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PLC:

a004bh

Agency:

ely township

For:

utility payments

Phone:

906-486-6802

Address:

1555 county road 496
ishpeming, michigan 49849

*Required Field

Payment Information

*Name:

Middle:

*Last:

*Address:

*City:

*State:

*Zip:

All Greenwood Fund account numbers should be in this format: 591-xxxxxx

Greenwood Fund Account #:

All Diorite Fund account numbers should be in this format: 592-xxxxxx

Diorite Fund Account #:

Payment Amount

*Payment Type:

Payment Amount - Greenwood :

Payment Amount - Diorite :

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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