GovPayNet - The Simple Way To Pay

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PLC:

a0075h

Agency:

florence county health department

For:

permits/licensing payments

Phone:

715-528-4837

Address:

501 lake ave,po box 410
florence, wisconsin 54121

*Required Field

Payment Information

*Customer Name:

Middle:

*Last:

*Business Name:

*Invoice Number:

*Phone 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: