclick="location.href='<?php echo URL::previous(); ?>'" class="button bn cl" value="Cancel" />
		</div>
	</div>
	<?php echo Form::close(); ?>
<?php $__env->stopSection(); ?>

<?php echo $__env->make('layouts.default', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>