"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.

"Security Code" field is required.

"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.

"Security Code" field is required.

Card Or Magstripe Required

Payment Amount

Select or enter your payment amount below.

Current balance $314.00

Minimum payment amount $5.00

Other amount $ Minimum payment amount is $5.00.

Billing

First Name *

Last Name *

Street Address *

City *

ZIP Code *

State *

Country *

Credit Card

Cardholder Name *

Card Number *

Expiration Date *

Security Code *

Billing

First Name *

Last Name *

Street Address *

City *

ZIP Code *

State *

Country *

Credit Card

Cardholder Name *

Card Number *

Expiration Date *

Security Code *

Invoice 208

Make Payment Pay Invoice

From: Ohr Yitzchok Radvil
Cong. Ohr Yitzchok Radvil
174 Maple Ave.
Monsey, , NY 10952
US

To: שווימער משה שלמה

Date: November 13, 2022

Invoice Number: 208

Invoice Due: November 27, 2022

Invoice Total: $314.00

Balance: $314.00

Task

Rate

Qty

Amount

ראש השנה יום ב’ קנה שלישי

$100

1

$100
סוכות צווייטע טעג עוזר דלים

$160

1

$160
שביעי של פסח עלה שני

$18

1

$18
ראש השנה יום א’ עלה שלישי תשפד

$36

1

$36

Notes

Checks paypable to: Cong. Ohr Yitzchok Radvil
174 Maple Ave. Monsey, NY 10952

Terms

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