CourtMoney - Payment Information

Payment For: Lawrence County MO Health Dept. Payments - 144602

VISA, Mastercard, Discover, and American Express are accepted. Your credit card statement will reflect a charge to MCM*.

Payment will be sent to
Lawrence Cnty MO Health Dept.
1549 Missouri Drive
Mt. Vernon, MO 65712

Products

Description

Quantity

Cost

Shipping

Total

Septic Permit (Residential):

Min	Max	Cost	Shipping
1.00	100.00	$150.00	$0.00

$0.00

Septic Permit (Commercial):

Min	Max	Cost	Shipping
1.00	100.00	$300.00	$0.00

$0.00

System Repair (Residential and Commercial):

Min	Max	Cost	Shipping
1.00	100.00	$50.00	$0.00

$0.00

Registration Fee (Installer, Pumper, or Soil Scientist):

Min	Max	Cost	Shipping
1.00	100.00	$50.00	$0.00

$0.00

Registration Fee + Residential Permit:

Min	Max	Cost	Shipping
1.00	100.00	$200.00	$0.00

$0.00

Registration Fee + Commercial Permit:

Min	Max	Cost	Shipping
1.00	100.00	$350.00	$0.00

$0.00

Registration Fee + Repair:

Min	Max	Cost	Shipping
1.00	100.00	$100.00	$0.00

$0.00

Temporary Food Permit (48 hours):

Min	Max	Cost	Shipping
1.00	100.00	$50.00	$0.00

$0.00

Official Water Test (Bacterial and Nitrates):

Min	Max	Cost	Shipping
1.00	100.00	$50.00	$0.00

$0.00

Official Water Test (New Well and Bacterial Test):

Min	Max	Cost	Shipping
1.00	100.00	$50.00	$0.00

$0.00

Official Water Test (Minerals, Nutrients, Metals and Bacteri:

Min	Max	Cost	Shipping
1.00	100.00	$65.00	$0.00

$0.00

Total

Totals:

Sub-Total:*

Technology Fee:*

Fees associated with using CourtMoney.

Total Payment:*

The total amount that will be charged.

Transaction Information

Name on Record: *

Cardholder Phone #: *

Payment Information

Credit Card Information

Name on Card:*

First & Last Name Only - Do not include a middle name or initial

Credit Card Number:*

Expiration:*

CVV:*

Card Type:*

Billing Information

Address Line 1:*

Address Line 2:

City:*

State:*

Zip Code:*

Country:*

Email Address:*

Used to email receipt to payor.

Shipping Information

Same as Billing Information

Name:*

Address Line 1:*

Address Line 2:

City:*

State:*

Zip Code:*

Fees associated with using CourtMoney

$50.00 and under, flat $2.00 fee
$50.01 and above then 4.00% of total

Min	Max	Amount
$ 0.00	$ 1,000.00	4.00%

Make a Payment

Payment For: Lawrence County MO Health Dept. Payments - 144602

Products

Septic Permit (Residential):

Septic Permit (Commercial):

System Repair (Residential and Commercial):

Registration Fee (Installer, Pumper, or Soil Scientist):

Registration Fee + Residential Permit:

Registration Fee + Commercial Permit:

Registration Fee + Repair:

Temporary Food Permit (48 hours):

Official Water Test (Bacterial and Nitrates):

Official Water Test (New Well and Bacterial Test):

Official Water Test (Minerals, Nutrients, Metals and Bacteri:

Transaction Information

Payment Information

Shipping Information