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Official Payments Corp. Page I of 1 <br /> This is a"printer friendly"page. Please use the"print'option in your browser to print this screen. <br /> OFFICIAL <br /> Iff PAYMENTS <br /> ��.�*atliyyl3, <br /> San Joaquin County - Environmental Health Department, CA <br /> Environmental Health Fees <br /> Confirmation Number: 513060 <br /> Payment Date/Time: Thursday, April 3, 2008 / 01 :56PM PT <br /> Payer Information <br /> Name: Nicholas Kent-Basham <br /> Street Address: 950 Arlington Circle <br /> Woodland, CA 95695 <br /> United States <br /> Daytime Phone <br /> Number: (530)867-4579 <br /> E-mail Address: <br /> Please provide as much information as possible below so that we may identify your payment: <br /> Address of Facility <br /> where work is being 19300 W. Grant Line <br /> done: <br /> Card Information <br /> Card Type: Visa <br /> Card Number: —**********4275 <br /> Payment Information <br /> Payment Type: Environmental Health Fees <br /> Payment Amount: $354.00 <br /> Convenience Fee: $10.95 <br /> Total Payment: $364.95 <br /> Thank you for using Official Payments. If you have a question regarding your payment, please call us toll free at <br /> 1-888-357-8394.To make payments in the future, please visit our website at www.officialpayments.com. <br /> Copyright©2008 Official Payments Corporation.All Rights Reserved. <br /> https%//Www.officialpayments.com/pc_step6_print.j sp?JSESSIONID=H 1 BdhGOF2SJnW9r!... 4/3/2008 <br />