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01/17/2007 11:38 2093331838 CHATFIELD CONST PAGE 03/03 <br /> official Payments Corp. _.,F-- • — <br /> This is a"printer friendly'page. Please use the"print"option in your browser to print this screen, <br /> OFFICIAL <br /> San Joaquin County - Environmental Health Department, CA <br /> Environmental Health Fees <br /> Confirmation Number: 61724D <br /> Payment Date/Time: Wednesday, January 17, 2007 ! 11.22AM <br /> PT <br /> Payer Information <br /> Name: Christy L Newport <br /> Street Address: 710 S. Beckman Road <br /> Lodi,CA 95240 <br /> United States <br /> Daytime Phone (209) 333- 1818 <br /> Number' <br /> E-mail,Address: kschoch@chatfeldconstruction,com <br /> Please provide as much information as possible below so that wp may identify your payment <br /> Address of Facility <br /> where work is being 10800 E_Highway 120, Manteca,CA 95336 <br /> done: <br /> Buisness Name: Manteca Storage Park <br /> Card Information <br /> Card Type: MasterCard <br /> Card Number: `*`**""02:34 <br /> Expiration Date; 1112007 <br /> Payment Information <br /> Payment Type: Environmental Health Fees <br /> Payment Amount $190,00 <br /> Convenience Fee: $10,95 <br /> Total Payment $200.95 <br /> Copyright n P007 Official Payments Corporation.All Riqhts Reserved. <br /> h"-.;://www.officialpayments.com/pc step6 print.,isp2JSFSSiQNID=FnIDV1fvGBxDNQ... 1/17/2007 <br />