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Official Payments-Pay Taxe tility Bills, Tuition&More Online Page 1 of 1 <br /> W 0 <br /> This is a"printer friendly"page. Please use the"print"option in your browser to print this screen. <br /> OFFICIAL <br /> PAYMENTS <br /> 4' San Joaquin County Environmental Health Department, CA <br /> 3 J <br /> Environmental Health Fees <br /> Confirmation Number: 073215 <br /> Payment Date: Monday, April 8, 2013 <br /> Payment Time: 11:59AM PT <br /> Payer Information <br /> Name: Erin Fanning <br /> Street Address: 9999 South Austin Road <br /> Manteca,CA 95336 <br /> United States <br /> Daytime Phone (209)982-4298 <br /> Number: <br /> E-mail Address: efanning@republicservices.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 9999 South Austin Road,Manteca,CA 95336 <br /> done: <br /> Buisness Name: Forward <br /> Additional Information: Permit 39-AA-0015(Five-year permit review) <br /> Gard Information <br /> Card Type: Visa <br /> Card Number: ************1734 <br /> Expiration Gate: 11/2015 <br /> Payment Information <br /> Payment Type: Environmental Health Fees <br /> Payment Amount: $625.00 <br /> Convenience Fee: $10.95 <br /> Total Payment: $635.95 <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 /> Copyright©2013 Official Payments Corporation.All Rights Reserved. <br /> httnsJ/www.officialnavments.com/nc sten6 nrint.isn?JSFgSTONID7 FtTKsRiRMHJnnhVR... 4/8/2013 <br />