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2/28/22, 12:40 PM Online Payments-LexisNexis Payment Solutions <br /> San Joaquin County Environmental Health <br /> °An c SAN J 0 A Q U I N Sto 8 t CA 95205ve. <br /> COUNTY (209) 468-3420 <br /> Greatness grows here. <br /> Receipt <br /> Payment Date 02/28/2022 12:35 PM PST Payment Status AUTHORIZED <br /> Confirmation Number 139673758 <br /> Payment Method Credit Card (MASTERCARD) ************4184 <br /> Expiration ##/## Transaction Type Purchase <br /> Approval Code 076005 <br /> AVS Response N CW2 Response M <br /> Bill To <br /> Keith Sprague <br /> 2251 Douglas Blvd Suite 110, Roseville, CA - 95661 US <br /> Payment Towards <br /> Payment Towards Service Request Or Well Amount $304.00 <br /> Permit <br /> Site Address 5055 East Main Street Business Name LGI Homes - California, LLC <br /> Phone Number 2099866606 <br /> Charge Information <br /> Agency Amount $304.00 <br /> LexisNexis Service Fee $6.96 <br /> Total Amount $310.96 <br /> $ Print <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 /> RISK SOLUTIONS <br /> Home Payment Solutions Contact Us I Terms and Conditions Privacy Policy <br /> PRIVACY FEEDBACK <br /> Powered by TRUS <br /> Copyright© 2022 LexisNexis Risk Solutions. All rights reserved. <br /> (Page Last Update 02/28/2022 02:35 PM CST) <br /> 24:1072.103268:9.0.39.01.8.0.312 <br /> https://payments.lexisnexis.com/billinglnfoConf.xhtml 1/1 <br />