<div class="span11">
	<fieldset>
		<legend>Payment Details</legend>

		<div class="input-append date" id="date_payment_label">
			<?php echo Form::input('date_payment_label',$o->display('date_payment'),array('class'=>'span2','label'=>'Date Paid','add-on'=>'<i class="icon-calendar"></i>','disabled')); ?>
		</div>

		<?php echo Form::hidden('date_payment',$o->date_payment); ?>
		<?php echo Form::select('checkout_id',ORM::factory('Checkout')->list_select(),$o->checkout_id,array('label'=>'Payment Method','required')); ?>
		<?php echo Form::input('total_amt',$o->total_amt,array('class'=>'span2','label'=>'Amount','placeholder'=>'Total','help-block'=>sprintf('Credits: %s, Balance: %s',$o->credit(),$o->total()))); ?>
		<?php echo Form::input('fees_amt',$o->fees_amt,array('class'=>'span2','label'=>'Fees','placeholder'=>'Fees')); ?>
		<?php echo Form::input('account_id_label',$o->account->name(),array('class'=>'span5','label'=>'Account','placeholder'=>'Account','data-provide'=>'typeahead')); ?>
		<?php echo Form::hidden('account_id',$o->account_id); ?>
		<?php echo Form::input('notes',$o->notes,array('class'=>'span5','label'=>'Notes','placeholder'=>'Any notes about this payment?')); ?>
	</fieldset>

	<div class="span11">
		<div class="span8" id="items"></div>
	</div>

	<div class="row">
		<div class="offset2">
			<button type="submit" class="btn btn-primary">Save changes</button>
			<button type="button" class="btn">Cancel</button>
		</div>
	</div>
</div> <!-- /span -->
