<!-- TMPL_INCLUDE NAME="doc-head-open.inc" -->Koha -- Patrons: Create Manual Invoice<!-- TMPL_INCLUDE NAME="doc-head-close.inc" -->
<!-- TMPL_INCLUDE NAME="masthead.inc" -->
<!-- TMPL_INCLUDE NAME="members-topmenu.inc" -->
<!-- TMPL_INCLUDE NAME="intranet-nav.inc" -->


<div id="main">
<form class="inline" action="/cgi-bin/koha/maninvoice.pl" method="post"><input type="hidden" name="bornum" value="<!-- TMPL_VAR Name="bornum" -->" />
	<div class="data"><table>
	<caption>Manual Invoice</caption>
	<tr><th>Borrowernumber</th><td><!-- TMPL_VAR Name="bornum" --></td></tr>
	<tr><th>Type</th><td><select name="type">
<option value="L">Lost Item</option>
<option value="F">Fine</option>
<option value="A">Account Management Fee</option>
<option value="N">New Card</option>
<option value="M">Sundry</option>
<option value="REF">Cash Refund</option>
</select></td></tr>
	<tr><th>Itemnumber</th><td><input type="text" name="itemnum" /></td></tr>
	<tr><th>Description</th><td><input type="text" name="desc" size="50" /></td></tr>
	<tr><th>Amount</th><td>$<input type="text" name="amount" /></td></tr>
	</table></div>
<input type="submit" name="add" value="Add Charge" class="submit" />
</form> <form class="inline" action="/cgi-bin/koha/boraccount.pl" method="get"><input type="hidden" name="bornum" value="<!-- TMPL_VAR Name="bornum" -->" /><input type="submit" class="cancel" value="Cancel" /></form>


</div>

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