78 lines
2.7 KiB
PHP
78 lines
2.7 KiB
PHP
<?php
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/**
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* @copyright 2009-2010 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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<h2>Add Deed</h2>
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<form method="post" action="<?php echo $_SERVER['SCRIPT_NAME']; ?>">
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<fieldset><legend>Deed Info</legend>
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<table>
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<tr><td><label for="deed-cemetery_id">Cemetery</label></td>
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<td><select name="deed[cemetery_id]" id="deed-cemetery_id"
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onchange="COB.populateSections(this.options[this.selectedIndex].value,'deed-section_id','<?php echo BASE_URL; ?>')">
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<option></option>
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<?php
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$list = new CemeteryList();
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$list->find();
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foreach ($list as $cemetery) {
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$name = View::escape($cemetery->getName());
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echo "<option value=\"{$cemetery->getId()}\">$name</option>";
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}
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?>
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</select>
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</td>
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</tr>
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<tr><td><label for="deed-section_id">Section</label></td>
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<td><select name="deed[section_id]" id="deed-section_id">
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<option></option>
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</select>
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<label for="deed-lot">Lot</label>
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<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-issueDate">Date Issued</label></td>
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<td><input name="deed[issueDate]" size="10" value="<?php echo date('n/j/Y'); ?>" />
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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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</table>
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</fieldset>
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<fieldset><legend>Owner 1</legend>
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<table>
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<tr><td><label for="deed-firstname1">First</label></td>
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<td><input name="deed[firstname1]" id="deed-firstname1" /></td>
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</tr>
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<tr><td><label for="deed-middleInitial1">MI</label></td>
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<td><input name="deed[middleInitial1]" id="deed-middleInitial1" size="1" maxlength="1" />
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</td>
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</tr>
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<tr><td><label for="deed-lastname1">Last</label></td>
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<td><input name="deed[lastname1]" id="deed-lastname1" /></td>
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</tr>
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</table>
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</fieldset>
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<fieldset><legend>Owner 2</legend>
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<table>
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<tr><td><label for="deed-firstname2">First</label></td>
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<td><input name="deed[firstname2]" id="deed-firstname2" /></td>
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</tr>
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<tr><td><label for="deed-middleInitial2">MI</label></td>
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<td><input name="deed[middleInitial2]" id="deed-middleInitial2" size="1" maxlength="1" />
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</td>
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</tr>
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<tr><td><label for="deed-lastname2">Last</label></td>
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<td><input name="deed[lastname2]" id="deed-lastname2" /></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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