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SANAAOu N <br />_. C Q U N T Y----._. <br />C-catness grows here. <br />Receipt <br />San Joaquin County Environmental <br />Health <br />1868 E. Hazelton Ave. <br />Stockton CA 95205 <br />(209)-468-3420 <br />Payment Date 01/08/202101:27 PM PST Payment Status <br />Confirmation Number 119000249 <br />Payment Method Credit Card (VISA) ************4660 <br />Expiration ##/## Transaction Type <br />Approval Code 01402G <br />AVS Response y CVV2 Response <br />Sill To <br />Roger Whaley <br />5200 Faith Home Rd. , Ceres, CA - 95307 US <br />Payment Towards <br />Payment Towards <br />Site Address <br />Phone Number <br />Charge Information <br />Service Request Or Well <br />Permit <br />6425 HARRISBURG PL. <br />2095376500 <br />Amount <br />Business Name <br />Agency Amount <br />LexisNexis Service Fee <br />Total Amount <br />AUTHORIZED <br />Purchase <br />$304.00 <br />POW CUSTOM POOLS <br />Your payment was made through paymentsolutions.lexisnexis.com, one of the LexisNexis VitalChek Network Inc, pi <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 />LexisNexis- <br />RISK SOLUTIONS <br />Home Payment Solutions. Contact Us Terms and Conditions Privacy Policy <br />TRUSTO <br />is Certified Privacy <br />A"' Powered by 7rustArc <br />Copyright © 2021 LexisNexis Risk Solutions. All rights reserved. <br />(Page Last Update 01/08/202103:27 PM CST) <br />26:605.96196:9.0.39.01.5,0.262 <br />$304.00 I <br />$6.96 <br />$3,0.96 <br />