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PLC:

a0037d

Agency:

town of geddes justice court

For:

daniel f. mathews

Phone:

315-468-3613

Address:

1000 woods road
solvay, new york 13209

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*Last Name:

*Date of Birth:

(Month / Day / Year)

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$0.00

Total:

$0.00

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*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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