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PLC:

a0074f

Agency:

village of east hills justice court

For:

fines - judge howard m. jaslow

Phone:

516-621-6117

Address:

209 harbor hill road
roslyn heights, new york 11576

*Required Field

Payment Information

*Defendant Name:

Middle:

*Last:

*Defendant Date of Birth:

(Month / Day / Year)

Case Number:

Ticket Number:

Parking Ticket Number:

Village Ordinance Violation:

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: