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10/25/2018 LN-Receipt <br /> San Joaquin County Environmental Health <br /> 1868 E. Hazelton Ave. Stockton CA 95205 <br /> (209) 468-3420 <br /> Receipt <br /> Payment Date 10/25/2018 03:23 PM PST Payment Status AUTHORIZED <br /> Confirmation Number 84228546 <br /> Payment Method Credit Card(VISA) ************2536 <br /> Expiration ##/## Transaction Type Purchase <br /> Approval Code 011723 Transaction Reference Number <br /> AVS Response Y CVV2 Response M <br /> Bill To <br /> Kori Seki <br /> 13502 Hamburger Lane , Baldwin Park, CA - 91706 US <br /> Payment Towards Service Request Or Well Amount $456.00 <br /> Permit <br /> Site Address 16514 Golden Valley Business Name In-N-Out Burgers, a <br /> Parkway California Corp <br /> Phone Number 6268138275 <br /> Agency Amount $456.00 <br /> LexisNexis Service Fee $10.44 <br /> Total Amount $466.44 <br /> Your payment was made through paymentsolutions.lexisnexis.com, one of the LexisNexis VitalChek <br /> Network Inc. portals. <br /> For business or technical support,please send an email to paymentsolutions@lexisnexis.com. <br /> For San Joaquin County Environmental Health support, please call (209)468-3420 <br /> https:Hpayments.lexisnexis.com/printerFriendlyReceipt.xhtmi 1/1 <br />