{{--@include('app.includes.alerts')--}}


<div class="row mt-2">
    <div class="col-md-6">
        <label class="control-label">Razão Social</label>
        <input name="corporate_name" class="form-control" value="{{ $supplier->corporate_name ?? old('corporate_name') }}" placeholder="Digite a Razão social..." type="text">
        @error('corporate_name')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>

    <div class="col-md-6">
        <label class="control-label">Fantasia</label>
        <input name="fantasy_name" class="form-control" value="{{ $supplier->fantasy_name ?? old('fantasy_name') }}" placeholder="Digite a Fantasia..." type="text">
        @error('fantasy_name')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>
</div>

<div class="row mt-2">
    
    <div class="col-md-6">
        <label class="control-label">Contato</label>
        <input name="contact" class="form-control" value="{{ $supplier->contact ?? old('contact') }}" placeholder="Digite o contato..." type="text">
        @error('contact')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>
    <div class="col-md-2">
        <label class="control-label">INSCRIÇÃO ESTADUAL</label>
        <input name="insc" class="form-control" value="{{ $supplier->insc ?? old('insc') }}" placeholder="Digite a Inscrição estadual..." type="text">
        @error('insc')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>
    <div class="col-md-2">
        <label class="control-label">CNPJ</label>
        <input name="cnpj" class="form-control cnpj" value="{{ $supplier->cnpj ?? old('cnpj') }}" placeholder="Digite o CNPJ..." type="text">
        @error('cnpj')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>
    <div class="col-md-2">
        <label class="control-label">CPF</label>
        <input name="cpf" class="form-control cpf" value="{{ $supplier->cpf ?? old('cpf') }}" placeholder="Digite o CPF..." type="text">
        @error('cpf')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>

</div>

<div class="row mt-2">
    <div class="col-md-3">
        <label class="control-label">Telefone</label>
        <input name="telephone" class="form-control telephone" value="{{ $supplier->telephone ?? old('telephone') }}" placeholder="Digite o telefone..." type="text">
        @error('telephone')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>
    
    <div class="col-md-3">
        <label class="control-label">Celular</label>
        <input name="mobile" class="form-control mobile" value="{{ $supplier->telephone ?? old('telephone') }}" placeholder="Digite o celular..." type="text">
        @error('mobile')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>
    
    <div class="col-md-6">
        <label class="control-label">E-mail</label>
        <input name="email" class="form-control" value="{{ $supplier->email ?? old('email') }}" placeholder="Digite o email..." type="text">
        @error('email')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>

</div>

<div class="row mt-2">
    <div class="col-md-2">
        <label class="control-label">CEP</label>
        <input name="cep" id="cep" class="form-control cep" value="{{ $supplier->cep ?? old('cep') }}" placeholder="Digite o CEP..." type="text">
        @error('cep')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>

    <div class="col-md-6">
        <label class="control-label">Endereço</label>
        <input name="address" id="adress" class="form-control" value="{{ $supplier->adress ?? old('address') }}" placeholder="Digite o endereço..." type="text">
        @error('adress')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>
    <div class="col-md-4">
        <label class="control-label">Nº</label>
        <input name="number" class="form-control" value="{{ $supplier->number ?? old('number') }}" placeholder="Nº..." type="text">
        @error('number')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>
</div>

<div class="row mt-2">
    <div class="col-md-4">
        <label class="control-label">Bairro</label>
        <input name="neighborhood" id="neighborhood" class="form-control" value="{{ $supplier->neighborhood ?? old('neighborhood') }}" placeholder="Digite o Bairro..." type="text">
        @error('neighborhood')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>
    
     <div class="col-md-3">
        <label class="control-label">Complemento</label>
        <input name="complement" id="complement" class="form-control" value="{{ $supplier->complement ?? old('complement') }}" placeholder="Digite o complemento..." type="text">
        @error('complement')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>
    <div class="col-sm-3">
        <label class="control-label">Cidade</label>
        <input name="city" id="city" class="form-control" value="{{ $supplier->city ?? old('city') }}" placeholder="Digite a Cidade..." type="text">
        @error('city')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>
    <div class="col-sm-2">
        <label class="control-label">UF</label>
        <input name="uf" id="uf" class="form-control" value="{{ $supplier->uf ?? old('uf') }}" placeholder="UF..." type="text">
        @error('uf')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>
</div>

<div class="row mt-4">
    <div class="col-md-12">
        <p><strong>DADOS BANCÁRIOS</strong></p>
    </div>
    
    <div class="col-md-2">
        <label class="control-label"> Banco</label>
        <input name="bank" class="form-control" value="{{ $supplier->bank ?? old('bank') }}" placeholder="Digite o Banco..." type="text"/>
    </div>
    
    <div class="col-md-4">
        <label class="control-label"> Agência</label>
        <input name="bank_agency" class="form-control" value="{{ $supplier->bank_agency ?? old('bank_agency') }}" placeholder="Digite a Agência..." type="text"/>
    </div>
    
    <div class="col-md-6">
        <label class="control-label"> C/C</label>
        <input name="c_c" class="form-control" value="{{ $supplier->c_c ?? old('c_c') }}" placeholder="Digite a C/C..." type="text"/>
    </div>
    
    <div class="col-md-2 pt-2">
        <label class="control-label"> Chave PIX</label>
        <input name="pix" class="form-control" value="{{ $supplier->pix ?? old('pix') }}" placeholder="Digite a chave PIX" type="text"/>
        @error('pix')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>
    
    <div class="col-md-4 pt-2">
        <label class="control-label"> Banco PIX</label>
        <input name="pix_bank" class="form-control" value="{{ $supplier->pix_bank ?? old('pix_bank') }}" placeholder="Digite o Banco..." type="text"/>
        @error('pix_bank')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>
    
    <div class="col-md-6 pt-2">
        <label class="control-label"> Beneficiário</label>
        <input name="pix_recipient" class="form-control" value="{{ $supplier->pix_recipient ?? old('pix_recipient') }}" placeholder="Digite o Beneficiário..." type="text"/>
        @error('pix_recipient')
            <div class="text-danger">{{ $message }}</div>
        @enderror
    </div>
 
</div> 

<div class="row mt-4">
    <div class="col-md-12">
        <label class="control-label">*Observação</label>
        <textarea name="notes" class="form-control" rows="5" placeholder="Deixe uma observação se necessário..."></textarea>
    </div>
</div>

<div class="modal-footer mt-4">
    <div class="col-sm-12">
        <input type="submit" class="btn btn-primary me-1" value="Salvar Fornecedor" />
    </div>
</div>