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LN - xecetpt Yage t of t <br /> San Joaquin County Environmental Health <br /> 1868 E. Hazelton Ave. Stockton CA 95205 <br /> (209) 468-3420 <br /> Receipt <br /> Payment Date 01/07/2019 09:12 AM payment Status AUTHORIZED <br /> PST <br /> Confirmation 86388619 <br /> Number <br /> Payment Method <br /> Expiration ##/## "Transaction Type Purchase <br /> Approval Code 220122 Transaction Reference <br /> Number <br /> AVS Response Y CVV2 Response M <br /> Bill To <br /> Rawa Anabi <br /> 1450 N. Benson Ave. Unit A, Upland, CA - 91786 US <br /> Pavment Towards Service Request Or Amount $152.00 <br /> Well Permit <br /> 4219 E. Morada Ln., <br /> Site Address Stockton CA 95212 Business Name Aisle 1 #2356 <br /> Phone Number 9093944728 <br /> Agency Amount $152.00 <br /> LexisNexis Service Fee$3.48 <br /> Total Amount $155.48 <br /> Your payment was made through paymentsolutions.lexisnexis.com, one of the LexisNexis <br /> VitalChek Network Inc. portals. <br /> For business or technical support, please send an email to paymentsolutions(a,lexisnexis.com. <br /> For San Joaquin County Environmental Health support, please call (209)468-3420 <br /> https://payments.lexisnexis.com/printerFriendlyRecei Epi.x h tni 1 1/7/2019 <br />