<!-- Begin Body --> 
<form  role="form" id="payment_status_to_contractor_form" class="form-horizontal"  autocomplete="on">
<input type="hidden" id="current_model">
<input type="hidden" id="reservation_fee">

<input type="hidden" id="current_user_type" value="<?=$user_type?>" name="current_user_type">
<div class="container-fluid" style="padding-top:120px; height:550px">
	<div class="row"><br/></div>
	<div class="row">
		<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12">
			<fieldset> 
				 
				<div class="form-group"> 
					<label class="col-md-6 control-label text-right" for="contractor"><small><a href="index.php?pg=settings&type=contractor" target="_blank" style="cursor:pointer" title="Contractor Listing">Contractor</a></small>&nbsp;&nbsp;<p onclick="reloadContractor();" class="btn btn-xs btn-info refresh"><span class="glyphicon glyphicon-refresh"></span></p></label>
					<div class="col-md-6">
						<span id="div_contractor"></span>
					</div>
				</div>
				
				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="block"><small>Block</small></label>
					<div class="col-md-7"><input type="text" id="block" name="block"   placeholder="Block" value="" class="form-control text-left"></div>
				</div>

				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="lot"><small>Lot</small></label>
					<div class="col-md-7"><input type="text" id="lot" name="lot"  placeholder="Lot" value="" class="form-control text-left"></div>
				</div>

				<div class="form-group"> 
					<label class="col-md-5 control-label text-right" for="number_units"><small>Number of Units</small></label>
					<div class="col-md-7"><input type="text" id="number_units" name="number_units" placeholder="0"  onkeypress="return isNumberKey(event);" value="" class="form-control text-right"></div>
				</div>
  
			</fieldset>
		</div>
		<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12">
			<fieldset> 
				<div class="form-group"> 
					<label class="col-md-6 control-label text-right" for="po_issued"><small>Date P.O. Issued</small></label>
					<div class="col-md-6"><input type="text" id="date_issued" name="date_issued" readonly placeholder="Date P.O. Issued" value="" class="form-control text-left datepicker"></div>
				</div> 

				<div class="form-group">  
					<label class="col-md-6 control-label text-right" for="po_issued"><small>Completion Date</small></label>
					<div class="col-md-6"><input type="text" id="po_issued" name="po_issued" readonly placeholder="Completion Date" value="" class="form-control text-left datepicker"></div>
				</div> 
			</fieldset>
		</div>
		<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12">
			<fieldset>  
			</fieldset>
		</div>
	</div>
	 
	 
	<!-------------->

	<div class="row"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"><br></div></div>
	<div class="row"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"><br></div></div>

	<div class="row">
		<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
			<fieldset> 
				<div style="overflow:scroll; width:100%"> 
				 <table class="table-hover table-striped table-bordered table-condensed" cellspacing="0" cellpadding="0" style="overflow:scroll" width="100%"> 
 					<thead>
					<tr>
						<td style="min-width:150px" class="center text-center">&nbsp;</td>
						<td style="min-width:100px">&nbsp;</td>
						<td style="min-width:200px" class="center text-center" >Contract Price <input id="contract_price" name="contract_price" value=""  type="text"  class="text-right right form-control" style="cursor:pointer" onkeyup="computeContract(); amount_computation();" onkeypress="return isNumberKey(event);"></td>
						<td style="min-width:200px" class="center text-center" >2% WHT <input id="withholding_tax" readonly name="withholding_tax" value=""  type="text"  class="text-right right form-control" style="cursor:pointer" ></td>
						<td style="min-width:1000px" class="center text-center" colspan="5">&nbsp;</td> 
						<td style="min-width:200px" class="center text-center" >Net Contract Price  <input id="net_contract_price" name="net_contract_price" value=""  type="text"  class="text-right right form-control" readonly style="cursor:pointer" ></td>
						<td style="min-width:150px" class="center text-center" >&nbsp;</td>
						<td style="min-width:150px" class="center text-center" >&nbsp;</td>
					</tr>

