Payment Voucher

Payment Voucher

Bill To:

Lyda Fadel
Miami, FL 33101

Payment Method:

Credit Card (Visa)

Payment Details

Description

Amount

Consultation Fee

$200.00

Service Charge

$50.00

Other Expenses

$30.00

Total

$280.00

Signatures

The undersigned agree to the terms stated in this payment voucher:

Authorized by: [YOUR NAME]

Received by: Lyda Fadel

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