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'official Payments-Pay Taxes,Utility Bills,Tuition&More Online Page 1 of 1 <br /> i <br /> F <br /> This is a"printer friendly-page.Please use the"print"option in your bmwser to print this screen. <br /> I <br /> FICI <br /> PAYMENTS <br /> (;�,A:,g " San Joaquin County - Environmental Health Department, CA <br /> Environmental Health Fees <br /> VQW <br /> Confirmation Number: 084632 <br /> Payment Date: Monday, August 30, 2010 <br /> Payment Time: 04:06PM PT <br /> f' <br /> Payer Information <br /> Name: Josef Tootle <br /> Street Address! 660 N Wilma Ave <br /> - a <br /> Suite A <br /> Ripon,CA 95366 <br /> United Stales <br /> Daytime Phone (209)835-06110 <br /> Number_ <br /> E-mail Address: zcrawlord@engeo.com <br /> Please,provida as muds IntormMion as possible b#ttuw so that we rw y idunl,N your paymurit. <br /> Address of Facility <br /> where work is tieing Byron Rd.Mountain House <br /> done: <br /> Suisness Name: ENGEO <br />( Additional Information; Project#4943.000.014 <br /> I Card Information <br /> Card Type: visa <br /> Card Numper: .•" ••`•"'t31t30 <br /> Payment Information <br /> Payment Type: Environmental Health Fees <br /> Payment Amount: $399,00 <br /> Convenience Fee: $10.95 <br /> Total Payment: $409.95 J <br /> r <br /> Thank you for using ditidal Payments. If you have a quoVion regarding your payment,please call us toll free at <br /> 5888-357-8394.To make payments in the future,please visit our website at www.offi&alpayment5.com. <br /> 912MOMM 0? <br /> Copyrtghtg 2olo Official Payments CorpwuOon,All Flights Reserved. <br /> haps://www.ofiicialpayTnents.com/Pc_stepb_print,jsp?YSESSI0NM—M84GW 3XCVPyGI... 8/30/2010 <br /> 80 39vd N0dI2J❑39N3 96L166660Z IE:OI e1ea/1Fi80 <br />