					<tr>
						<td  class="center text-center"></td>
						<td  class="center text-center" colspan="2">Accomplishment</td> 
						<td  class="center text-center" colspan="6">Deductions</td>
						<td  class="center text-center" rowspan="2">Net</td>
						<td class="center text-center" rowspan="2">Date Processed</td> 
						<td class="center text-center" rowspan="2">Check No</td> 
					</tr>


					<tr>
						<td class="center text-center" >Releases</td>
						<td class="center text-center" width="7%">%</td>
						<td class="center text-center" >Amount</td>
						<td class="center text-center" >WHT</td> 
						<td class="center text-center" >Re-coup</td>
						<td class="center text-center" >Retention</td>
						<td class="center text-center" >Electricity</td>
						<td class="center text-center" >Water</td>
						<td class="center text-center" >Others</td> 
					</tr>
					</thead>
					<tbody>
					<tr>
						<td><input type="checkbox" id="downpayment_checkbox" name="downpayment_checkbox">&nbsp;Downpayment</td>
						<td><input type="text" readonly class="form-control"></td>
						<td><input type="text" readonly class="form-control"></td>
						<td><input type="text" readonly class="form-control"></td>
						<td><input type="text" onkeyup="compute_recoup();" class="form-control text-right right" id="downpayment_recoup" name="downpayment_recoup" value="" placeholder="0.00" onkeypress="return isNumberKey(event);" ></td>

						<td><input type="text" readonly class="form-control"></td>
						<td><input type="text" readonly class="form-control"></td>
						<td><input type="text" readonly class="form-control"></td>
						<td><input type="text" readonly class="form-control"></td> 
						<td><input type="text" readonly class="form-control"></td>

						<td><input type="text" class="form-control text-right datepicker" style="cursor:pointer" readonly id="downpayment_date" name="downpayment_date" value="" placeholder=""></td> 
						<td><input type="text" class="form-control text-right" id="downpayment_check" name="downpayment_check" value=""></td>
					</tr>
					<tr>
						<td><input type="checkbox" id="first_checkbox" name="first_checkbox">&nbsp;1st Release</td>
						<td><input type="text" id="first_percentage" name="first_percentage" onkeyup="amount_computation();" class="form-control right text-right"></td>
						<td><input type="text" class="form-control text-right right" readonly id="first_amount" name="first_amount" readonly value="" placeholder="0.00"></td>
						<td><input type="text" class="form-control text-right right" readonly id="first_wht" name="first_wht" value="" placeholder="0.00"></td> 
						
						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="first_recoup" name="first_recoup" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						
						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="first_retention" name="first_retention" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>

						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="first_electricity" name="first_electricity" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>

						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="first_water" name="first_water" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>

						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="first_others" name="first_others" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
 
						<td><input type="text" class="form-control text-right right" readonly id="first_net" name="first_net" value="" placeholder="0.00"></td>

						<td><input type="text" class="form-control text-right datepicker" style="cursor:pointer" readonly id="first_date" name="first_date" value="" placeholder=""></td>

						<td><input type="text" class="form-control text-right" id="first_check" name="first_check" value=""></td>
					</tr> 

					<!----2ND-------->
					<tr>
						<td><input type="checkbox" id="second_checkbox" name="second_checkbox">&nbsp;2nd Release</td>
						<td><input type="text" id="second_percentage" name="second_percentage" onkeyup="amount_computation();" class="form-control right text-right"></td>
						<td><input type="text" class="form-control text-right right" readonly id="second_amount" name="second_amount" readonly value="" placeholder="0.00"></td>
						<td><input type="text" class="form-control text-right right" readonly id="second_wht" name="second_wht" value="" placeholder="0.00"></td> 
						
						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="second_recoup" name="second_recoup" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						
						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="second_retention" name="second_retention" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>

						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="second_electricity" name="second_electricity" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="second_water" name="second_water" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>

