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V llllllV l M�fllLll LJ L\.A lJ11 1 • 4j l-- VVIMtlV -5- l V1 L <br /> San Joaquin County Environmental Health <br /> 1868 E. Hazelton Ave., Stockton, CA 95205 <br /> (209)-468-3420 <br /> Rmei t <br /> Payment Date 01/22/2019 01:05 PM PST Payment Status AUTHORIZED <br /> Confirmation Number 86909897 <br /> Payment Method <br /> <br /> <br /> AVS Response N CVV2 Response M <br /> Bill To - <br /> GURINDER SAHOTA <br /> 215 LAKEWOOD MALL, Lodi, CA- 95242 US <br /> Payment Towards -- --- -� <br /> Payment Towards Service Request Or Well Amount $152.00 <br /> Permit <br /> Site Address 215 LAKEWOOD MALL Business Name LAKEWOOD LIQUORS <br /> LODI,CA, 95242 <br /> Phone Number 9166672786 <br /> — Charge Information <br /> Agency Amount $152.00 <br /> LexisNexis Service Fee $3.48 <br /> Total Amount $155.48 <br /> Click here for a printer friendly receipt <br /> Your payment was made through paymentsolutions.lexisnexis.com, one of the LexisNexis VitalChek Network Inc. portals. <br /> For business or technical support, please send an email to paymentsolutions@lexisnexis.com. <br /> (For San Joaquin County Environmental Health support, please call (209)468-3420 <br /> LexisNexis- <br /> Home Payment Solutions Contact Us <br /> Terms and Conditions Privacy Policy <br /> TRUSTe <br /> CCertified Privacy <br /> Powered by TrustArc <br /> https://payments.lexisnexis.com[billinglnfoConf.xhtmi 1/22/2019 <br />