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PLC:

a002i4

Agency:

kiowa county sheriff's office

For:

fines/fees/traffic

Phone:

719-438-5411

Address:

1305 goff street
eads, colorado 81036

*Required Field

Payment Information

*Defendant Name:

Middle:

*Last:

*Ticket#/Case#:

*Phone #:

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

*Defendant Address:

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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