@extends('maindash2')

@section('htmlheader_title')
	Dumpster Invoice Rec
@endsection


@section('content')

	<!--div class="container spark-screen"-->
		<div class="row">
			<div class="col-md-12">
				
				<div class="panel panel-default">
					<div class="panel-heading" align="center">Front Loader - Rear Loader - Carts Invoice Verification</div>
                        <div class="panel-body">
                        <br><br>
                            {!! Form::open(['url' => 'invoices', 'autocomplete'=> 'off']) !!}
                                <div class="form-group">
                                    {!! Form::label('location_name', 'Choose Location Name:') !!}
                                    {!! Form::select('location_name', $location, null, ['class' =>'form-control']) !!}
                                    {!! Form::label('invoice_number', 'Invoice Number:') !!}
                                    {!! Form::text('invoice_number', null, ['class' =>'form-control']) !!}
                                    {!! Form::label('invoice_date', 'Invoice Date:') !!}
                                    {!! Form::input('date','invoice_date', date('Y-m-d'), ['class' =>'form-control']) !!}
                                    {!! Form::label('monthly_rate_trash', 'Total Monthly Rate on Trash Service:') !!}
																<div data-toggle="tooltip" title="If your invoice itemizes multiple TRASH services, add all individual TRASH service line items and enter the total here. If your invoice does not itemize recycling, just enter the total for all services here. "</div>
																		{!! Form::text('monthly_rate_trash', null, ['class' =>'form-control']) !!}</div>
																		{!! Form::label('monthly_rate_recycling', 'Total Monthly Rate on Recycling Service:') !!}
																<div data-toggle="tooltip" title="If your invoice itemizes multiple RECYCLING services, add all individual RECYCLING service line items and enter the total here."</div>
																		{!! Form::text('monthly_rate_recycling', null, ['class' =>'form-control']) !!}</div>
																		{!! Form::label('number_extra_pickups_trash', 'Number of EXTRA PICKUPS of TRASH:') !!}
                                    {!! Form::text('number_extra_pickups_trash', 0, ['class' =>'form-control']) !!}
                                    {!! Form::label('extra_pickup_total_trash', 'EXTRA PICKUP TRASH Fee:') !!}
																<div data-toggle="tooltip" title="If your invoice has more than one TRASH extra pickup, add the total of all TRASH extra pickups and enter the total here."</div>
                                    {!! Form::text('extra_pickup_total_trash', 0, ['class' =>'form-control']) !!}</div>
																		{!! Form::label('number_extra_pickups_recycling', 'Number of EXTRA PICKUPS of RECYCLING:') !!}
                                    {!! Form::text('number_extra_pickups_recycling', 0, ['class' =>'form-control']) !!}
                                    {!! Form::label('extra_pickup_total_recycling', 'EXTRA PICKUP RECYCLING Fee:') !!}
																<div data-toggle="tooltip" title="If your invoice has more than one RECYCLING extra pickup, add the total of all RECYCLING extra pickups and enter the total here."</div>
                                    {!! Form::text('extra_pickup_total_recycling', 0, ['class' =>'form-control']) !!}</div>
                                    {!! Form::label('fuel', 'Fuel:') !!}
                                    {!! Form::text('fuel', 0, ['class' =>'form-control']) !!}
                                    {!! Form::label('environmental', 'Environmental:') !!}
                                    {!! Form::text('environmental', 0, ['class' =>'form-control']) !!}
                                    {!! Form::label('admin', 'Admin Fee:') !!}
                                    {!! Form::text('admin', 0, ['class' =>'form-control']) !!}
                                    {!! Form::label('tax', 'Tax:') !!}
                                    {!! Form::text('tax', 0, ['class' =>'form-control']) !!}
                                    {!! Form::label('misc_fee', 'Misc Fees:') !!}
                                    {!! Form::text('misc_fee', 0, ['class' =>'form-control']) !!}
                                    {!! Form::label('rent', 'Rent:') !!}
                                    {!! Form::text('rent', 0, ['class' =>'form-control']) !!}
																    {!! Form::label('invoice_total', 'Invoice Total:') !!}
																    {!! Form::text('invoice_total', null, ['class' =>'form-control']) !!}
                                    <br>

                                <div class="form-group">
                                    {!! Form::submit('Add Invoice Data', ['class' => 'btn btn-primary form-control']) !!}

                                </div>

                                </div>

                            {!! Form::close() !!}

                            @if($errors->any())

                                <ul class="alert alert-danger">
                                    @foreach($errors->all() as $error)

                                    <li>{{ $error }}</li>

                                    @endforeach
                                </ul>

                            @endif

					</div><div class="panel-footer" align="center">Dumpster Data</div>
				</div>
			</div>
		</div>
	<!--/div-->
@endsection