						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="second_others" name="second_others" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
 
						<td><input type="text" class="form-control text-right right" readonly id="second_net" name="second_net" value="" placeholder="0.00"></td>

						<td><input type="text" class="form-control text-right datepicker" style="cursor:pointer" readonly id="second_date" name="second_date" value="" placeholder=""></td> 
						<td><input type="text" class="form-control text-right" id="second_check" name="second_check" value=""></td>
					</tr>

					<!----3RD-------->
					<tr>
						<td><input type="checkbox" id="third_checkbox" name="third_checkbox">&nbsp;3rd Release</td>
						<td><input type="text" id="third_percentage" name="third_percentage" onkeyup="amount_computation();"  class="form-control right text-right"></td>
						<td><input type="text" class="form-control text-right right" readonly id="third_amount" name="third_amount" readonly value="" placeholder="0.00"></td>
						<td><input type="text" class="form-control text-right right" readonly id="third_wht" name="third_wht" value="" placeholder="0.00"></td> 
						
						<td><input type="text" class="form-control text-right right" id="third_recoup" onkeyup="compute_net()" name="third_recoup" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						
						<td><input type="text" class="form-control text-right right" id="third_retention" onkeyup="compute_net()" name="third_retention" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>

						<td><input type="text" class="form-control text-right right" id="third_electricity" onkeyup="compute_net()" name="third_electricity" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="third_water" name="third_water" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" id="third_others" onkeyup="compute_net()" name="third_others" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
 
						<td><input type="text" class="form-control text-right right" readonly id="third_net" name="third_net" value="" placeholder="0.00"></td>

						<td><input type="text" class="form-control text-right datepicker" style="cursor:pointer" readonly id="third_date" name="third_date" value="" placeholder=""></td> 
						<td><input type="text" class="form-control text-right" id="third_check" name="third_check" value=""></td>
					</tr> 

					<!----4TH-------->
					<tr>
						<td><input type="checkbox" id="fourth_checkbox" name="fourth_checkbox">&nbsp;4th Release</td>
						<td><input type="text" id="fourth_percentage" name="fourth_percentage" onkeyup="amount_computation();" class="form-control right text-right"></td>
						<td><input type="text" class="form-control text-right right" readonly id="fourth_amount" name="fourth_amount" readonly value="" placeholder="0.00"></td>
						<td><input type="text" class="form-control text-right right" readonly id="fourth_wht" name="fourth_wht" value="" placeholder="0.00"></td> 
						
						<td><input type="text" class="form-control text-right right" id="fourth_recoup" onkeyup="compute_net()" name="fourth_recoup" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						
						<td><input type="text" class="form-control text-right right" id="fourth_retention" onkeyup="compute_net()" name="fourth_retention" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>

						<td><input type="text" class="form-control text-right right" id="fourth_electricity" onkeyup="compute_net()"  name="fourth_electricity" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="fourth_water" name="fourth_water" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" id="fourth_others" onkeyup="compute_net()" name="fourth_others" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
 
						<td><input type="text" class="form-control text-right right" readonly id="fourth_net" name="fourth_net" value="" placeholder="0.00"></td>

						<td><input type="text" class="form-control text-right datepicker" style="cursor:pointer" readonly id="fourth_date" name="fourth_date" value="" placeholder=""></td> 
						<td><input type="text" class="form-control text-right" id="fourth_check" name="fourth_check" value=""></td>
					</tr> 

					<!----5TH-------->
					<tr>
						<td><input type="checkbox" id="fifth_checkbox" name="fifth_checkbox">&nbsp;5th Release</td>
						<td><input type="text" id="fifth_percentage" name="fifth_percentage" onkeyup="amount_computation();" class="form-control right text-right"></td>
						<td><input type="text" class="form-control text-right right" readonly id="fifth_amount" name="fifth_amount" readonly value="" placeholder="0.00"></td>
						<td><input type="text" class="form-control text-right right" readonly id="fifth_wht" name="fifth_wht" value="" placeholder="0.00"></td> 
						
