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Operator
Pennsylvania-York County - MDJ 19-2-03 POS
Agency Number 717-793-5201
717-793-5200
390 East Berlin Road York PA 17408
Customer Account Information:
Offender Name (Last, First, MI)
Address ( Street, City, State, Zip)
Daytime Contact Phone Number (including dashes, ie 123-456-7890)
*
Purpose of Payment
Docket Number
Docket Numbers (additional)
Payment Information:
Payment Type
Credit Card
Check
Cardholder Phone
Email
Payment Amount
Fee Amount (Non Refundable):
$0.00
Total Amount:
$0.00
Help Guide:
Name
Account Type
Checking
Saving
Routing Number
Account Number
Card Number
Exp Date
Terms and conditions
Customer Accepts
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