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San Joaquin County Environmental Health <br /> SAN 1 U A Q U I N 1868E Hazelton Ave. <br /> Stockton CA 95205 <br /> IBJ i <br /> Receipt <br /> Payment Information <br /> Payment Date <br /> 07/3112023 0107 Pt41 PS'( <br /> Payment Status <br /> AUTHORIZES) <br /> Confirmation Number <br /> 166390715 <br /> Payment Method <br /> Credit Card (VISA)'*"' "•9427 <br /> Expiration <br /> Transaction Type <br /> Purchase <br /> Bill To <br /> Maria Lucrecia Quesada <br /> 3034 Celebration Drive. Lodi, CA, 195242, US <br /> Payment Towards <br /> Payment Towards Annual Permit Fees Amount 5186.00 <br /> Site Address 3034 Celebralion Drive, Invoice Number in0381312 <br /> Account Number AR0043460 Business Name Crystal Rose Cori fectionery <br /> Phone Number 1209642609 <br /> Charge Information <br /> Agency Amount <br /> $186.00 <br /> LexisNexis Service Fee <br /> S4 26 <br /> Total Amount <br /> $190.26 <br />