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i <br /> 'Official Payments-Pay Taxes,Utility Bills,TWtion&More Online Page 1 of 1 <br /> This is a"printer friendly page. Please use the"print'option in your bmwssr to print this screen. <br /> OFFPPAYMENTS <br /> r San Joaquin County - Environmental Health Department, CA <br /> Environmental Health Fees <br /> Confirmation Number: 084632 <br /> Payment Date: Monday, August 30, 2010 <br /> Payment Time: 04.06PM PT <br /> r <br /> Payer Information <br /> Name: Josef Tootle <br /> Street Address, 680 N Wilma Ave _ <br /> Suite A <br /> Ripcn,CA 95366 <br /> United States <br /> Daytime Phone (209)835-0610 <br /> Number. <br /> E-mail Address: zcrawford@engeo.com <br /> Please pmvidu as much Intconeson as possible bMow ao that we m;,y rclunbfy yoVr payn1Hf1L <br /> Address of Facility <br /> where work is being Byron Rd.Mountain House <br /> done: <br /> Buisness Name: ENGEO <br /> Additional Information: Project#4943.000.014 <br /> Card Information <br /> Card Type: visa <br /> Card Number: '"""' "6180 <br /> Payment Information <br /> Payment Type: Environmental Haalth Foos <br /> Payment Amount sagg.00 <br /> f Convenience Fee: $10.95 <br /> Total Payment $409.95 <br /> Thank you for using Official Payments. If you have a question regarding your payment,pl6esa Call us toll free at <br /> 1.800-357-8394.To make payments in the future,please visit our website at www.officialpaymenls.com/.,,ff/,,�//'/� <br /> d (Ql/ i � <br /> I Copyright O 2010 Offw el Payments Corporatwn.All iReserved. � <br /> I <br /> f https://www.oflicialpayinents.conVpc_step6-print,jsp?YStSSIONM—M84GW3XCVPyGL__ 8/30/2010 <br /> EB 39dd 1,10dli1039N3 96L166963t TE:OT 0T06/lE/80 <br />