CourtMoney - Payment Information

Payment For: Southern Seven Health IL Permits and Inspections - 162502

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

Payment will be sent to
Southern Seven Health Department IL
37 Rustic Campus Dr
Ullin, IL 62992

Products

Description

Quantity

Cost

Shipping

Total

Septic Permit:

Min	Max	Cost	Shipping
1.00	200.00	$200.00	$0.00

$0.00

Category 1 Food Permit:

Min	Max	Cost	Shipping
1.00	200.00	$200.00	$0.00

$0.00

Category 2 Food Permit:

Min	Max	Cost	Shipping
1.00	200.00	$175.00	$0.00

$0.00

Category 3 Food Permit:

Min	Max	Cost	Shipping
1.00	200.00	$125.00	$0.00

$0.00

Temporary Event Food Permit:

Min	Max	Cost	Shipping
1.00	200.00	$75.00	$0.00

$0.00

Late Food Permit:

Min	Max	Cost	Shipping
1.00	200.00	$150.00	$0.00

$0.00

More than 30 days late:

Min	Max	Cost	Shipping
1.00	200.00	$50.00	$0.00

$0.00

Seasonal Food Permit (up to 6 months):

Min	Max	Cost	Shipping
1.00	200.00	$100.00	$0.00

$0.00

2nd Follow Up Inspection:

Min	Max	Cost	Shipping
1.00	200.00	$100.00	$0.00

$0.00

3rd Follow Up Inspection:

Min	Max	Cost	Shipping
1.00	200.00	$200.00	$0.00

$0.00

Water Test Kit:

Min	Max	Cost	Shipping
1.00	200.00	$20.00	$0.00

$0.00

Water Test Onsite Collection:

Min	Max	Cost	Shipping
1.00	200.00	$50.00	$0.00

$0.00

Plan Review of Construction:

Min	Max	Cost	Shipping
1.00	200.00	$150.00	$0.00

$0.00

Cottage Food License:

Min	Max	Cost	Shipping
1.00	200.00	$50.00	$0.00

$0.00

Operation without a Valid License:

Min	Max	Cost	Shipping
1.00	200.00	$250.00	$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 $1.75 fee
$50.01 and above then 3.50% of total

Min	Max	Amount
$ 0.00	$ 1,000.00	3.50%

Make a Payment

Payment For: Southern Seven Health IL Permits and Inspections - 162502

Products

Septic Permit:

Category 1 Food Permit:

Category 2 Food Permit:

Category 3 Food Permit:

Temporary Event Food Permit:

Late Food Permit:

More than 30 days late:

Seasonal Food Permit (up to 6 months):

2nd Follow Up Inspection:

3rd Follow Up Inspection:

Water Test Kit:

Water Test Onsite Collection:

Plan Review of Construction:

Cottage Food License:

Operation without a Valid License:

Transaction Information

Payment Information

Shipping Information