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8/1/22,5:18 PM Online Payments-LexisNexis Payment Solutions <br /> San Joaquin County Environmental Health <br /> 1868 E. Hazelton Ave. <br /> SAN J O A Q U I N <br /> 2' Stockton CA 95205 <br /> Q . <br /> COUNTY (209)468-3420 <br /> Greatness grows here. <br /> Receipt <br /> Payment Information <br /> Payment Date <br /> 08/01/2022 05:18 PM PST <br /> Payment Status <br /> AUTHORIZED <br /> Confirmation Number <br /> 147649520 <br /> Payment Method <br /> Credit Card (VISA)************1155 <br /> Expiration <br /> Transaction Type <br /> Purchase <br /> Bill To <br /> Katrina Siems <br /> 515 E 8th Street Apt F, Davis, CA-95616 US <br /> Payment Towards <br /> Payment Towards Service Request Or Well Amount $476.00 <br /> Permit <br /> Site Address 2085 E Main Street Business Name Antea Group <br /> Phone Number 7624530183 <br /> Charge Information <br /> Agency Amount <br /> $476.00 <br /> LexisNexis Service Fee <br /> $10.90 <br /> https://payments.lexisnexis.com/billinglnfoConf.xhtml 1/2 <br />