    <div class="form-group row">
        <div class="col-md-8">
            <?php echo Form::label('mode_cotis', 'Mode de cotisation'); ?>

        </div>
        <div class="col-md-8 col-md-offset-1">
            <?php echo Form::radio('mode_cotis','1',$employeur->mode_cotis )." Trimestrielles&nbsp;"; ?>

            <?php echo Form::radio('mode_cotis','2',$employeur->mode_cotis )." Mensuelles&nbsp;"; ?>

        </div>
    </div>

    <div class="form-group row">
        <div class="col-md-3">
            <?php echo Form::label('der_cotis', 'Dernière cotisation'); ?>

            <div class="input-group">
                <?php echo Form::text('der_cotis', null, [($mode=="show"?'disabled':''),'class' => 'form-control']); ?>

                <div class="input-group-append"><span class="input-group-text">CFP</span></div>
            </div>
        </div>

        <div class="col-md-3">
            <?php echo Form::label('der_mois', 'Mois concerné'); ?>

            <div class="input-group">
                <div class='input-group date' id='datepicker_der_mois'>
                        <?php echo Form::text('der_mois', $employeur->der_mois, 
                            [($mode=="show"?'disabled':''),'placeholder' => 'Mois concerné', 'class' => 'form-control']); ?>

                    <span class='input-group-addon'><span class='glyphicon glyphicon-calendar'></span></span>

                    <script type="text/javascript">
                        $(function () {
                            $('#datepicker_der_mois').datepicker({
                                format: "dd/mm/yyyy",
                                language: "fr",
                                autoclose: true
                            });
                        });
                    </script>
                </div>
            </div>
        </div>

        <div class="col-md-3">
            <?php echo Form::label('solde', 'Solde antérieur'); ?>

            <div class="input-group">
                <?php echo Form::text('soldei', null, [($mode=="show"?'disabled':''),'class' => 'form-control']); ?>

                <div class="input-group-append"><span class="input-group-text">CFP</span></div>
            </div>
        </div>
    </div>

    <div class="form-group row">
        <div class="col-md-3">
            <?php echo Form::label('date_med', 'Dernière MED'); ?>

            <div class='input-group date' id='datepicker_date_med'>
                    <?php echo Form::text('date_med', $employeur->date_med, [($mode=="show"?'disabled':''),'placeholder' => 'Dernière MED', 'class' => 'form-control']); ?>

                <span class='input-group-append'><span class='glyphicon glyphicon-calendar'></span></span>

                <script type="text/javascript">
                    $(function () {
                        $('#datepicker_date_med').datepicker({
                            format: "dd/mm/yyyy",language: "fr",autoclose: true
                        });
                    });
                </script>
            </div>
        </div>

        <div class="col-md-3">
            <?php echo Form::label('date_maj', 'Dernière MAJ'); ?>

            <div class='input-group date' id='datepicker_date_maj'>
                    <?php echo Form::text('date_maj', $employeur->date_maj, [($mode=="show"?'disabled':''),'placeholder' => 'Dernière MAJ', 'class' => 'form-control']); ?>

                <span class='input-group-addon'><span class='glyphicon glyphicon-calendar'></span></span>

                <script type="text/javascript">
                    $(function () {
                        $('#datepicker_date_maj').datepicker({
                            format: "dd/mm/yyyy",language: "fr",autoclose: true
                        });
                    });
                </script>
            </div>
        </div>
    </div>
    
    <div class="form-group row">
        <div class="col-md-6">
            <?php echo Form::label('nom_cont', 'Libellé'); ?>

            <?php echo Form::text('nom_cont', null, 
                [($mode=="show"?'disabled':''),'placeholder' => 'Libellé du contentieux', 'class' => 'form-control']); ?>

        </div>

        <div class="col-md-3">
            <?php echo Form::label('date_cont', 'Date du contentieux'); ?>

            <div class='input-group date' id='datepicker_date_cont'>
                    <?php echo Form::text('date_cont', $employeur->date_cont, 
                        [($mode=="show"?'disabled':''),'placeholder' => 'Dernière MAJ', 'class' => 'form-control']); ?>

                <span class='input-group-addon'><span class='glyphicon glyphicon-calendar'></span></span>

                <script type="text/javascript">
                    $(function () {
                        $('#datepicker_date_cont').datepicker({
                            format: "dd/mm/yyyy",language: "fr",autoclose: true
                        });
                    });
                </script>
            </div>
        </div>
    </div>
  
