<div class="modal-header">
	<button type="button" class="close" data-dismiss="modal" aria-hidden="true">&times;</button>
	<h3>{$_L['Payment registers selected']}</h3>
</div>
<div class="modal-body">

	<form class="form-horizontal" id="form_register_lote" method="post"
		  action="{U}module_billing/billing/add_register_post_lote" enctype="multipart/form-data">

		<input type="hidden" id="modal_type" name="type" value="">
                <input type="hidden" id="selected_accounts"   name="selected_accounts" value="">
                <div>
                    <label id="msg_accounts" class="control-label">
                       <!-- 5 contas com o total de R$ 35,00 -->
                    </label>
                </div>
                
		<div class="row">
                        <div class="col-md-3 col-sm-12">
				<label for="id_account" class="control-label">
					{$_L['Origin']}
					<small class="red">*</small>
				</label>
				<select class="form-control" name="id_sys_account">
					{foreach $sys_accounts as $acc}
						<option value="{$acc['id']}">{$acc['account']} - {$acc['description']}</option>
					{/foreach}
				</select>
			</div>
                                

			<div class="col-md-3 col-sm-12 row-date">
				<label for="date" class="control-label">
					{$_L['Date']}
					<small class="red">*</small>
				</label>
				<input type="text" name="date" id="date" class="form-control"
					   value="{date('d/m/Y')}" datepicker data-date-format="dd/mm/yyyy">
			</div>

			<div class="col-md-3 col-sm-12 row-date">
				<label for="amount" class="control-label">
					{$_L['Amount']}
					<small class="red">*</small>
				</label>
                            <input type="text" name="amount_paid" id="amount_paid" class="form-control"
                                value="">
                             
                        </div>
                        
                        <div class="col-md-3 col-md-12">
                                <label for="id_payment_method" class="control-label">
                                        {$_L['Method']}
                                        <small class="red">*</small>
                                </label>
                                <select class="form-control" name="id_payment_method">
                                        <option selected>{$_L['Select a payment method']}</option>
                                        {foreach $pmethods as $pmethod}
                                                <option value="{$pmethod['id']}">{$pmethod['name']}</option>
                                        {/foreach}
                                </select>
                        </div>
                        	   

		</div>

		<div class="row">
			<div class="col-md-12">
				<label for="historic" class="control-label">
					{$_L['Historic']} {$_L['Aditional information']}
				</label>
				<textarea name="historic" id="historic" class="form-control" cols="30" rows="3"></textarea>
			</div>
		</div>

		

	</form>
</div>

<div class="modal-footer">
		<button class="btn btn-primary register_submit" type="submit" id="modal_register_submit_lote">
			<i class="fa fa-check"></i> {$_L['Payment register']}s
		</button>
		<a href="#" data-dismiss="modal"> | {$_L['Cancel']}</a>
</div>