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ivwsi W IIPARAIrs CiallMclater <br />Mg= <br />Official Payments Corp. Page 1 of 1 <br />g=1=11 Make A Payrrtent <br />' -1, Select Sennce Enter Amount r Accept Tens r Provide Derails Confirm Details Digital Receipt <br />San Joaquin County - Environmental Health Department, CA <br />Environmental Health Fee,. <br />Your payment has been completed successfully. <br />Confirmation Number: 107427 <br />Payment Date: Monday,June28,2010 <br />Payment Time: 01:47PM PT <br />For an explanation of how the process works, and for information on your nexl steps ot.ipk hem <br />Please print or write down a copy of this confirmation number for your records. <br />+Do not use yotir browsers Tack" buton, Instead, navigate using he buttons below. <br />Payer information <br />Name: jerry roark <br />Street Address: 4641 peg dr 016 <br />sacrament°, CA 95838 <br />United States <br />Daytime Phone NuMber (9161 564 • 4277 <br />Address: storeiot orgileat.com <br />Please provide ae much information as possibly below so that we may identify your payment <br />Address of Facility where <br />work it being done: <br />EtriSneeSS Name: <br />Payment Option <br />Card Type; American Expreas <br />Card Number.007 <br />Welcome <br />jerry roars <br />Thank yeu tot logging in <br />Enjoy fun access to the <br />features of thls site end your <br />history wit be stored for future <br />reference <br />1111=1.11111 <br />470 Nothgate Dr <br />Northgate Towers <br />Payment Information <br />Payment Type: <br />Payment Amount: <br />Convenience Fee: <br />Total Payment <br />Environmental Health Fees <br />$250.00 <br />$10.95 <br />larri,bmsy_ arm a. hiambtgittigis wail ye, mk, *gale Mtn' CCM 0 arlrirl 3reht <br />$240.95 tears <br />Matt <br />Select what you would like to do next: <br />(e, eased on your zip code, there are other agencies in your area that can be Officially Peir <br />Select this option to view them. <br />C Make another payMent to Sari Joaquin County - Environmental Health Department - Environmental Hewn Fees <br />Make another Payment <br />EaSt. For Security and privacy reasons, your session data will be cleared and you will be logged out of My Account <br />• <br />ThiS page supports 125-bit SSL encryption as verified by VeriSign. <br />For customer service, please calf toil-tree 1-988-557-8394. Representatives are available Monday - Friday. 5:00am - 6,00pm PT. <br />PRIVACY POLICY I Complaints Legal NOtices I Pay By Phone I Tax Professionals I About us I working With Official Payments 1 Ertemap <br />Copyright 16 2010 Official Payments corporation All Rigrrts Reserved <br />laTRUSIC 'ant Ftgi>PP:74Sr: <br />Auttiorieed fit$ <br />Piiyrnpnt Provider <br />5(11os-0459 <br />https://www.officialpayments.com/pc_template_standard.jsp?JSESSIONID=MpThiri3X01.. 6/2812010 <br />2/T:6 ed 82Ta7917602T:0i 017TIL9S9T6 017TTL9S9T6:w0 JA 21:17T 0102-82-N112