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-6/30/2019' LN-Receipt <br /> San Joaquin County Environmental Health <br /> 1868 E. Hazelton Ave. Stockton CA 95205 <br /> (209) 468-3420 <br /> Receipt <br /> Payment Date 05/30/2019 11:48 AM PST Payment Status AUTHORIZED <br /> Confirmation Number 91861233 <br /> Payment Method Credit Card(VISA) ************5808 <br /> Expiration 4414# Transaction Type Purchase <br /> Approval Code 04927D Transaction Reference Number <br /> AVS Response Y CVV2 Response <br /> Bill To <br /> Laura McCulloch <br /> 1683 Egret Drive , Tracy, CA - 95376 US <br /> [Payment towards Service Request Or Well Amount $465.00 <br /> Permit <br /> Site Address Staten Island Business Name Hultgren-Tillis <br /> Engineers <br /> Phone Number 9256856300 <br /> Agency Amount $465.00 <br /> LexisNexis Service Fee $10.65 <br /> Total Amount $475.65 <br /> Your payment was made through paymentsolutions.lexisnexis.com, one of the LexisNexis VitalChek <br /> Network Inc. portals. <br /> For business or technical support, please send an email to paymen(SO IUtionsg exisnexis.com. <br /> For San Joaquin County Environmental Health support,please call (209) 468-3420 <br /> https://payments.lexisnexis.com/printerFriendlyReceipt.xhtml 1/1 <br />