98 lines
2.9 KiB
PHP
98 lines
2.9 KiB
PHP
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<?php
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/**
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* @copyright 2009 City of Bloomington, Indiana
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* @license http://www.gnu.org/copyleft/gpl.html GNU/GPL, see LICENSE.txt
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* @author Cliff Ingham <inghamn@bloomington.in.gov>
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*/
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?>
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<h1>Add Deed</h1>
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<form method="post" action="<?php echo $_SERVER['SCRIPT_NAME']; ?>">
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<fieldset><legend>Deed Info</legend>
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<table>
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<tr><td><label for="deed-section">section</label></td>
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<td><input name="deed[section]" id="deed-section" />
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</td>
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</tr>
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<tr><td><label for="deed-lot">lot</label></td>
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<td><input name="deed[lot]" id="deed-lot" />
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</td>
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</tr>
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<tr><td><label for="deed-lastname1">lastname1</label></td>
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<td><input name="deed[lastname1]" id="deed-lastname1" />
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</td>
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</tr>
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<tr><td><label for="deed-firstname1">firstname1</label></td>
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<td><input name="deed[firstname1]" id="deed-firstname1" />
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</td>
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</tr>
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<tr><td><label for="deed-middleInitial1">middleInitial1</label></td>
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<td><input name="deed[middleInitial1]" id="deed-middleInitial1" />
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</td>
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</tr>
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<tr><td><label for="deed-lastname2">lastname2</label></td>
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<td><input name="deed[lastname2]" id="deed-lastname2" />
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</td>
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</tr>
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<tr><td><label for="deed-firstname2">firstname2</label></td>
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<td><input name="deed[firstname2]" id="deed-firstname2" />
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</td>
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</tr>
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<tr><td><label for="deed-middleInitial2">middleInitial2</label></td>
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<td><input name="deed[middleInitial2]" id="deed-middleInitial2" />
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</td>
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</tr>
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<tr><td><label for="deed-issueDate-mon">issueDate</label></td>
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<td><select name="deed[issueDate][mon]" id="deed-issueDate-mon">
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<option></option>
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<?php
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$now = getdate();
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for ($i=1; $i<=12; $i++) {
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$selected = ($i==$now['mon']) ? 'selected="selected"' : '';
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echo "<option $selected>$i</option>";
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}
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?>
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</select>
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<select name="deed[issueDate][mday]">
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<option></option>
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<?php
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for ($i=1; $i<=31; $i++) {
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$selected = ($i==$now['mday']) ? 'selected="selected"' : '';
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echo "<option $selected>$i</option>";
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}
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?>
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</select>
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<input name="deed[issueDate][year]" id="deed-issueDate-year" size="4" maxlength="4" value="<?php echo $now['year']; ?>" />
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</td>
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</tr>
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<tr><td><label for="deed-notes">notes</label></td>
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<td><textarea name="deed[notes]" id="deed-notes" rows="3" cols="60"></textarea>
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</td>
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</tr>
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<tr><td><label for="deed-lot2">lot2</label></td>
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<td><input name="deed[lot2]" id="deed-lot2" />
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</td>
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</tr>
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<tr><td><label for="deed-whiteoak">whiteoak</label></td>
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<td><input name="deed[whiteoak]" id="deed-whiteoak" />
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</td>
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</tr>
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</table>
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<button type="submit" class="submit">Submit</button>
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<button type="button" class="cancel" onclick="document.location.href='<?php echo BASE_URL; ?>/deeds';">
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Cancel
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</button>
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</fieldset>
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</form>
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