CourtMoney - Payment Information

Payment For: Fayette County IL Health Permits - 167602

VISA, Mastercard, Discover, and American Express are accepted. Your credit card statement will reflect a charge to MCM*.

Payment will be sent to
Fayette Cnty IL Health Department
416 W Edwards St
Vandalia, IL 62471

Products

Description

Quantity

Cost

Shipping

Total

Food Permit Cat 1:

Min	Max	Cost	Shipping
1.00	200.00	$200.00	$0.00

$0.00

Food Permit Cat 2:

Min	Max	Cost	Shipping
1.00	200.00	$175.00	$0.00

$0.00

Food Permit Cat 3:

Min	Max	Cost	Shipping
1.00	200.00	$150.00	$0.00

$0.00

Seasonal Food Permit:

Min	Max	Cost	Shipping
1.00	200.00	$100.00	$0.00

$0.00

Temporary Food Permit:

Min	Max	Cost	Shipping
1.00	200.00	$25.00	$0.00

$0.00

Food Permit Late Fee:

Min	Max	Cost	Shipping
1.00	200.00	$50.00	$0.00

$0.00

Septic Permit:

Min	Max	Cost	Shipping
1.00	200.00	$75.00	$0.00

$0.00

Total

Totals:

Sub-Total:*

Technology Fee:*

Fees associated with using CourtMoney.

Total Payment:*

The total amount that will be charged.

Transaction Information

Name on Record: *

Cardholder Phone #: *

Payment Information

Credit Card Information

Name on Card:*

First & Last Name Only - Do not include a middle name or initial

Credit Card Number:*

Expiration:*

CVV:*

Card Type:*

Billing Information

Address Line 1:*

Address Line 2:

City:*

State:*

Zip Code:*

Country:*

Email Address:*

Used to email receipt to payor.

Shipping Information

Same as Billing Information

Name:*

Address Line 1:*

Address Line 2:

City:*

State:*

Zip Code:*

Fees associated with using CourtMoney

$50.00 and under, flat $1.75 fee
$50.01 and above then 3.50% of total

Min	Max	Amount
$ 0.00	$ 1,000.00	3.50%

Make a Payment

Payment For: Fayette County IL Health Permits - 167602

Products

Food Permit Cat 1:

Food Permit Cat 2:

Food Permit Cat 3:

Seasonal Food Permit:

Temporary Food Permit:

Food Permit Late Fee:

Septic Permit:

Transaction Information

Payment Information

Shipping Information