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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GOTHAM
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1600 - Food Program
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PR0547254
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Entry Properties
Last modified
11/29/2023 6:34:48 PM
Creation date
2/2/2022 2:15:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547254
PE
1608
FACILITY_ID
FA0026829
FACILITY_NAME
143 MY CREATIONS
STREET_NUMBER
709
STREET_NAME
GOTHAM
STREET_TYPE
DR
City
STOCKTON
Zip
95210
CURRENT_STATUS
01
SITE_LOCATION
709 GOTHAM DR
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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F _ <br /> 09/12/2023 11:48 AM PDT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL <br /> HEALTH <br /> 1868 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 <br /> TERMINAL NAME: E8690401 <br /> ORDER# 168703061 <br /> PAYMENT <br /> ANNUAL PERMIT FEES $186.00 <br /> 709 <br /> AGENCY SUBTOTAL: 5186.00 <br /> LEXISNEXIS SERVICE FEE: $1.35 <br /> TOTAL USD: $187.35 <br /> -------------------------------- <br /> CARD #: 6285 VISA <br /> PAYMENT: DEBIT CHIP READ-CONTACT <br /> MODE: ISSUER <br /> AUTH CODE: 144084 <br /> APP LABEL: US DEBIT <br /> CVM: PIN VERIFIED <br /> AID: AOGOO000980840 <br /> ARQC: CD848274EDD19136 <br /> AMOUNT: $187.35 <br /> *** CARD APPROVED *** <br /> -------------------------------- <br /> AMOUNT PAID : <br /> $187 . 35 <br /> SIGNATURE NOT REQUIRED <br /> AGENCY COPY <br />
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