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Jul 25 13 05:23a Reliable Petrol--n 2( " 458953 p.10 <br /> Official Payments - Pay Taxes,Utility Bilis, Tuition& More Online <br /> has s <br /> i ap Y"printer friendly"page. Please use the"print"option in your browser to print this screens ECEIVE® <br /> OFFICIAL JUL 252013 <br /> PAYMENTS <br /> ENVIRONMENTAL <br /> •-- San Joaquin County - Environmental Health Department, CA HEALTH DEPARTMENT <br /> Environmental Health Fees <br /> Confirmation Number: 02945G <br /> Payment Date: Thursday,July 25, 2013 <br /> Payment Time: 02:34PM PT <br /> Payer Information <br /> Name: Sandra Barnhan <br /> Street Address: 11930 Horseshoe Road <br /> Oakdale, CA 95361 <br /> United States <br /> Daytime Phone (209}845-8586 <br /> Number <br /> E-mail Address: reliablepetro@sbcg!obal.net <br /> 'ease p'ovide as much i�farmaBor as possible below so that we may identfy your payment <br /> Address of Facility <br /> where work is being 3440 E Main Street <br /> done: <br /> Buisness Name: United Gas <br /> Additional Information: contractor: Reliable Petroleum services Inc. <br /> Card Information <br /> Card Type: Vasa <br /> Card Number: ----2657 <br /> Expiration Date 0512016 <br /> Payment Information <br /> Payment Type. Envirormental 'Health Fees <br /> Payment Amourt: 5375.00 <br /> Convenience Fee'. $10.95 <br /> Total Payment. $385.95 -- <br /> -. . . <br /> Thank you for using- -Official Payments.If you have a question regarding your payment,please tali us toll frpe a <br /> 1-800-487-4567.To make payments in the future,please visit our website at www.officialpayments.cem. <br /> CooyhgM C.2013 Official Payrrent5 Corporation.All Richts Reserved. <br /> https://www.officialpayments.com/pc_step6_print.j sp?JSES SIONII�=WLG 1 RxY�"L 18B... 7/Z�i2013 <br />