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PLC:

a002y8

Agency:

city of hallock

For:

misc

Phone:

218-843-2737

Address:

163 south 3rd street
hallock, minnesota 56728

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*Last Name:

Business Name:

*Phone #:

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

*Fee Type:

Comments:

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Subtotal:

$0.00

Total:

$0.00

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*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

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