						<td><input type="text" class="form-control text-right right" id="fifth_recoup" onkeyup="compute_net()"  name="fifth_recoup" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						
						<td><input type="text" class="form-control text-right right" id="fifth_retention" onkeyup="compute_net()"  name="fifth_retention" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>

						<td><input type="text" class="form-control text-right right" id="fifth_electricity" onkeyup="compute_net()"  name="fifth_electricity" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="fifth_water" name="fifth_water" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" id="fifth_others" onkeyup="compute_net()"  name="fifth_others" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
 
						<td><input type="text" class="form-control text-right right" readonly id="fifth_net" name="fifth_net" value="" placeholder="0.00"></td>

						<td><input type="text" class="form-control text-right datepicker" style="cursor:pointer" readonly id="fifth_date" name="fifth_date" value="" placeholder=""></td> 
						<td><input type="text" class="form-control text-right" id="fifth_check" name="fifth_check" value=""></td>
					</tr> 
					
					<!----6TH-------->
					<tr>
						<td><input type="checkbox" id="sixth_checkbox" name="sixth_checkbox">&nbsp;6th Release</td>
						<td><input type="text" id="sixth_percentage" name="sixth_percentage" onkeyup="amount_computation();" class="form-control right text-right"></td>
						<td><input type="text" class="form-control text-right right" readonly id="sixth_amount" name="sixth_amount" readonly value="" placeholder="0.00"></td>
						<td><input type="text" class="form-control text-right right" readonly id="sixth_wht" name="sixth_wht" value="" placeholder="0.00"></td> 
						
						<td><input type="text" class="form-control text-right right" id="sixth_recoup" onkeyup="compute_net()"  name="sixth_recoup" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						
						<td><input type="text" class="form-control text-right right" id="sixth_retention" onkeyup="compute_net()"  name="sixth_retention" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>

						<td><input type="text" class="form-control text-right right" id="sixth_electricity" onkeyup="compute_net()"  name="sixth_electricity" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="sixth_water" name="sixth_water" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" id="sixth_others" onkeyup="compute_net()"  name="sixth_others" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
 
						<td><input type="text" class="form-control text-right right" readonly id="sixth_net" name="sixth_net" value="" placeholder="0.00"></td>

						<td><input type="text" class="form-control text-right datepicker" style="cursor:pointer" readonly id="sixth_date" name="sixth_date" value="" placeholder=""></td> 
						<td><input type="text" class="form-control text-right" id="sixth_check" name="sixth_check" value=""></td>
					</tr>

					<!----7TH-------->
					<tr>
						<td><input type="checkbox" id="seventh_checkbox" name="seventh_checkbox">&nbsp;7th Release</td>
						<td><input type="text" id="seventh_percentage" name="seventh_percentage" onkeyup="amount_computation();" class="form-control right text-right"></td>
						<td><input type="text" class="form-control text-right right" readonly id="seventh_amount" name="seventh_amount" readonly value="" placeholder="0.00"></td>
						<td><input type="text" class="form-control text-right right" readonly id="seventh_wht" name="seventh_wht" value="" placeholder="0.00"></td> 
						
						<td><input type="text" class="form-control text-right right" id="seventh_recoup" onkeyup="compute_net()"  name="seventh_recoup" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						
						<td><input type="text" class="form-control text-right right" id="seventh_retention" onkeyup="compute_net()"  name="seventh_retention" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>

						<td><input type="text" class="form-control text-right right" id="seventh_electricity" onkeyup="compute_net()"  name="seventh_electricity" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="seventh_water" name="seventh_water" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" id="seventh_others" onkeyup="compute_net()"  name="seventh_others" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
 
						<td><input type="text" class="form-control text-right right" readonly id="seventh_net" name="seventh_net" value="" placeholder="0.00"></td>

