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Invoice Number
Landfill Invoice Payment:
$
Item Subtotal:
$0.00
Commercial (per cubic yd):
$12.00
Quantity:
Item Subtotal:
$0.00
Out of County (per cubic yd):
$24.00
Quantity:
Item Subtotal:
$0.00
Flesh Pit (per cubic yd):
$15.00
Quantity:
Item Subtotal:
$0.00
Flesh Pit Minimum:
$10.00
Select:
Item Subtotal:
$0.00
Total:
$0.00
Contact Information
First Name:
Last Name:
Phone:
Email:
Payment Information:
Processing Fee Rates:
Cards:
2.5% ($1.50 min)
Method of Payment:
Credit/Debit Card
Update Name from Above
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
Payment method will be collected on external device
Change Payment Method
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CORE Payments
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CORE Payments Version 5.0.147; (API: 2.22)
