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PLC:

a002j5

Agency:

orleans county sheriffs department

For:

civil payments

Phone:

585-590-4137

Address:

13925 route 31 west,suite 400
albion, new york 14411

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*Name:

Middle:

*Last:

*File #:

Notes:

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Subtotal:

$0.00

Total:

$0.00

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*First Name:

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*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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