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PLC:

a003zr

Agency:

cass county finance office

For:

marriage license fees online

Phone:

701-241-5606

Address:

211 9th street south
fargo, north dakota 58103

*Required Field

Payment Information

*Name:

Middle:

*Last:

*Both Parties Being Married:

*Address:

*City:

*State:

*Zip:

*Phone Number:

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

*email:

Date of Wedding:

(Month / Day / Year)

Notes:

Payment Amount

*Payment Type:

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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