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PLC:

a005co

Agency:

town of east hampton bureau of administrative adjudication

For:

town ordinance violations

Phone:

631-324-4141 x2110

Address:

159 pantigo road
east hampton, new york 11937

*Required Field

Payment Information

*Please acknowledge that you are paying a fine from the Town Bureau of Administrative Adjudication and not from either the East Hampton Town Justice Court or the Village of East Hampton:

Yes

Please complete information as printed on ticket

*Full First Name on Violation:

Full Middle Name on Violation:

*Full Last Name on Violation:

*Ticket Number (located in the upper right corner of the ticket) must start with an H or C. No other ticket numbers can be paid here.:

****Click here to view the placement of the ticket number on the actual ticket****

*Offense Charged:

*Mailing Address:

*City:

*State:

*Zip:

*Date of Birth:

(Month / Day / Year)

For offenses involving motor vehicles or vessels, please enter a drivers license and/or plate/registration number

Drivers License Number:

State Issuing Drivers License:

Plate/Registration number:

Payment Amount

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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