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2/23/2021 Online Payments-LexisNexis Payment Solutions <br /> San Joaquin County Environmental Health <br /> S1868� I O A �IU'I N AI 1868 E. Hazelton Ave. <br /> N J N Stockton CA 95205 <br /> C O U N T Y - (209)-468-3420 <br /> Receipt - -- --- ---- ---- -- <br /> Payment Date 02/23/202101:09 PM PST Payment Status AUTHORIZED <br /> j Confirmation Number 121044395 <br /> Payment Method Credit Card (VISA) ************1848 <br /> Expiration ##/## Transaction Type Purchase <br /> Approval Code 08632G <br /> AVS Response Y CVV2 Response M <br /> - Bill To -- — -- <br /> Dennis Nakamoto <br /> 3050 Industrial Blvd , West Sacramento, CA- 95691 US <br /> - Payment Towards - — <br /> Payment Towards Service Request Or Well Permit Amount $456.00 <br /> Site Address Lt Col Mark Taylor Street Business Name Cannery Park Subdivision Unit 7 and 9 <br /> Phone Number 9163721434 <br /> Charge Information _--_--- <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 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://payments.lexisnexis.com/billinglnfoConf.xhtml 1/2 <br />