cityssm/lottery-licence-manager

<div class="modal">
  <div class="modal-background"></div>
  <div class="modal-card">
    <header class="modal-card-head">
      <h3 class="modal-card-title">Update Bank Record by Month</h3>
      <button class="delete is-close-modal-button" aria-label="close" type="button"></button>
    </header>
    <section class="modal-card-body">
      <form id="form--bankRecordMonthEdit">
        <input id="bankRecordMonthEdit--organizationID" name="organizationID" type="hidden" value="" />

        <input id="bankRecordMonthEdit--accountNumber" name="accountNumber" type="hidden" />
        <input id="bankRecordMonthEdit--bankingYear" name="bankingYear" type="hidden" />
        <input id="bankRecordMonthEdit--bankingMonth" name="bankingMonth" type="hidden" />

        <div class="columns">
          <div class="column">
            <strong>Account Number</strong><br />
            <span id="bankRecordMonthEdit--accountNumber-span"></span>
          </div>
          <div class="column">
            <strong>Banking Year</strong><br />
            <span id="bankRecordMonthEdit--bankingYear-span"></span>
          </div>
          <div class="column">
            <strong>Banking Month</strong><br />
            <span id="bankRecordMonthEdit--bankingMonth-span"></span>
          </div>
        </div>
        <input id="bankRecordMonthEdit--bankRecordTypeIndex" name="bankRecordTypeIndex" type="hidden" />
        <div id="container--bankRecordMonthEdit-recordTypes"></div>
      </form>
    </section>
    <footer class="modal-card-foot justify-right">
      <button class="button is-success" type="submit" form="form--bankRecordMonthEdit">
        <span class="icon">
          <i class="fas fa-save" aria-hidden="true"></i>
        </span>
        <span>Save Records</span>
      </button>
      <button class="button is-close-modal-button" type="button">Cancel</button>
    </footer>
  </div>
</div>