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PLC:

a0024h

Agency:

city of parkersburg

For:

misc. payments

Phone:

313-346-2262

Address:

608 hwy 57,p o box 489
parkersburg, iowa 50665

*Required Field

Payment Information

*Name:

Middle:

*Last:

This is NOT for Utility Payments. Pleas use PLC # a0024g for UTILITY Payments.

*Fee Type:

*Description of Item(s) Purchasing:

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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