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PLC:

a004mg

Agency:

village of middleville

For:

water bills

Phone:

315-891-7645

Address:

3 south main street
middleville, new york 13406

*Required Field

Payment Information

*Name on the Bill:

Middle:

*Last:

Account #:

Property Address:

City:

State:

Zip:

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:

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