= simple_form_for @bill_payment, url: company_bill_payment_print_path(@bill_payment.id), turboboost: true, html: {id: 'bill-payment-print-check'} do |f|
  .row
    .col-sm-12.centered-div
      .panel.panel-default.p20
        strong
          | Payment Details
      .panel.panel-default.p20.bg-light-grey
        label
          | PAY ORDER OF
        div
          = f.object.vendor.name
        label
          | Amount
        div
          = f.input :amount, label: false, input_html: {value: f.object.amount.to_f}
        label
          | Memo
        div
          = f.input :memo, label: false, input_html: {value: f.object.memo}
        label
          | Check Number
        div
          = f.input :check_number, label: false
        div.check-panel-with-customizer
          = render template: 'company/bill_payments/check', locals: {bill_payment: @bill_payment}
  .row
    .col-sm-12.mb10
      = f.submit 'CheckOut', class: 'btn btn-primary pull-right w20'