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run_test.sh
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#/bin/bash
## Request
curl -X "POST" "http://localhost:4567/api/ahcccs/v2019/fill" \
-H 'Content-Type: application/json' \
-d $'{
"multiple_members_drop_no": true,
"pickup_am_1": true,
"dropoff_time_1": "10:00",
"dropoff_pm_5": true,
"reason_for_visit_2": "Reason 2",
"vehicle_make_color": "Red Car",
"pickup_address_4": "Pickup 4",
"dropoff_odometer_4": "400",
"multiple_stops_4": "X",
"dropoff_pm_2": true,
"pickup_odometer_5": "500",
"pickup_pm_6": true,
"signature_date": "11/14/19",
"name_of_escort_3": "Bob",
"pickup_time_5": "5:00",
"relationship_4": "Relation 4",
"round_trip_5": "X",
"dropoff_am_4": true,
"dropoff_address_2": "Dropoff 2",
"dropoff_time_5": "15:00",
"vehicle_other_note": "Some Car",
"pickup_address_5": "Pickup 5",
"round_trip_2": "X",
"dropoff_am_1": true,
"multiple_stops_5": "X",
"pickup_am_2": true,
"pickup_time_2": "2:00",
"page_2_of": "4",
"dob_2": "12-12-2020",
"multiple_members_no": true,
"name_of_escort_4": "Joe",
"date": "12-12-2020",
"multiple_members_drop_yes": true,
"vehicle_other": true,
"pickup_odometer_1": "100",
"dropoff_odometer_2": "200",
"pickup_pm_1": true,
"pickup_address_6": "Pickup 6",
"pickup_odometer_6": "600",
"finger_print": "N/A",
"multiple_stops_6": "X",
"reason_for_visit_5": "Reason 5",
"signature": {
"url": "https://raw.githubusercontent.com/emrbear/trip-reporter/master/test/fixtures/signature_1.png"
},
"relationship_1": "Relation 1",
"trip_miles_4": "400",
"vehicle_taxi": true,
"name_of_escort_5": "Jim",
"dropoff_time_2": "12:00",
"trip_miles_1": "100",
"member_name_2": "Jane Doe 2",
"multiple_members_yes": true,
"pickup_am_3": true,
"dropoff_address_3": "Dropoff 3",
"dropoff_pm_6": true,
"company_address": "Testing",
"ahcccs_id_2": "AX1235324324",
"dropoff_pm_3": true,
"relationship_5": "Relation 5",
"name_of_escort_6": "Tom",
"pickup_pm_2": true,
"dropoff_time_6": "16:00",
"page_1": "1",
"reason_for_visit_3": "Reason 3",
"pickup_odometer_2": "200",
"dropoff_am_5": true,
"dropoff_odometer_5": "500",
"one_way_1": "X",
"pickup_time_4": "4:00",
"round_trip_6": "X",
"driver_signature": {
"content": "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"
},
"round_trip_3": "X",
"drivers_name": "John Doe Driver",
"dropoff_am_2": true,
"pickup_am_4": true,
"one_way_2": "X",
"vehicle_number": "1234",
"pickup_time_1": "1:00",
"one_way_3": "X",
"signer": "The Signer",
"dropoff_address_4": "Dropoff 4",
"relationship_2": "Relation 2",
"member_name": "Jane Doe",
"pickup_pm_3": true,
"dropoff_time_3": "13:00",
"one_way_4": "X",
"vehicle_bus": true,
"trip_miles_5": "500",
"one_way_5": "X",
"unable_to_sign": true,
"trip_miles_2": "200",
"reason_for_visit_1": "Reason 1",
"dropoff_odometer_3": "300",
"pickup_am_5": true,
"pickup_odometer_3": "300",
"reason_for_visit_6": "Reason 6",
"one_way_6": "X",
"relationship_6": "Relation 6",
"page_2": "3",
"dob": "12-12-2020",
"vehicle_stretcher": true,
"dropoff_pm_4": true,
"page_1_of": "2",
"pickup_pm_4": true,
"dropoff_pm_1": true,
"pickup_address_1": "Pickup 1",
"multiple_stops_1": "X",
"dropoff_address_5": "Dropoff 5",
"pickup_time_6": "6:00",
"dropoff_am_6": true,
"mailing_address": "P.O Box 1234 Some City Some State 12345",
"round_trip_4": "X",
"dropoff_am_3": true,
"pickup_time_3": "3:00",
"pickup_am_6": true,
"vehicle_wheelchair_van": true,
"relationship_3": "Relation 3",
"pickup_address_2": "Pickup 2",
"dropoff_odometer_1": "100",
"multiple_stops_2": "X",
"pickup_odometer_4": "400",
"dropoff_odometer_6": "600",
"dropoff_time_4": "14:00",
"reason_for_visit_4": "Reason 4",
"name_of_escort_1": "Joe",
"additional_info": "Testing",
"pickup_pm_5": true,
"trip_miles_6": "600",
"ahcccs_id": "AX1235324324",
"dropoff_address_1": "Dropoff 1",
"pickup_address_3": "Pickup 3",
"dropoff_address_6": "Dropoff 6",
"multiple_stops_3": "X",
"trip_miles_3": "300",
"name_of_escort_2": "Jesus"
}' | jq -r .pdf | base64 -d > result.pdf