CourtMoney

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Payment For: Florien LA Utility Payments - 176002

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

Payment will be sent to
Florien LA
237 W Port Arthur Ave
PO Box 68
Florien, LA 71429

IMPORTANT: THIS PAYMENT FORM IS FOR THE VILLAGE OF FLORIEN, LOUISIANA. IF YOU ARE NOT INTENDING TO PAY FLORIEN, LOUISIANA, DO NOT PROCEED WITH YOUR PAYMENT.

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Transaction Information

Name on Account: *

Service Address: *

Account Number: *

Cardholder Phone #: *

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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.

Fees associated with using CourtMoney

4.00% of total

Min	Max	Amount
$ 0.00	$ 100.00	4.00%

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Payment For: Florien LA Utility Payments - 176002

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