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2. By making your payment through this site, you are acknowledging responsibility for the accuracy of the information provided. In the event your e-Check is not honored (example: your account number was not entered correctly, non-sufficient funds), you may be subject to a $30.00 return item charge.
4. Client's First and Last Name*
   This is the client's name for which you are paying. Payee information will be filled out on the next screen.
6. Account Number*
8. Payment Type*
   -- Select One --Background ChecksChemical DependencyDaycare License FeeChildcare OverpaymentDetoxFoster Care License FeeMental HealthMA Spendowns/DeductiblesParentalState OverpaymentOther
9. If you selected "Other", please specify
11. Payment Amount*
13. Comments
    Please do not enter any confidential information - such as: credit card and banking information or social security numbers. Billing information will be entered on the next page.
15. Contact Information for Questions Regarding Payment Issues
    Jenny Roemhildt, Accountant
    Blue Earth County Finance Department, Government Center
    410 S. Fifth Street, PO Box 3524
    Mankato, MN 56001
    Ph: (507) 304-4456, Fx: (507) 304-4077
    jenny.roemhildt@blueearthcountymn.gov
17. Human Services Payment
    Human Services Payment
18. Quantity
19. Shipping Cost
20. Taxable
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21. Calculate Totals Proceed to Checkout

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