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Jul 25 13 05:21 a Reliable Petroleum 2098458953 p.2 <br /> Official,Payments -Pay Taxa,,.<Utility Bills, Tuition&More Online --F Page I of 1 <br /> This is a"printer friendly"page. Please use the"print"opticn in your browser to print this screen. <br /> OFFICIAL <br /> PAYM E N TS RECEIVED <br /> San Joaquin County - Environmental Health Department, CAJUL 2 5 2013 <br /> Environmental Health Fees <br /> ENVIRONMENTAL <br /> Confirmation Number: 02945G HEALTH DEPARTMENT <br /> Payment Date: Thursday,July 25,2013 <br /> Payment Time: 02 34PM PT <br /> Payer Information <br /> Name. Sandra Barnhart <br /> Street Address: 11930 Horseshoe Road <br /> Oakdale, CA 95361 <br /> United States <br /> Daytime Phone <br /> Number. (205)845-8586 <br /> E-mail Address: reliablepatrc@sbcglobal.net <br /> Please provide as much information as poss b!e below so that we may identify 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 Petro eum services Inc. <br /> Card Information <br /> Card Type. Visa <br /> Card Number. ---2657 <br /> Expiration Date: 05/2016 <br /> Payment Information <br /> Payment Type: Environmental Health Fees <br /> Payment Amount: $375.00 <br /> Convenience Fee: $10.95 <br /> Total Payment: $385.95 <br /> Thank you for using Official Payments. If you have a question regarding your payment, please call us toll I'me at <br /> 1.800-487-4567.To make payments in the future,please visit our website at www.officialpayrnenis.com. <br /> r <br /> Copyright&2013 Officia Payments Corporation.All R:gh s Reserved. <br /> https: 'www.officialpayments.com,pe_step6_pTint.jsp?JSESSIONID=U�7LGIRxYYL,I8B... 7.-25/2013 <br />