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San Joaquin County Environmental Health <br />SAN JOAQUIr tocktOni4C-Aer52n0A5ve. <br />(209) •168-3420 <br />Receipt <br />Payment Information <br />Payment Date <br />05!04.,2023 0,1:35 PM PSI <br />Payment Status <br />AUTHOR2ED <br />Confirmation Number <br />'133251957 <br />Payment Method <br />Crecil Card (VISA) <br />Expiration <br />Transaction Type <br />Purclase <br />Bill To <br />Stacey Youngb!ood <br />245 Dourla Way, Fition, CA. 95366. US <br />Payment Towards <br />Payment Towards Annual Peornit. Fees Amount S186.00 <br />Site Address 245 Dcuma Way Invoice Numbor AP.00473ii3 <br />The Wooden SDoon Baked Account Number INQ377815 Business Name GOOdS <br />Phone Number 2099230!M <br />Charge Information <br />Agency Amount <br />S1/36.00 <br />LexisNexis Service Fee <br />S4.26 <br />Trttal Amru Int <br />,691