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Form analysis
2 forms found in the DOM

Name: form-transaction-paycode —

<form name="form-transaction-paycode" class="charge-form-paycode themed" style="text-align: left; display: inline-block; width: 38em;">
  <fieldset>
    <div class="form-header hide-on-print logo-background">
      <div class="logo"></div>
      <div class="logo-text">Choose Client</div>
    </div>
  </fieldset>
  <fieldset style="display: none">
    <div class="legend">Enter Pay Code</div>
    <br>
    <div style="font-weight: bold;">Please Enter Your Pay Code</div>
    <br>
    <input id="paycode" type="text" name="pay_code" placeholder="XX0000" class="themed" required="">
    <input type="submit" class="themed" value="GO">
    <br>
    <br>
    <span style="font-size: smaller;"> *Pay Codes are assigned to each department to ensure you pay the correct department. </span>
  </fieldset>
</form>

Name: form-transaction-merchant-list —

<form name="form-transaction-merchant-list" class="simple-order-form-merchant-list themed" style="text-align: left; display: inline-block; width: 38em;">
  <fieldset style="text-align: center;">
    <div class="legend">Choose Client</div>
    <br>
    <div style="font-weight: bold;">Choose the State and Client to continue:</div>
    <br>
    <label>
      <select id="state" class="themed">
        <option value="">Choose a State</option>
        <option value="AR">Arkansas</option>
        <option value="OK">Oklahoma</option>
      </select>
    </label>
    <label>
      <select id="noState" class="themed">
        <option value="">Choose a Client</option>
      </select>
      <select id="ARClients" class="themed" style="display: none">
        <option value="">Choose a Client</option>
        <option value="55">Alma District Court</option>
        <option value="109">Bella Vista Court</option>
        <option value="10">Bethel Heights City Court</option>
        <!-- <option Value="111">Caddo Valley City Court</option> -->
        <option value="13">Clark County District Court</option>
        <option value="6">Elkins District Court</option>
        <option value="12">Grant County District Court</option>
        <option value="73">Kensett District Court</option>
        <option value="71">Marmaduke District Court</option>
        <option value="111">Maumelle Business Registration</option>
        <option value="26">Maumelle District Court</option>
        <!--<option Value="27">Prairie Grove District Court</option>-->
        <option value="17">Redfield City Court</option>
        <option value="104">Tuckerman, City of [Dog Fees]</option>
        <option value="106">Tuckerman, City of [Inspections]</option>
        <option value="107">Tuckerman, City of [Living Center]</option>
        <option value="103">Tuckerman, City of [Mowing]</option>
        <option value="105">Tuckerman, City of [Privilege Lic]</option>
        <!-- <option Value="109">White County District Court - Beebe Dept.</option> -->
      </select>
      <select id="OKClients" class="themed" style="display: none">
        <option value="">Choose a Client</option>
        <option value="39">Achille, Town of</option>
        <!-- <option  Value="115">Adair County Jail Commissary</option> -->
        <option value="28">Amber Municipal Court</option>
        <option value="51">Bokoshe, Town of</option>
        <option value="58">Cache Municipal Court</option>
        <option value="102">Cashion Building Permits</option>
        <option value="48">Cashion, Town of</option>
        <option value="49">Gore Municipal Court</option>
        <option value="68">Locust Grove P.D. City of</option>
        <option value="44">McCurtain, Town of</option>
        <option value="113">Minco, City of</option>
        <option value="69">Morris, City of - Court</option>
        <option value="30">Muldrow Municipal Court</option>
        <option value="46">Ninnekah, Town of</option>
        <option value="67">Panama Police Department</option>
        <option value="32">Roland Municipal Court</option>
        <option value="50">Shady Point Police Dept.</option>
        <option value="45">Spiro Municipal Court</option>
        <option value="70">Sportsmen Acres, Town of</option>
        <option value="34">Stigler Municipal Court</option>
        <option value="72">Union City, Town of</option>
        <option value="35">Vian Municipal Court</option>
        <option value="36">Watts, Town of</option>
        <option value="110">West Siloam Springs</option>
        <option value="60">Wister, Town of</option>
      </select>
    </label>
    <input value="GO" type="submit" class="themed">
    <br>
    <div class="credit-image small"></div>
  </fieldset>
  <div class="footer-links"></div>
</form>

Text Content

Choose Client
Enter Pay Code

Please Enter Your Pay Code



*Pay Codes are assigned to each department to ensure you pay the correct
department.
Choose Client

Choose the State and Client to continue:

Choose a State Arkansas Oklahoma Choose a Client Choose a Client Alma District
Court Bella Vista Court Bethel Heights City Court Clark County District Court
Elkins District Court Grant County District Court Kensett District Court
Marmaduke District Court Maumelle Business Registration Maumelle District Court
Redfield City Court Tuckerman, City of [Dog Fees] Tuckerman, City of
[Inspections] Tuckerman, City of [Living Center] Tuckerman, City of [Mowing]
Tuckerman, City of [Privilege Lic] Choose a Client Achille, Town of Amber
Municipal Court Bokoshe, Town of Cache Municipal Court Cashion Building Permits
Cashion, Town of Gore Municipal Court Locust Grove P.D. City of McCurtain, Town
of Minco, City of Morris, City of - Court Muldrow Municipal Court Ninnekah, Town
of Panama Police Department Roland Municipal Court Shady Point Police Dept.
Spiro Municipal Court Sportsmen Acres, Town of Stigler Municipal Court Union
City, Town of Vian Municipal Court Watts, Town of West Siloam Springs Wister,
Town of