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C" RECEIPT <br /> San Joaquin County <br /> •'if i p <br /> Public Works Department <br /> . � <br /> P.O. Box 1810-1810 E.Hazelton Ave., Stockton, Ca 95201 <br /> Phone(209)468-3000 Fax(209)468-9324 <br /> Number: CR047928 <br /> Permit#: PS-1300588 Parcel: Date: 02/27/2013 Time: 09:43 AM <br /> Permit Address: Issued By: SCOOPER SC <br /> Permit Type: PS <br /> Permit Sub Type: EP <br /> Applicant/Contractor: <br /> MONTY MERRILL <br /> 631 S. HAM LN. License: <br /> LODI, CA 95242 <br /> Account Total Previous Current <br /> Item# Description Code Fee Paid Payments Payments <br /> 9002 Encroachment Processing 20002-3030101000-4636101000 300.00 300.00 .00 300.00 <br /> 9120 Field Inspection Fees 20002-3030101000-4636100000 113.00 113.00 .00 113.00 <br /> i <br /> Transaction Date: 02/27/2013 Total Payment: $ 413.00 <br /> Payee: <br /> Transaction: <br /> Type Method Number Amount <br /> Payment Check 15867 413.00 <br /> PWP 110005 <br /> Notation: <br /> BANK OF AMERICA/MERRILL LYNCH <br /> TSH, Inc. 3255 W.MARCH LANE,STE.110 1586 <br /> T.MONTY MERRILL,M.S.,P.T.,O.C.S. STOCKTON,CA 95219 <br /> LAURI K.MERRILL,M.S.,P.T. 87-176/843 <br /> 631 S.HAM LANE <br /> LODI,CALIFORNIA 95242-3534 2/21/2013 <br /> PAY TO THE <br /> ORDER OF San Joaquin County $ **413.00 <br /> N <br /> m <br /> Four Hundred Thirteen and <br /> DOLLARS <br /> San Joaquin County TSH,Inc. <br /> .a RED <br /> MEMO <br /> Lodi Mile permit VOID AFTER 180 DAYS <br /> 111000000 158 E 7 11'. 0a 4 30 17 E 7 0 408 2 54 7 3 2 9 411' <br /> F <br /> Fr_^T UR ES I[1X-,?L!C.ED.lei l:.!l_S O <br /> THE FEES INDICATED ABOVE MAY NOT REFLECT <br /> THE TOTAL FEES DUE UPON PERMIT ISSUANCE. <br />