<option value="[% reason.authorised_value | html %]">[% reason.lib | html %]</option>
[% END %]
</select>
<input type="checkbox" name="cancellation-notify-patron" id="cancellation-notify-patron" value="1" checked/>
<label for="cancellation-notify-patron">Notify patron</label>
</fieldset>
</form>
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