    <legend>Liste des cotisations (2 dernières années)</legend>
    <div class="form-group row" align="center">
        <div class="table-responsive col-lg-12" style="">
            <table id="_table_cotisation" style="background-color:white" class="table table-condensed table-striped table-bordered" width="100%" >
                <thead>
                    <tr>
                        <th width='1%'>Exercice</th>
                        <th width='10%'>Date</th>
                        <th width='10%'>CLR</th> 
                        <th width='10%'>CCPF</th>
                        <th width='10%'>Débit</th>
                        <th width='10%'>Crédit</th>
                        <th width='10%'>Mois</th>
                        <th width='1%'>Nb&nbsp;Mois</th>
                        <th width='1%'>Bord.&nbsp;Pub</th>
                        <th width='1%'>Bord.&nbsp;Pri</th>
                        <th width='10%'>Date&nbsp;encais.</th>
                        <th width='10%'>Date&nbsp;Dépôt.</th>
                        <th width='50px'>&nbsp;</th>
                    </tr>
                </thead>
     
                <tbody>
                    <?php $__currentLoopData = $cotisations; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $cotisation): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
                    <tr>
                        <td align="center"><?php echo $cotisation->exercice; ?></td>
                        <td align="center"><?php echo $cotisation->date; ?></td>
                        <td align="right"><?php echo $cotisation->clr; ?></td>
                        <td align="right"><?php echo $cotisation->ccpf; ?></td>
                        <td align="right"><?php echo $cotisation->debit; ?></td>
                        <td align="right"><?php echo $cotisation->credit; ?></td>
                        <td align="center"><?php echo $cotisation->mois; ?></td>
                        <td align="center"><?php echo $cotisation->nbmois; ?></td>
                        <td><?php echo $cotisation->bdx; ?></td>
                        <td><?php echo $cotisation->bdx_prive; ?></td>
                        <td align="center"><?php echo $cotisation->encais_date; ?></td>
                        <td align="center"><?php echo $cotisation->date_depot; ?></td>
                        <td nowrap>
                            <?php if($user->can("COT_VISU") || $user->HasRole("ADMINISTRATEUR")): ?>
                            <a href="<?php echo url('recouvrement/cotisations/show_box/'.$cotisation->id); ?>" 
                                class="various fancybox.iframe btn btn-warning" 
                                style="margin-right: 3px;">Détail</a>
                            <?php endif; ?> 
                        </td>
                    </tr>
                    <?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
                </tbody>
            </table>
        </div>
    </div>

    <div class="form-group row">
        <div class="col-lg-12">
            <a href="javascript:" 
            id='btn_ajout_enfant' 
            onclick="$('#dialog-percotis').dialog( 'open' );return false;" 
            class="box_versement fancybox.iframe btn btn-info" 
            target="_blank">Bordereau de cotisation</a>

            <a href="<?php echo url('cotisations_attestation_regul/'.$employeur->id); ?>" 
            id='btn_ajout_enfant'  class="box_versement fancybox.iframe btn btn-info" 
            target="_blank">Attestation de régularité</a>

            <a href="<?php echo url('cotisations_attestation_pmtech/'.$employeur->id); ?>" 
            id='btn_ajout_enfant'  class="box_versement fancybox.iframe btn btn-info" 
            target="_blank">Attestation de paiement échelonné</a>

            <!--
            <a href="<?php echo url('cotisations_attestation/'.$employeur->id); ?>" 
            id='btn_ajout_enfant'  class="box_versement fancybox.iframe btn btn-info" 
            target="_blank">Attestation</a>
        -->

            <a href="<?php echo url('cotisations_attestation_simple/'.$employeur->id); ?>" 
            id='btn_ajout_enfant'  class="box_versement fancybox.iframe btn btn-info" 
            target="_blank">Attestation simple</a>

            <a href="<?php echo url('cotisations_attestation_cotisation/'.$employeur->id); ?>" 
            id=''  class="btn btn-info" 
            target="_blank">Attestation de Situation</a>
        </div>
    </div>
<?php /**PATH C:\xampp\htdocs\SYSINFO\cpswf\sipre_new\resources\views/tiers/employeurs/rows_cotisations.blade.php ENDPATH**/ ?>