<%@ page language="VB" masterpagefile="~/Template/Master.master" autoeventwireup="false" inherits="Billing_RegisterRefund, MachSol.MachPanel.Web" %>

<%@ Register Assembly="AjaxControlToolkit" Namespace="AjaxControlToolkit" TagPrefix="EM" %>

<asp:Content ID="Content8" ContentPlaceHolderID="CPH_Content" runat="Server">

    <div class="col-xs-12">
        <div class="card">
            <div class="header">
                <h2><%= Resources.Content.GN0000829%></h2>
            </div>
            <div class="body">
                <div class="row">
                    <div class="col-xs-12 row-label">
                        <label>
                            <asp:Literal ID="Div1" runat="server" EnableViewState="false" Text='<%$ Resources:Content, GN0000820 %>' />:<label>
                    </div>
                </div>
                <div class="row">
                    <div class="col-sm-6 col-xs-12">
                        <div class="form-group">
                            <asp:DropDownList ID="DDL_Refunds" AutoPostBack="true" runat="server">
                            </asp:DropDownList>
                        </div>
                    </div>
                </div>
                <div class="row">
                    <div class="col-xs-12 row-label">
                        <label>
                            <asp:Literal ID="Div2" runat="server" EnableViewState="false" Text='<%$ Resources:Content, GN0000821 %>' /></label>
                    </div>
                </div>
                <div class="row">
                    <div class="col-sm-3 col-xs-12 row-label">
                        <label>
                            <asp:Literal ID="Literal4" runat="server" EnableViewState="false" Text='<%$ Resources:Content, GN0000822 %>' /></label>
                    </div>
                    <div class="col-sm-4 col-xs-12">
                        <div class="form-group display-date-input">
                            <div class="form-line">
                                <asp:TextBox ID="TxBx_DatePaid" runat="server" Enabled="False"></asp:TextBox>
                            </div>
                        </div>
                        <i runat="server" id="A_DatePaid" class="material-icons icon-calendar col-calendar"></i>
                        <EM:CalendarExtender ID="CE_DatePaid" runat="server" TargetControlID="TxBx_DatePaid"
                            Format="<%# System.Threading.Thread.CurrentThread.CurrentCulture.DateTimeFormat.ShortDatePattern %>" PopupButtonID="A_DatePaid" CssClass="date__calendar">
                        </EM:CalendarExtender>
                    </div>
                </div>
                <div class="row">
                    <div class="col-sm-3 col-xs-12 row-label">
                        <label>
                            <asp:Literal ID="Literal5" runat="server" EnableViewState="false" Text='<%$ Resources:Content, GN000120 %>' /></label>
                    </div>
                    <div class="col-sm-4 col-xs-12">
                        <div class="form-group">
                            <div class="form-line">
                                <asp:TextBox ID="TxBx_AmountPaid" runat="server"></asp:TextBox>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="row">
                    <div class="col-sm-3 col-xs-12 row-label">
                        <label>
                            *<asp:Literal ID="Literal6" runat="server" EnableViewState="false" Text='<%$ Resources:Content, GN000122 %>' /></label>
                    </div>
                    <div class="col-sm-4 col-xs-12">
                        <div class="form-group">
                            <div class="form-line">
                                <asp:TextBox ID="TxBx_TranId" runat="server"></asp:TextBox>
                                <asp:RequiredFieldValidator ID="RequiredFieldValidator2" ValidationGroup="Submit"
                                    runat="server" ControlToValidate="TxBx_TranId" Display="None" SetFocusOnError="true"></asp:RequiredFieldValidator>
                            </div>
                        </div>
                    </div>
                    <div class="col-sm-4 col-xs-12">
                        <asp:Literal ID="Div6" runat="server" EnableViewState="false" Text='<%$ Resources:Content, GN0000825 %>' />
                    </div>
                </div>
                <div class="row">
                    <div class="col-sm-3 col-xs-12 row-label">
                        <label>
                            <asp:Literal ID="Literal8" runat="server" EnableViewState="false" Text='<%$ Resources:Content, GN000124 %>' /></label>
                    </div>
                    <div class="col-sm-4 col-xs-12">
                        <div class="form-group">
                            <asp:DropDownList ID="DDL_PaymentMethod" runat="server">
                            </asp:DropDownList>
                        </div>
                    </div>
                </div>
                <div class="row">
                    <div class="col-sm-3 col-xs-12 row-label">
                        <label>
                            <asp:Literal ID="Literal10" runat="server" EnableViewState="false" Text='<%$ Resources:Content, GN0000828 %>' /></label>
                    </div>
                    <div class="col-sm-8 col-xs-12">
                        <div class="form-group">
                            <asp:CheckBox ID="CB_SendEmail" runat="server" Text=" " />
                        </div>
                    </div>
                </div>
                <div class="row">
                    <div class="col-sm-3 col-xs-12 row-label">
                        <label>
                            *<asp:Literal ID="Literal11" runat="server" EnableViewState="false" Text='<%$ Resources:Content, GN0000829 %>' /></label>
                    </div>
                    <div class="col-sm-8 col-xs-12">
                        <div class="form-group">
                            <asp:TextBox ID="TxBx_Comments" TextMode="MultiLine" runat="server" Height="150px" Width="100%"></asp:TextBox>
                            <asp:RequiredFieldValidator ID="RequiredFieldValidator1" ValidationGroup="Submit"
                                runat="server" ControlToValidate="TxBx_Comments" Display="None" SetFocusOnError="true"></asp:RequiredFieldValidator>
                            <asp:ValidationSummary ID="ValidationSummary1" ValidationGroup="Submit" runat="server"
                                HeaderText='<%$ Resources:Content, EM000001 %>' ShowMessageBox="true" ShowSummary="false" />
                        </div>
                    </div>
                </div>
                <div class="row">
                    <div class="col-xs-12">
                        <asp:Button ID="Btn_Submit" runat="server" ValidationGroup="Submit" Text="<%$Resources:Content,GN0000281%>" class="btn btn-primary waves-effect btnAction" />
                    </div>
                </div>
            </div>
        </div>
    </div>

</asp:Content>
