{!! Html::decode(Form::label('date', 'Date *', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::date('date', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('date', '

:message

') !!}

{!! Html::decode(Form::label('location', 'Location *', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::select('location',[''=>'Select Location'],null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('location', '

:message

') !!}

{!! Html::decode(Form::label('diesel', 'Diesel *', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::number('diesel', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('diesel', '

:message

') !!}

{!! Html::decode(Form::label('petrol', 'Petrol *', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::number('petrol', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('petrol', '

:message

') !!}

{!! Html::decode(Form::label('currency', 'Currency', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::select('currency',[''=>'USD'],null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('currency', '

:message

') !!}

{!! Form::submit(isset($submitButtonText) ? $submitButtonText : 'Create', ['class' => 'btn green']) !!}