<fieldset class="rows">
<legend>Pay an individual fine</legend>
+ <input type="hidden" name="payment_note" id="payment_note" value="[% payment_note %]" />
<table>
<thead><tr>
<th>Description</th>
<input type="hidden" name="accountno" id="accountno" value="[% accountno %]" />
<input type="hidden" name="accountlines_id" id="accountlines_id" value="[% accountlines_id %]" />
<input type="hidden" name="title" id="title" value="[% title %]" />
+ <input type="hidden" name="payment_note" id="payment_note" value="[% payment_note %]" />
<table>
<thead><tr>
<th>Description</th>
<!-- default to paying all -->
<input name="paid" id="paid" value="[% total | format('%.2f') %]" onchange="moneyFormat(document.payfine.paid)"/>
</li>
+ <li>
+ <label for="selected_accts_notes">Note: </label>
+ <textarea name="selected_accts_notes" id="selected_accts_notes">[% selected_accts_notes %]</textarea>
+ </li>
</ol>
</fieldset>
<div class="action"><input type="submit" name="submitbutton" value="Confirm" />