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PLC:

a001xi

Agency:

city of emily

For:

miscellaneous payments

Phone:

218-763-2480

Address:

39811 state highway 6
emily, minnesota 56447

*Required Field

Payment Information

*Name:

Middle:

*Last:

NOT for SEWER payments. When paying a sewer bill use the alternate City of Emily payment link (PLC # a001xh)

*Description of Payment::

Payment Amount

*Payment Type:

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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