GovPayNet - The Simple Way To Pay

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PLC:

a0062n

Agency:

taylor county health department

For:

license payments

Phone:

715-748-1410

Address:

224 south second street
medford, wisconsin 54451

*Required Field

Payment Information

*Establishment Name:

*Phone Number:

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

*Mailing Address:

*City:

*State:

*Zip:

*Type:

*License Type:

For your total, please reference your application/renewal letter.

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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