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6/30/2010 Official Payments Corp. <br /> This is a "printer friendly'page. Please use the "print'option in your browser to print this screen. <br /> Iff- OFFICIAL <br /> PAYM E NTS <br /> San Joaquin County - Environmental Health Department, CA <br /> Environmental Health Fees <br /> Confirmation Number: 066876 <br /> Payment Date: Wednesday, June 30, 2010 <br /> Payment Time: 11:22AM PT <br /> Payer Information <br /> Name: Alma Quezada <br /> Street Address: 248 Hampton Drive <br /> Venice,CA 90291 <br /> United States <br /> Daytime Phone <br /> (310)314-2220 <br /> Number: <br /> E-mail Address: aquezada@environcorp.com <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 1550 Industrial Drive,Stockton,CA 95206 <br /> done: <br /> Buisness Name: Metalsa <br /> Invoice Number: 02-24352B <br /> Card Information <br /> Card Type: Visa <br /> Card Number: . **-****"*0378 <br /> Payment Information <br /> Payment Type: Environmental Health Fees <br /> Payment Amount: $434.00 <br /> Convenience Fee: $10.95 <br /> Total Payment: $444.95 <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 atwww.officialpayments.com. <br /> official payments.com/pc_step6—print.j... CONFIDENTIAL 1/2 <br />