<div class="block">
  <div class="content controls">
    <div class="form-row">
        <!--
        //total
        $vBC = '1200.00';
        $vICMS = '288.00';
        $vICMSDeson = '0.00';
        $vBCST = '1030.80';
        $vST = '51.50';
        $vProd = '1200.00';
        $vFrete = '0.00';
        $vSeg = '0.00';
        $vDesc = '0.00';
        $vII = '0.00';
        $vIPI = '50.40';
        $vPIS = '41.70';
        $vCOFINS = '92.64';
        $vOutro = '0.00';
        -->
        <div class="col-md-2"><label>Vlr BC</label></div>
        <div class="col-md-2"><input type=number name="t_vl_bc" id="t_vl_bc" min=0 value="0.00" required /></div>

        <div class="col-md-1">&nbsp;</div>
        <div class="col-md-2"><label>Vlr ICMS</label></div>
        <div class="col-md-2"><input type=number name="t_vl_icms" id="t_vl_icms" min=0 value="0.00" required /></div>
      </div>
    <div class="form-row">
      <div class="col-md-2"><label>Vlr ICMS Desconto</label></div>
      <div class="col-md-2"><input type=number name="t_vl_deson" id="t_vl_deson" min=0 value="0.00"required /></div>
    </div>
    <div class="form-row">
      <div class="col-md-2"><label>Vlr BC Subst. Tributária</label></div>
      <div class="col-md-2"><input type=number name="t_vl_bcst" id="t_vl_bcst" min=0 value="0.00" required /></div>

      <div class="col-md-1">&nbsp;</div>
      <div class="col-md-2"><label>Vlr ICMS</label></div>
      <div class="col-md-2"><input type=number name="t_vl_st" id="t_vl_st" min=0 value="0.00" required /></div>
    </div>
    <div class="form-row">
      <div class="col-md-2"><label>Vlr Produto(s)</label></div>
      <div class="col-md-2"><input type=number name="t_vl_prod" id="t_vl_prod" min=0 value="0.00" required /></div>
    </div>

    <div class="form-row">
      <div class="col-md-2"><label>Vlr Frete</label></div>
      <div class="col-md-2"><input type=number name="t_vl_frete" id="t_vl_frete" min=0 value="0.00" required /></div>

      <div class="col-md-1">&nbsp;</div>
      <div class="col-md-2"><label>Vlr Seguro</label></div>
      <div class="col-md-2"><input type=number name="t_vl_seguro" id="t_vl_seguro" min=0 value="0.00" required /></div>
    </div>
    <div class="form-row">
      <div class="col-md-2"><label>Vlr Desconto</label></div>
      <div class="col-md-2"><input type=number name="t_vl_desc" id="t_vl_desc" min=0 value="0.00" required /></div>
    </div>


    <div class="form-row">
      <div class="col-md-2"><label>Vlr II</label></div>
      <div class="col-md-2"><input type=number name="t_vl_ii" id="t_vl_ii" min=0 value="0.00" required /></div>

      <div class="col-md-1">&nbsp;</div>
      <div class="col-md-2"><label>Vlr Seguro</label></div>
      <div class="col-md-2"><input type=number name="t_vl_ipi" id="t_vl_ipi" min=0 value="0.00" required /></div>
    </div>
    <div class="form-row">
      <div class="col-md-2"><label>Vlr Desconto</label></div>
      <div class="col-md-2"><input type=number name="t_vl_outro" id="t_vl_outro" min=0 value="0.00" required /></div>
    </div>

  </div>

      <div class="footer">
        <div class="side pull-right">
          <div class=btn-group>
            <!-- <button class="btn btn-default" type="button" onClick="window.history.go(-1)" value="Voltar">Voltar</button> -->
            <button class="btn btn-sucess" type="submit" value="incluir" onClick="$('#validate_custom').validationEngine('hide');" name="incluir">Incluir</button>
          </div>
        </div>
      </div>

  </div>
