Forms - Make a payment - Miscellaneous Payments - Johnston, IA

This payment form is for outstanding invoices only. If paying more than one invoice, make sure the amount entered in the "Amount" field is totaled for all invoices. Please note all invoices paid in the "Invoice Number" field below.

Accounts Receivable Invoice

Phone Number Used to contact you in case of problem with payment

Last Name

First Name

Valid Email Address

Customer ID 5 digit code on the top right corner of invoice - format XX-XXX

Invoice # If paying more than one invoice, please note all invoice numbers accurately

Additional Comments

Amount

Payment method

Payment Details

Payment amount

Processing Fee (Credit Card) $2.25

Municipal Online Payments Fee (Credit Card) $1.25

Total

515-278-2344