<div> <div class="title">Correction for Reconciliation Entry</div> <table> <tr> <td> Account </td> <td> <input type="input" name="scn" value="<?lsmb entry.account?>"/> </td> </tr> <tr> <td> SCN </td> <td> <input type="input" name="scn" value="<?lsmb entry.scn?>"/> </td> </tr> <tr> <td> Amount </td> <td> <input type="input" name="amount" value="<?lsmb entry.their_balance?>"/> </td> </tr> <tr> <td> Cleared at </td> <td> <input type="input" name="cleared" value="<?lsmb entry.clear_time?>"/> </td> </tr> <tr> <td>Reason</td> <td><textarea rows="15" cols="15"></textarea></td> </tr> </table> </div>