@extends('cpanel.layouts.main')

@section('content')
<div class="page-header">
    <div class="page-title">
        <h3>Muncicipal Numbers</h3>
        <span>Good morning, John!</span>
    </div>
</div>
	

<div class="row">
    <div class="col-md-12">
        @if(Session::has('msg'))
		 <div class="alert alert-{{ Session::get('class') }}">{{ Session::get('msg')}}</div>
		@endif	
        <div class="widget box">
            <div class="widget-content">
               {{ Form::open(['route'=>['admin.municipal-numbers.create'], 'class'=>'form-horizontal row-border']) }}
                <div class="form-group">
                    <h4 class="col-md-2 control-label"><i class="icon-plus"></i>Add New</h4>
                    
                </div>
                <div class="form-group">
                    <label class="col-md-2 control-label">County </label>
                    <div class="col-md-4">
                      {{ Form::select('CountyID',($select + $counties), Input::old('CountyID'), ['class'=>'form-control CountyID']) }}
                     </div>
                </div>
                <div class="form-group">
                    <label class="col-md-2 control-label">City </label>
                    <div class="col-md-4">
                         {{ Form::select('CityID',($select + $cities), Input::old('CityID'), ['class'=>'form-control CityID']) }}
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-md-2 control-label">Water Contact Nº: </label>
                    <div class="col-md-6">
						{{ Form::text('WaterContactNo') }}
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-md-2 control-label">Building Contact Nº </label>
                    <div class="col-md-3">
                        {{ Form::text('BuildingContactNo') }}
                    </div>
                </div>
                <div class="form-group">   
                    <label class="col-md-2 control-label">Code Contact Nº</label>
                    <div class="col-md-3">
                        {{ Form::text('CodeContactNo') }}
                    </div>
                    
                </div>

                <div class="btn-toolbar align-right">
                    <button type="submit" class="btn btn-primary save">Save</button>
                    <button onclick="window.location='{{ URL::route('admin.municipal-numbers.index') }}'" type="button" class="btn" data-toggle="button">Close</button>
                </div>

                {{ Form::close() }}
            </div>
        </div>
    </div>
</div>

@stop