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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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K
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KISS
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9933
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1600 - Food Program
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PR0545401
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Entry Properties
Last modified
3/17/2023 9:52:49 AM
Creation date
4/14/2022 4:56:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0545401
PE
1608
FACILITY_ID
FA0025786
FACILITY_NAME
DESI
STREET_NUMBER
9933
STREET_NAME
KISS
STREET_TYPE
LN
City
STOCKTON
Zip
95212
CURRENT_STATUS
01
SITE_LOCATION
9933 KISS LN
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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01/302029 09:42 AM PST <br /> SAN JOAOUIN COUNTY ENVIRONMENTAL HEALTH <br /> 1868 E. HAZEL TON AVE. <br /> STOCNIUN. CA 95.165 <br /> TERMINAL NAME: E66504UI <br /> ORDER11 156375516 <br /> PAYMENT <br /> SERVICE REODEST ON TELL PE... 4186.00 <br /> 4933 <br /> AGENCYSIBIOTAL: S1u6.0U <br /> LEXISNEXIS SERVICE FEE: 14.26 <br /> TOTAL [IS[): 8190.26 <br /> ---------------------------------------- <br /> CARD II: 8336 MASTERCARD <br /> PAYMENT: CREDIT CHIP READ-CONTACT <br /> MODE: ISSUER <br /> AIN11 DUDE: 0u618M <br /> APV(ABEL: M.st.".�d <br /> CVM: NO SIG REQUIRED <br /> AID: A0000WU041010 <br /> AROC: EIAF42D6D2AOT550 <br /> AMOUNT: $190.26 <br /> W CARD APPROVED I.- <br /> ---------------------------------------- <br /> AMOUNT <br /> •__________________________--__-___AMOUNT PAID: <br /> $190.26 <br /> Exx.....{aWW{{n{{{{{nnEE W xxE <br /> AGENCY COPY <br />
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