revised form vehicle, entertainment and other
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@@ -32,52 +32,44 @@
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<div class="row">
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<div class="col-lg-6">
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<div class="mb-3">
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<label class="form-label">Tanggal</label>
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<label class="form-label">Tanggal <span class="font-italic font-weight-normal">(required)</span></label>
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<input type="datetime-local" class="form-control" name="tanggal" required value="{{ old('tanggal') }}">
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</div>
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<div class="mb-3">
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<label class="form-label">Liter Bensin</label>
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<label class="form-label">Liter Bensin <span class="font-italic font-weight-normal">(required)</span></label>
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<input type="text" class="form-control" name="liter" required value="{{ old('liter') }}">
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</div>
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<div class="mb-3">
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<label class="form-label">Total Harga Bensin</label>
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<label class="form-label">Total Harga Bensin <span class="font-italic font-weight-normal">(required)</span></label>
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<input type="string" class="form-control" name="total" id="total" required value="{{ old('total') }}">
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</div>
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<div class="mb-3">
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<label class="form-label">Jarak (km)</label>
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<input type="number" class="form-control" name="jarak" id="jarak" required value="{{ old('jarak') }}">
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</div>
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<div class="mb-3">
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<label class="form-label">Keterangan</label>
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<textarea class="form-control" name="keterangan" id="keterangan" required>
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{{ old('keterangan') }}
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</textarea>
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<div class="mb-3">
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<label class="form-label">Bukti Total Harga Bensin <span class="font-italic font-weight-normal">(required)</span></label>
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<input type="file" class="form-control" name="bukti_total" value="{{ old('bukti_total') }}">
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</div>
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</div>
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<div class="col-lg-6">
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<div class="mb-3">
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<label class="form-label">Jarak (km) <span class="font-italic font-weight-normal">(required)</span></label>
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<input type="number" class="form-control" name="jarak" id="jarak" required value="{{ old('jarak') }}">
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</div>
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<div class="mb-3">
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<label class="form-label">Tipe Bensin</label>
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<label class="form-label">Tipe Bensin <span class="font-italic font-weight-normal">(required)</span></label>
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<select class="form-control" name="tipe_bensin" required value="{{ old('tipe_bensin') }}">
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<option value="pertamax">Pertamax</option>
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<option value="pertalite">Pertalite</option>
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</select>
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</div>
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<div class="mb-3">
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<label class="form-label">Nomor Polisi</label>
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<label class="form-label">Nomor Polisi <span class="font-italic font-weight-normal">(required)</span></label>
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<input type="text" class="form-control" name="nopol" id="nopol" required value="{{ old('nopol') }}">
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</div>
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<div class="mb-3">
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<label class="form-label">Bukti 1</label>
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<input type="file" class="form-control" name="bukti1" value="{{ old('bukti1') }}">
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</div>
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<div class="mb-3">
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<label class="form-label">Bukti 2</label>
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<input type="file" class="form-control" name="bukti2" value="{{ old('bukti2') }}">
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</div>
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<div class="mb-3">
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<label class="form-label">Bukti 3</label>
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<input type="file" class="form-control" name="bukti3" value="{{ old('bukti3') }}">
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<label class="form-label">Keterangan <span class="font-italic font-weight-normal">(required)</span></label>
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<textarea class="form-control" name="keterangan" id="keterangan" required>
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{{ old('keterangan') }}
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</textarea>
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</div>
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</div>
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