GovPayNet - The Simple Way To Pay

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PLC:

4373

Agency:

city of spirit lake

For:

miscellaneous payments

Phone:

712-336-1871

Address:

1803 hill avenue
spirit lake, iowa 51360

*Required Field

Payment Information

Name:

Middle:

Last:

*Address:

Phone #:

(### - ### - ####)

*Type of Payment:

*Comments:

If paying for a shelter house, list Park Name & Date of Reservation; if paying for a Permit, list the Type; if paying Utility Deposit, list property address of service.If paying Dumpster, list address and If paying Other, list the reason.

Payment Amount

Payment Amount :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number:

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