#modal_mapeamento.modal.fade[role="dialog"]
	.modal-dialog.modal-lg[role="document"]
		.modal-content
			= form_tag(contabilidade_relatorios_mapeamentos_imprimir_path, method: :get, target: "_blank", role: "form", id: 'mapeamento') do |f|
				.modal-header
					button.close[type="button" data-dismiss="modal" aria-label="Close"]
						span[aria-hidden="false"]
							| ×
					h4.modal-title
						| Dados para imprimir o Mapeamento:
				.modal-body
					= hidden_field_tag :relatorio,'', id: 'relatorio_mapeamento'
					= hidden_field_tag :numero_anexo,'', id: 'numero_anexo'

					.form-group
						.row
							.col-md-3
								= label_tag :mes_de_referencia, "Bimestre *", class: "control-label"
								.input-group
									= select_tag "mes_de_referencia",
										options_for_select( \
											[ 1, 2, 3, 4, 5, 6] \
										),
										include_blank: "Selecione",
										id: "mes_de_referencia", class: "form-control s2 s8", style: "width: 200px"

								span.text-danger id="erro_display_mes_de_referencia" style="#{'display: none;'}"
									p.form-control-static.erro_data_referencia

				.modal-footer

					button.btn.btn-primary type="button" value="pdf" id="botao_imprimir_pdf"
						' Gerar PDF

					button.btn.btn-default type="button" data-dismiss="modal"
						' Fechar