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Official Payments- Pay Taxes, Utility Bills, Tuition& More Online Page 1 of 1 <br /> This is a"printer friendly'page. Please use the'print'option in your browser to print this screen. <br /> PAYMENTS <br /> 0;j; San Joaquin County - Environmental Health Department, CA <br /> .,, �~ Environmental Health Fees <br /> Confirmation Number: 149218 <br /> Payment Date: Tuesday, September 13,2016 <br /> Payment Time: 02:20PM PT <br /> Payer Information <br /> Name: phyllis harrison <br /> Street Address: p.o.box 42 <br /> gait,CA 95632 <br /> United States <br /> Daytime Phone (209)369-2779 <br /> Number: <br /> E-mail Address: valleydrilling@sbcglobal.net <br /> Please provide as much information as possible below so that we may identify your payment: <br /> Address of Facility <br /> where work is being 10899 E.Woodbridge Road,Acampo <br /> done: <br /> Card Information <br /> Card Type: American Express <br /> Card Number: """"""1000 <br /> Payment Information <br /> Payment Type: Environmental Health Fees <br /> Payment Amount: $576.00 <br /> Convenience Fee: $10.95 <br /> Total Payment: $586.95 <br /> Thank you for using Official Payments. If you have a question regarding your payment,please call us toll free at <br /> 1-800-487-4567.To make payments in the future,please visit our website at www.officialpayments.com. <br /> Copyright®2016 Official Payments Corporation.All Rights Reserved. <br /> Official Payments Corporation is a licensed money transmitter in 44 states,the District of Columbia,and Puerto Rico, <br /> Official Payments is not required to be licensed as a money transmitter in Indiana.Massachusetts,Montana, New Mexico, <br /> South Carolina or Wisconsin. <br /> https://www.officialpayments.com/pq_step6_print.jsp 9/13/2016 <br />