						<td><input type="text" class="form-control text-right datepicker" style="cursor:pointer" readonly id="seventh_date" name="seventh_date" value="" placeholder=""></td> 
						<td><input type="text" class="form-control text-right" id="seventh_check" name="seventh_check" value=""></td>
					</tr> 


					<!----8TH-------->
					<tr>
						<td><input type="checkbox" id="eight_checkbox" name="eight_checkbox">&nbsp;8th Release</td>
						<td><input type="text" id="eight_percentage" name="eight_percentage" onkeyup="amount_computation();" class="form-control right text-right"></td>
						<td><input type="text" class="form-control text-right right" readonly id="eight_amount" name="eight_amount" readonly value="" placeholder="0.00"></td>
						<td><input type="text" class="form-control text-right right" readonly id="eight_wht" name="eight_wht" value="" placeholder="0.00"></td> 
						
						<td><input type="text" class="form-control text-right right" id="eight_recoup" onkeyup="compute_net()"  name="eight_recoup" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						
						<td><input type="text" class="form-control text-right right" id="eight_retention" onkeyup="compute_net()"  name="eight_retention" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>

						<td><input type="text" class="form-control text-right right" id="eight_electricity" onkeyup="compute_net()"  name="eight_electricity" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="eight_water" name="eight_water" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" id="eight_others" onkeyup="compute_net()"  name="eight_others" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
 
						<td><input type="text" class="form-control text-right right" readonly id="eight_net" name="eight_net" value="" placeholder="0.00"></td>

						<td><input type="text" class="form-control text-right datepicker" style="cursor:pointer" readonly id="eight_date" name="eight_date" value="" placeholder=""></td> 
						<td><input type="text" class="form-control text-right" id="eight_check" name="eight_check" value=""></td>
					</tr> 

					<!----9TH-------->
					<tr>
						<td><input type="checkbox" id="nine_checkbox" name="nine_checkbox">&nbsp;9th Release</td>
						<td><input type="text" id="nine_percentage" name="nine_percentage" onkeyup="amount_computation();" class="form-control right text-right"></td>
						<td><input type="text" class="form-control text-right right" readonly id="nine_amount" name="nine_amount" readonly value="" placeholder="0.00"></td>
						<td><input type="text" class="form-control text-right right" readonly id="nine_wht" name="nine_wht" value="" placeholder="0.00"></td> 
						
						<td><input type="text" class="form-control text-right right" id="nine_recoup" onkeyup="compute_net()"  name="nine_recoup" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						
						<td><input type="text" class="form-control text-right right" id="nine_retention" onkeyup="compute_net()"  name="nine_retention" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>

						<td><input type="text" class="form-control text-right right" id="nine_electricity" onkeyup="compute_net()"  name="nine_electricity" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="nine_water" name="nine_water" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" id="nine_others" onkeyup="compute_net()"  name="nine_others" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
 
						<td><input type="text" class="form-control text-right right" readonly id="nine_net" name="nine_net" value="" placeholder="0.00"></td>

						<td><input type="text" class="form-control text-right datepicker" style="cursor:pointer" readonly id="nine_date" name="nine_date" value="" placeholder=""></td> 
						<td><input type="text" class="form-control text-right" id="nine_check" name="nine_check" value=""></td>
					</tr> 


					<!----10TH-------->
					<tr>
						<td><input type="checkbox" id="ten_checkbox" name="ten_checkbox">&nbsp;10th Release</td>
						<td><input type="text" id="ten_percentage" name="ten_percentage" onkeyup="amount_computation();" class="form-control right text-right"></td>
						<td><input type="text" class="form-control text-right right" readonly id="ten_amount" name="ten_amount" readonly value="" placeholder="0.00"></td>
						<td><input type="text" class="form-control text-right right" readonly id="ten_wht" name="ten_wht" value="" placeholder="0.00"></td> 
						
						<td><input type="text" class="form-control text-right right" id="ten_recoup" onkeyup="compute_net()"  name="ten_recoup" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						
						<td><input type="text" class="form-control text-right right" id="ten_retention" onkeyup="compute_net()"  name="ten_retention" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>

