GovPayNet - The Simple Way To Pay

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PLC:

a0067b

Agency:

sanilac county medical care facility

For:

patient pay

Phone:

810-648-3017

Address:

137 n elk st
sandusky, michigan 48471

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*Resident Name:

Middle:

*Last:

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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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