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PLC:

a0052f

Agency:

walker river justice court

For:

traffic court fees

Phone:

775-463-6639

Address:

911 harvey way, suite #2
yerington, nevada 89447

*Required Field

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*Name:

Middle:

*Last:

*Address:

*City:

*State:

*Zip:

*Phone #:

(### - ### - ####)

*Email Address:

*Citation 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:

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