Laserfiche WebLink
Official Payments Corp. • • Page I of 1 <br /> a4'Pir,tA 1.. 1'AY M/R!e t'M 4!ryR,. <br /> Iwo <br /> This is a"printer fi iendly"page.8elecl the"print"button On your browser to print this screen. <br /> Make a Paylnelit <br /> Your payment to San]oaquin County-Envlronmentai Health Department for Environmental Health Fees <br /> was processed. <br /> Your confirmation number is: 091156 <br /> Today's date: Wednesday, September 20, 2006 <br /> STEP Cl Orgrtal Kecerpt <br /> Payor Tttformatlon <br /> Name: Windy Brown <br /> Address: PO Box 292043 <br /> 9245 Tumbleweed Road <br /> Phelan,CA 92329-2043 <br /> United Ctatae_ <br /> Daytime Phone Number: 7606176438 <br /> E-mail Address: windysab@yahoo.com <br /> Please prmnoe as much mtormetion as possihle below so that we may Identify your payment: <br /> Address of Facility where 425 Larch Road,Trac <br /> work is being done: y <br /> 5ulsness Name: Frontier Transportation, Inc. <br /> Additional Information: Well Permit Application,James Jazmin,C22847 <br /> Card Information <br /> Card Type: visa <br /> Card Number: "0382 <br /> Expiration Date: 1212007 <br /> POyment Information <br /> Payment Type: Environmental Health Fees <br /> Payment Amount: $374,00 <br /> Convenience Fee: $10.95 <br /> Total payment g384.95rf��� <br /> I�1_�iYS�L_!✓ej <br /> Copyright Q 2006 Official Payments Corporation.All Rights Reserved. <br /> https://www.officialpayrnents.com/pc_template_prntt jsp?JSESSIONID�FRwQ2hKeVzl... 9/20/2006 <br />