						<td><input type="text" class="form-control text-right right" id="ten_electricity" onkeyup="compute_net()"  name="ten_electricity" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" onkeyup="compute_net()" id="ten_water" name="ten_water" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
						<td><input type="text" class="form-control text-right right" id="ten_others" onkeyup="compute_net()"  name="ten_others" value="0.00" placeholder="0.00" onkeypress="return isNumberKey(event);"  ></td>
 
						<td><input type="text" class="form-control text-right right" readonly id="ten_net" name="ten_net" value="" placeholder="0.00"></td>

						<td><input type="text" class="form-control text-right datepicker" style="cursor:pointer" readonly id="ten_date" name="ten_date" value="" placeholder=""></td> 
						<td><input type="text" class="form-control text-right" id="ten_check" name="ten_check" value=""></td>
					</tr> 
 
					<tr>
						<td>Total</td>
						<td><input readonly type="text" class="form-control text-right right" id="total_percentage" name="total_percentage"></td>
						<td><input readonly type="text" class="form-control text-right right" id="total_amount" name="total_amount"></td>
						<td><input readonly type="text" class="form-control text-right right" id="total_wht" name="total_wht"></td>
						<td><input readonly type="text" class="form-control text-right right" id="total_recoup" name="total_recoup"></td>
						<td><input readonly type="text" class="form-control text-right right" id="total_retention" name="total_retention"></td>
						<td><input readonly type="text" class="form-control text-right right" id="total_electricity" name="total_electricity"></td>
						<td><input readonly type="text" class="form-control text-right right" id="total_water" name="total_water"></td>
						<td><input readonly type="text" class="form-control text-right right" id="total_others" name="total_others"></td>
						<td><input readonly type="text" class="form-control text-right right" id="total_net" name="total_net"></td>
						<td>&nbsp;</td>
						<td>&nbsp;</td>
					</tr>

					<tr>
						<td>Balance</td>
						<td>&nbsp;</td>
						<td><input readonly type="text" class="form-control text-right right" id="balance_amount" name="balance_amount"></td>
						<td><input readonly type="text" class="form-control text-right right" id="balance_wht" name="balance_wht"></td>
						<td><input readonly type="text" class="form-control text-right right" id="balance_recoup" name="balance_recoup"></td>
						<td>&nbsp;</td>
						<td>&nbsp;</td>
						<td>&nbsp;</td>
						<td>&nbsp;</td>
						<td>&nbsp;</td>
						<td>&nbsp;</td>
						<td>&nbsp;</td>
					</tr>
					</tbody>
				</table>
				</div>
			</fieldset>
		</div>
	</div>
	
	<div class="row"> <br/><br/></div>

	<div class="row"> 	
		<div class="col-lg-6 col-md-6 col-sm-12 col-xs-12">
			<fieldset> 
			<div class="row">
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="releases_status"><small>Status</small></label>
					<div class="col-md-5"><input type="text" id="releases_status" name="releases_status" readonly placeholder="Status" value="" class="form-control text-left"></div>
				</div>
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="retention_processed"><small>Retention Processed On</small></label>
					<div class="col-md-5"><input type="text" id="retention_processed" name="retention_processed" readonly placeholder="Retention Processed On" value="" class="datepicker form-control text-left"></div>
				</div>
			</div>
			</fieldset>	
		</div>
		<div class="col-lg-6 col-md-6 col-sm-12 col-xs-12">
			<fieldset>  
				<div class="form-group">
					<label class="col-md-2 control-label text-left left" for="releases_remarks"><small>Remarks</small></label>
					<div class="col-md-10">
						<textarea cols="10" row="5" class="form-control" id="releases_remarks" name="releases_remarks"></textarea>
					</div>
				</div>
			</fieldset>
		</div>
	</div> 


	<!-------------->
	 
	
	
	 


</div>
</form>

