GovPayNet - The Simple Way To Pay

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PLC:

a0062y

Agency:

taylor county health department

For:

water testing

Phone:

715-748-1410

Address:

224 south second street
medford, wisconsin 54451

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*Name:

Middle:

*Last:

Establishment Name:

*Phone #:

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

*Mailing Address:

*City:

*State:

*Zip:

*Test Type:

Payment Amount

Payment Amount :

Subtotal:

$0.00

Total:

$0.00

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*Last Name:

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*Zip:

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*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

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