@extends('maindash2') @section('htmlheader_title') Rolloff Invoice Rec @endsection @section('content')
Rolloff Compactors - Open Top Container Invoice Verification


{!! Form::open(['url' => 'rolloffInvoices']) !!}
{!! Form::label('contract_id', 'Contract Id Number:') !!} {!! Form::text('contract_id', 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('rent', 'Rent:') !!} {!! Form::text('rent', null, ['class' =>'form-control']) !!} {!! Form::label('number_of_hauls', 'Number Of Hauls:') !!} {!! Form::text('number_of_hauls', null, ['class' =>'form-control']) !!} {!! Form::label('disposal', 'Disposal:') !!} {!! Form::text('disposal', null, ['class' =>'form-control']) !!} {!! Form::label('total_tons', 'Total Tons:') !!} {!! Form::text('total_tons', null, ['class' =>'form-control']) !!} {!! Form::label('fuel', 'Fuel:') !!} {!! Form::text('fuel', null, ['class' =>'form-control']) !!} {!! Form::label('environmental', 'Environmental:') !!} {!! Form::text('environmental', null, ['class' =>'form-control']) !!} {!! Form::label('admin', 'Admin:') !!} {!! Form::text('admin', null, ['class' =>'form-control']) !!} {!! Form::label('tax', 'Tax:') !!} {!! Form::text('tax', null, ['class' =>'form-control']) !!} {!! Form::label('misc_fee', 'Misc Fees:') !!} {!! Form::text('misc_fee', null, ['class' =>'form-control']) !!} {!! Form::label('notes', 'Notes:') !!} {!! Form::text('notes', null, ['class' =>'form-control']) !!}
{!! Form::submit('Add Invoice Data', ['class' => 'btn btn-primary form-control']) !!}
{!! Form::close() !!} @if($errors->any())
    @foreach($errors->all() as $error)
  • {{ $error }}
  • @endforeach
@endif
@endsection