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• • 12/7/2011 10:21:28 AM <br /> This is a"printer friendly"page.Please use the"print'option in your browser to print this screen. <br /> OFFICIAL <br /> PAYMENTS <br /> San Joaquin County - Environmental Health Department, CA <br /> Environmental Health Fees <br /> Confirmation Number: A44521 <br /> Payment Date: Wednesday, December 7, 2011 <br /> Payment Time: 10:21AM PT <br /> Payer Information <br /> Name: Randall S Brown <br /> Street Address: <br /> <br /> United States <br /> Daytime Phone (916)826-6828 <br /> Number: <br /> E-mail Address: rbrown@grinc.com <br /> Please provide as much information as possible below so that we may identify your payment: <br /> Address of Facility <br /> where work is being 3425 Tracy Blvd,tracy, Ca.95376 <br /> done: <br /> Buisness Name: Arco 2093 <br /> Additional Information: 20-573471 <br /> Card Information <br /> Card Type: MasterCard <br /> Card Number: ************7582 <br /> Payment Information <br /> Payment Type: Environmental Health Fees <br /> Payment Amount: $375.00 <br /> Convenience Fee: $10.95 <br /> Total Payment: $385.95 <br /> Thank you for using Official Payments. If you have a question regarding your payment, please call us toll free at <br /> 1-800-487-4567.To make payments in the future, please visit our website at www.officialpayments.com. <br /> Copyri ht©2011 Official Payments Corporation.All Rights Reserved. <br /> 1 of 1 <br /> I <br />