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Official Payments Corp. Page 1 of 1 <br /> This is a"printer friendly"page. Please use the"print'option in your browser to print this screen. <br /> OFFICIAL <br /> PAYMENTS <br /> San Joaquin County - Environmental Health Department, CA <br /> Environmental Health Fees <br /> Confirmation Number: 957976 <br /> Payment Date: Monday, January 19, 2009 <br /> Payment Time: 03:21 PM PT <br /> Payer Information <br /> Name: Douglas Jander <br /> Street Address: 5151 San Felipe Road <br /> Houston,TX 77056 <br /> United States <br /> Daytime Phone (618)281 - 1546 <br /> Number: <br /> E-mail Address: sjander@pscnow.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 1444 South Lincoln Street <br /> done: <br /> Additional Information: Well Permit Application submitted by PSC <br /> Card Information <br /> Card Type: MasterCard <br /> Card Number: """"""0678 <br /> Payment Information <br /> Payment Type: Environmental Health Fees <br /> Payment Amount: $89.00 <br /> Convenience Fee: $10.95 <br /> Total Payment: $99.95 <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©2009 Official Payments Corporation.All Rights Reserved. <br /> https://www.officialpayments.com/pc_Step6_print.jsp?JSESSIONID=J 1 HfGVd5vNgbzGc... 1/19/2009 <br />