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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 />� . l <br /> 1 N PAYMENTS <br /> San Joaquin County - Environmental Health Department, CA <br /> Environmental Health Fees <br /> Confirmation Number: 084632 <br /> Payment Date: Monday, August 30, 2410 <br /> Payment Time: 04:06PM PT <br /> Payer Information <br /> Name: Josef Tootle <br /> Street Address: 680 N Wilma Ave <br /> Suite A <br /> Ripon,CA 95366 <br /> United States <br /> Daytime Phone (209)835-0610 <br /> Number: <br /> E-mail Address: zerawford@entgeo.com <br /> f Please provide as muds IntonnPdlon as possible below so thatwe nray ietuilufy your paymrint: <br /> Address of Facility <br /> where work is being Byron lid.Mountain House <br /> done_ k€ <br /> Buisness Name: ENGEQ <br /> Addltlonal Information, Project#4943.000.014 <br /> Card Information <br /> Card Type: visa <br /> Card Number: <br /> Payment Information <br /> i Payment Type: Environmental Health Fees <br /> Payment Amount: $399.00 <br /> Gonvenlence Fee: $40.95 <br /> I <br /> Total Payment: $409.95 <br /> t <br /> Thank you for using Wdal Payments.If you have a question regarding your payment,please call us toll fres at <br /> 1-886-a57-8394.To make payments in the future,please visit our website,at www.officialpayments.com. <br /> rppyright(�5 2010 Official Payments Corporation,All Rights Reswved. <br /> https://www.officialpayin nts.com/Oc step6-print,jsp?YSESSIONID—M84OW3XCVPyG1.,. 8/30/2010 <br /> Eta 3DVd N061I21039N3 96LI6696OZ IE <br /> :01 0i0Z/1£/90 <br />