"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

Payment Amount

Select or enter your payment amount below.

Current balance $10.00
Minimum payment amount $5.00
Other amount $ Minimum payment amount is $5.00.
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From
Ohel Basya
Ohel Basya
83 Mivlal Ln
Highland MIlls, NY 10930
US
To
קויפמאן ישראל שלום
Date
December 27, 2022
Invoice Number
9914
Invoice Due
January 10, 2023
Invoice Total
$10.00
Balance
$10.00
  1. Task
    Rate
    Qty
    Amount

    שבועות‎ יום ב׳חמישי old

    $10
    1
    $10
Subtotal $10.00
Total $10.00

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
December 27, 2022 @ 9:20 pm

Invoice updated by Shul Admin.

Updated
December 27, 2022 @ 9:20 pm

Invoice updated by Shul Admin.