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8/30/2021 <br />SAN JOAQUIN <br />-- COUNTY <br />Receipt <br />Payment Date <br />iConfirmation Number <br />Payment Method <br />Expiration <br />Approval Code <br />AVS Response <br />Online Payments - LexisNexis Payment Solutions <br />San Joaquin County Environmental <br />Health <br />1868 E. Hazelton Ave. <br />Stockton CA 95205 <br />(209)-468-3420 <br />08/30/202111:23 AM PST Payment Status <br />130918318 <br />Credit Card (VISA) ************2838 <br />##/## Transaction Type <br />310332 <br />Y CVV2 Response <br />Bill To <br />John Masellis <br />119 Albers Rd , Modesto, CA - 95357 US <br />- Payment Towards <br />- - - - <br />Payment Towards <br />Service Request Or Well <br />Permit <br />Site Address <br />8850 Lathrop Rd Manteca <br />Phone Number <br />2095221928 <br />AUTHORIZED <br />Purchase <br />M <br />Amount $640.00 <br />Business Name Masellis Drilling, Inc <br />- Charge Information - - --- - <br />i <br />I' Agency Amount <br />LexisNexis Service Fee <br />Total Amount <br />r se Of © vi - <br />Your payment was made through paymentsolutions.lexisnexis.com, one of the LexisNexis VitalChek Network Inc. po <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 i Contact Us i Terms and Conditions Privacy Policy <br />® &PRIVACY FEEDBACK <br />Copyright © 2021 LexisNexis Risk Solutions. All rights reserved. <br />(Page Last Update 08/30/2021 01:23 PM CDT) <br />28:858.100716:9.0.39.01,8.0.275 <br />$640.00 <br />$14.66 <br />$654.66 <br />https://payments.lexisnexis.com[billinginfoConf.xhtml 1/1 <br />