@extends('layouts.default')
@section('content')
	<h2>{{ trans('labels.payment') }}</h2>
	{{ Form::open(array('url' => 'payment/create')) }}
	<div class="box ffr">
		<div class="label">{{ trans('labels.date') }} : </div>
		<div class="data">{{ Form::text('pay_date', Input::old('pay_date'), array('class' => 'date')) }}</div>
	</div>
	<div class="box ffr">
		<div class="label">{{ trans('labels.amount') }} : </div>
		<div class="data">{{ Form::text('pay_amount', Input::old('pay_amount')) }}</div>
	</div>
	<div class="box ffr">
		<div class="label">{{ trans('labels.benef') }} : </div>
		<div class="data">{{ Form::select('pay_actor', $actor_options, Input::old('pay_actor')) }}</div>
	</div>
	<div class="box ffr">
		<div class="label">{{ trans('labels.reason') }} : </div>
		<div class="text">{{ Form::textarea('pay_desc', Input::old('pay_desc')) }}</div>
	</div>
	<div class="box ffr">
		<div class="label">&nbsp;</div>
		<div class="data">
			{{ Form::submit('OK'			, array( 'class' => 'button bn ok')) }}
			<input onclick="location.href='{{ URL::previous() }}'" class="button bn cl" value="Cancel" />
		</div>
	</div>
	{{ Form::close() }}
@endsection