"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 $218.00

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 652

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

To: שווימער יעקב פנחס

Date: January 1, 2023

Invoice Number: 652

Invoice Due: January 15, 2023

Invoice Total: $218.00

Balance: $218.00

Task

Rate

Qty

Amount

פרשת ויגש עלה אחרון

$100

1

$100
סוכות – ערשטע טעג עלה שלישי פד

$38

1

$38
סוכות – ערשטע טעג קנה הגבה גלילה פד

$80

1

$80

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.