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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: 024090 <br />Payment Date: Friday, March 24, 2017 <br />Payment Time: 09:31AM PT <br />Payer information <br />Name: Viktor Sitas <br />Street Address: 12345 Foothill blvd. <br />Sylmar, CA 91342 <br />United States <br />Daytime Phone (747) 225 - 0117 Number: <br />E-rnaik Actdcess: infogilachistomfoacktirk.teks.corn <br />Please provide as rmich i-nformation as possible befow so that we may identify your payment: <br />Address of Facility <br />where work is being 12345 Foothill blvd., Sylmar, CA 91342 <br />done: <br />Buisness Name: LA Custom Food Trucks <br />Additional Information: Mobile arailer/ Expedited Plan Check Fee <br />Card information <br />Card Type: Visa <br />Card Number: ***** <br />Payment Information <br />Payment Type: Environmental Health Fees <br />Payment Amount: $625.50 <br />Convenience Fee: $10.95 <br />Total Payment: $636.45 <br />Thank you for using Official Payments. If you have a question regarding your payment, please call us toll free at <br />1-800-487-4567. To make payments in the future, please visit our website at www.officialpayments.com. <br />411112311) <br />Copyright C2017 Official Payments Corporation. All Rights Reserved. <br />Official PaymentsCorporation is a licensed money transmitter in 44 states, the District of Columbia, and Puerto Rico. <br />(IticiatPayrrients is net required to be ficensed as a money transmitter in tndiane ,Massachusetts, Montana, New Mexico, <br />South Carolina or Wisconsin.