"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.

Permission Denied CC_Sale

Payment Amount

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Current balance $18.00
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
יאקאבאוויטש הערשי
Date
July 1, 2025
Invoice Number
18783
Invoice Due
July 31, 2025
Invoice Total
$18.00
Balance
$18.00
  1. Task
    Rate
    Qty
    Amount

    קרח תשפ”ה חמישי

    $18
    1
    $18
Subtotal $18.00
Total $18.00

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
July 1, 2025 @ 1:52 am

Invoice updated by Ari_Mandel.

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July 18, 2025 @ 3:02 pm

Invoice viewed by 54.236.6.197 for the first time.

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July 18, 2025 @ 11:29 pm

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