"First Name" field is required.

"Last Name" field is required.

"Street Address" field is required.

"City" field is required.

"ZIP Code" field is required.

"State" field is required.

"Country" field is required.

"Cardholder Name" field is required.

"Card Number" field is required.

"Expiration Date" field is required.

"Expiration Date" field is required.

"Security Code" field is required.

Card Or Magstripe Required

From
Ohel Basya Ohel Basya
83 Mivlal Ln
Highland MIlls, NY 10930
US
To
ווערצבערגער שלום
Date
November 12, 2024
Invoice Number
16240
Invoice Due
February 12, 2024
Invoice Total
$100.00
Balance
$0.00
  1. Task
    Rate
    Qty
    Amount

    לך לך תשפ”ה לוי

    $100
    1
    $100
Subtotal $100.00
Total $100.00
Payments $100.00
Balance $0.00

Notes

Checks paypable to: Cong Khal Milval Serpi
 83 Milval Lane  Highland Mills New York 10930

Terms

Please review your invoice and make payment at your earliest convenience.

Updated
November 12, 2024 @ 2:27 am

Invoice updated by Ari_Mandel.

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Payment
May 21, 2025 @ 12:17 pm

Credit (Authorize.Net)Payment Total: $100.00

Status Update
May 21, 2025 @ 12:17 pm

Status changed: Pending to Paid.