<?php
extract($_REQUEST);

?>

<script src="module/fees/js/instant_collect_fee.js" type="text/javascript"></script>

<input type="hidden" id="mod_id" value="<?php echo $mod_id; ?>">

<div class="row-fluid">
	<div class="span12"></div>
</div>

<div class="row-fluid">
	<div class="span2"></div>
	<div class="span5" style="text-align: center;">
		<div class="control-group" style="text-align: center;">
			<div class="controls" style="text-align: center;">
				Enter Invoice No: 
				<input id="invoice" name="invoice" type="text" placeholder="XXXXXXXXXX">
			</div>
		</div>
	</div>
	<div class="span2">
		<button class="btn btn-small btn-success" name="search" id="search">Search</button>
	</div>
</div>

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


<div class="row-fluid"  id="call_det_invoice" style="text-align: center;">
	
</div>

