Source code of Leftypol imageboard
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<div class="delete">
{% trans %}Delete Post{% endtrans %} [<input title="Delete file only" type="checkbox" name="file" id="delete_file" />
<label for="delete_file">{% trans %}File{% endtrans %}</label>] <label for="password">{% trans %}Password{% endtrans %}</label>
<input id="password" type="password" name="password" size="12" maxlength="18" />
<input type="submit" name="delete" value="{% trans %}Delete{% endtrans %}" />
<div class="delete" style="clear:both">
<label for="reason">{% trans %}Reason{% endtrans %}</label>
<input id="reason" type="text" name="reason" size="20" maxlength="30" />
<input type="submit" name="report" value="{% trans %}Report{% endtrans %}" />