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PLC:

a0021j

Agency:

livingston county animal control

For:

animal control payments

Phone:

815-842-8021

Address:

844 west lincoln street
pontiac, illinois 61764

*Required Field

Payment Information

animalcontrol@livingstoncountyil.gov

*Owner's Name:

Middle:

*Last:

*Owner's Phone #:

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

*Owner's Address:

*City:

*State:

*Zip:

*Pet(s) Name(s):

*Are you paying for pet registration or pickup fees?:

Registration Fee

Pick Up Fee

*How Many Pets Paying for?:

*Vet that administered the rabies vaccination:

Fairbury Veterinary Hospital

Whitman Veterinary Clinic

Other (write in)

Answer to Other question above:

*1yr/3yr options:

*Spayed/Neutered options:

Yes

Email:

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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