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Payer Information <br />Name: Richard Wright <br />Street Address: 7373 West Lane <br />Stockton, CA 95210 <br />United States <br />Daytime Phone Number: (209) 639 - 1972 <br />E-mail Address: richard.wrightOkp.org <br />Please provide as much information as possible below so that we may identify your payment: <br />Address of Facility where wort: is being done: 1777 W. Yosemite Ave. Manteca CA. 95337 <br />Buisness Name: Kaiser Manteca Hospital <br />Gard Information <br />Card Type: <br />Card Number: <br />Payment information <br />Payment Type: <br />Payment Amount <br />Convenience Fee: <br />Total Payment: <br />MasterCard <br />............6479 <br />Environmental Health Fees <br />$142.50 <br />$10.95 <br />$153.45 <br />Thank you for using Official Payments. If you have a question regarding your payment, please call us toll free at 1-888-357-8394. <br />To make payments in the future, please visit our website at www.officialpayments.com. <br />