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PLC:

a003k2

Agency:

city of fort gaines

For:

city of fort gaines- utility payments

Phone:

229-768-2443

Address:

103 commerce street west
fort gaines, georgia 39851

*Required Field

Payment Information

*Name:

Middle:

*Last:

*Service Address:

*City:

*State:

*Zip:

*Service Account #:

Contact Phone #:

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

Attention Residents, Please separate payment amounts for each bill. Ex. Water and Sewer payment should not be combined with Yard Trash payment.

*Do you understand?:

Payment Type:

Payment Amount

Water And Sewage Payments :

Gas Payments :

Yard Trash/ Penalty :

Miscellaneous :

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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