Payment Voucher
Payment Voucher
Bill To: |
Lyda Fadel |
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