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Apr 07 08 10:57a Sandra Barnhart 2098458586 p.2 <br /> Official Payments Corp. Page I of I <br /> This is a"printer friendly"page. Please use the"print"option in your browser to print this screen. <br /> � OFFICtAL <br /> ITIPAYMENTS <br /> San Joaquin County - Environmental Health Department, CA <br /> Environmental Health Fees <br /> Confirmation Number: 2032283 <br /> Payment Date/Ti e: 7nuirsday, z!kprR'l 3, 2R'42M 1` 7`7 <br /> Payer Information <br /> Name: sandra Barnhart <br /> Street Address: 521 Branding Iran St. <br /> Oakdale, CA 95361 <br /> United States <br /> Daytime Phone (209)845-8586 <br /> Number. <br /> E-mail Address: sandra.bamhart@_sbcglobal.net <br /> Please provide as much information as possible belovr so that we may identify your payment: <br /> Address of Facility <br /> where work is being 3940 N.Tracy Blvd. <br /> done: <br /> Buisness Name: TRACY TRUCK STOP <br /> Additional Contractor.Reliable Petroleum Services Inc. <br /> Information: <br /> Card Information <br /> Card Type: American Express <br /> Card Number: <br /> Payment Information <br /> Payment Type: Environmental Health Fees <br /> Payment Amount: $294.00 <br /> Convenience Fee: $10.95 <br /> Total Payment $304.95 <br /> Thank you for using Official Payments. If you have a question regarding your payment, please call us toll free at <br /> 1-888-357-8394. To make payments in the future,please visit our website at www.officialpayments.com. <br /> Copyright 0 2008 Official Payments Corporation.All Rights Rese-ved. <br /> -+--r, --:-+­_()TQVQ4ZTn'XTTr1. L.T I 1,*tT.TXT0D*k_1)V4T+14 A I'll)n nQ <br />