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San Joaquin County Environmental Health <br /> 1868 E.Hazelton Ave. <br /> Stockton,CA 95205 <br /> 209-468-3420 <br /> Source: Web Order(Card Keyed-In) Authorization: Paid in Full <br /> Order Date/Time: 8/6/2020 02:34 PM PDT Agency Amount: $152.00 <br /> Order Number: 112244480 Other Agency Amount: $0.00 <br /> Operator: Shipping Amount: $0.00 <br /> Location Code: **********006 LN Service Fee: $3.48 <br /> Total Amount(USD): $155.48 <br /> Payment Information <br /> Transaction Type: Purchase Expiration ##/## <br /> Card Holder: Abigail Racco Transaction Ref#: 488700001 <br /> Payment Method: Credit Card(VISA************7313) CVV2 Response: M <br /> Approval Code: 080256 Auth Txn Id#: <br /> AVS Response: Y Val Code: <br /> Merchant Copy <br /> Agency Amount Product Product Detail <br /> $152.00 Other-Inspections,Misc 1449fi € <br /> Add 4201 <br /> Live Oak eo nvironmental <br /> 2093690375 <br /> x <br /> ------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> San Joaquin County Environmental Health <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 <br /> 209-468-3420 <br /> VitalChek Receipt-Web Order(Card Keyed-In) <br /> Cardholder Copy <br /> Order Date/Time: 8/6/2020 02:34 PM PDT Transaction Type: Purchase <br /> Confirmation Number: 112244480 Approval Code: 080256 <br /> Payment Applied towards: Other-Inspections,Misc Transaction Ref#: 488700001 <br /> Card Holder: Abigail Racco Payment Method: VI(7313) <br /> Bill To <br /> Abigail Racco Authorization: Paid in Full <br /> 407 W. Oak St. Agency Amount: $152.00 <br /> Other Agency Amount: $0.00 <br /> Lodi, CA 95240 LN Service Fee: $3.48 <br /> United States of America Total Amount(USD): $155.48 <br /> Refund Policy:Please contact the agency listed on the receipt to request a <br /> refund. <br />