78 lines
2.5 KiB
HTML
78 lines
2.5 KiB
HTML
<div class="modal" role="dialog">
|
|
<div class="modal-background"></div>
|
|
<div class="modal-card has-width-900">
|
|
<header class="modal-card-head">
|
|
<h3 class="modal-card-title">
|
|
Add Related Contract to Work Order
|
|
</h3>
|
|
<button
|
|
class="delete is-close-modal-button"
|
|
aria-label="close"
|
|
type="button"
|
|
></button>
|
|
</header>
|
|
<section class="modal-card-body">
|
|
<div class="box">
|
|
<form id="form--contractSearch">
|
|
<input name="limit" type="hidden" value="100" />
|
|
<input name="offset" type="hidden" value="0" />
|
|
<input
|
|
id="contractSearch--notWorkOrderId"
|
|
name="notWorkOrderId"
|
|
type="hidden"
|
|
value=""
|
|
/>
|
|
<input
|
|
id="contractSearch--contractEffectiveDateString"
|
|
name="contractEffectiveDateString"
|
|
type="hidden"
|
|
value=""
|
|
/>
|
|
<div class="columns">
|
|
<div class="column">
|
|
<div class="field">
|
|
<label class="label" for="contractSearch--deceasedName">
|
|
Interment Name
|
|
</label>
|
|
<div class="control has-icons-left">
|
|
<input
|
|
class="input"
|
|
id="contractSearch--deceasedName"
|
|
name="deceasedName"
|
|
type="text"
|
|
/>
|
|
<span class="icon is-small is-left">
|
|
<i class="fas fa-search" aria-hidden="true"></i>
|
|
</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="column">
|
|
<div class="field">
|
|
<label class="label" for="contractSearch--burialSiteName">
|
|
Burial Site Name
|
|
</label>
|
|
<div class="control has-icons-left">
|
|
<input
|
|
class="input"
|
|
id="contractSearch--burialSiteName"
|
|
name="burialSiteName"
|
|
type="text"
|
|
/>
|
|
<span class="icon is-small is-left">
|
|
<i class="fas fa-search" aria-hidden="true"></i>
|
|
</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</form>
|
|
</div>
|
|
<div id="resultsContainer--contractAdd"></div>
|
|
</section>
|
|
<footer class="modal-card-foot is-justify-content-right">
|
|
<button class="button is-close-modal-button" type="button">Close</button>
|
|
</footer>
|
|
</div>
|
|
</div>
|