#modal_relatorio_ics.modal.fade[role="dialog"]
	.modal-dialog[role="document"]
		.modal-content
			= form_tag(contabilidade_relatorios_verificar_ics_imprimir_path(relatorio: 'verificar_ics', format: :pdf, conta_id: @conta.id), method: :get, target: "_blank", role: "form", id: 'verificar_ics') 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 relátorio:
						.modal-body
							.form-group
								/ .row 
								/ 	.col-md-6
								/ 		label.control-label for="normal-field" A partir de*
								/ 		.input-group
								/ 			= text_field_tag :data_inicial, '', placeholder: "01/01/#{contexto_atual.exercicio.to_s}", id: "data_inicial_verificacao", class: "form-control date-picker", autocomplete: "off", data: { data_pedido: I18n.l("01/01/#{contexto_atual.exercicio.to_s}".to_date) }
								/ 				span.input-group-addon
								/ 					span.icone-calendario

								/ 	.col-md-6
								/ 		label.control-label for="normal-field" Até*
								/ 		.input-group
								/ 			= text_field_tag :data_final, '', placeholder: "31/12/#{contexto_atual.exercicio.to_s}", id: "data_final_verificacao", class: "form-control date-picker", autocomplete: "off", data: { data_pedido: I18n.l("31/12/#{contexto_atual.exercicio.to_s}".to_date) }
								/ 				span.input-group-addon
								/ 					span.icone-calendario
													
								= hidden_field_tag :relatorio, "relatorio_ics", id: 'relatorio_id'

								.row style="margin-top: 5px;"
									.col-sm-12 
										= label_tag :unidade_orcamentaria, "Unidade Orçamentária", class: "control-label"
										.input-group 
											= select_tag "unidade_orcamentaria",
												options_from_collection_for_select( \
													@unidades_orcamentarias, :id, :codigo_e_nome,'' \
												),
												include_blank: "Selecione",id: "unidade_orcamentaria_modal", class: "form-control s2", style: "width: 50rem"

								.row style="margin-top: 5px;"
									.col-sm-12 
										= label_tag :sub_conta_id, "SubConta", class: "control-label"
										.input-group 
											= select_tag "sub_conta_id",
												options_from_collection_for_select( \
													@sub_contas, :id, :codigo_e_descricao,'' \
												),
												include_blank: "Selecione",id: "sub_conta_id_modal", class: "form-control s2", style: "width: 50rem"

								.row style="margin-top: 8px;"
									.col-sm-4
										label.control-label for="normal-field" IC_PO
										= text_field_tag :ic_po, '', class: "form-control", autocomplete: "off"
										.input-group

									.col-sm-4
										label.control-label for="normal-field" IC_FP
										= text_field_tag :ic_fp, '', class: "form-control", autocomplete: "off"

									.col-sm-4
										label.control-label for="normal-field" IC_DC
										= text_field_tag :ic_dc, '', class: "form-control", autocomplete: "off"

								.row style="margin-top: 5px;"
									.col-sm-4
										label.control-label for="normal-field" IC_FR
										= text_field_tag :ic_fr, '', class: "form-control", autocomplete: "off"
										.input-group

									.col-sm-4
										label.control-label for="normal-field" IC_CO
										= text_field_tag :ic_co, '', class: "form-control", autocomplete: "off"

									.col-sm-4
										label.control-label for="normal-field" IC_CF
										= text_field_tag :ic_cf, '', class: "form-control", autocomplete: "off"

								.row style="margin-top: 5px;"
									.col-sm-4
										label.control-label for="normal-field" IC_NR
										= text_field_tag :ic_nr, '', class: "form-control", autocomplete: "off"
										.input-group

									.col-sm-4
										label.control-label for="normal-field" IC_ND
										= text_field_tag :ic_nd, '', class: "form-control", autocomplete: "off"

									.col-sm-4
										label.control-label for="normal-field" IC_FS
										= text_field_tag :ic_fs, '', class: "form-control", autocomplete: "off"

								.row style="margin-top: 5px;"
									.col-sm-4
										label.control-label for="normal-field" IC_ES
										= text_field_tag :ic_es, '', class: "form-control", autocomplete: "off"
										.input-group

									.col-sm-4
										label.control-label for="normal-field" IC_AI
										= text_field_tag :ic_ai, '', class: "form-control", autocomplete: "off"
											

						.modal-footer
							=< submit_tag 'Imprimir', class: "btn btn-primary", target: '_blank'
								i.icone-imprimir
								'  Imprimir
							button.btn.btn-default type="button" data-dismiss="modal"
								' Fechar