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2/24/2021 Online Payments-LexisNexis Payment Solutions <br /> San Joaquin County Environmental Health <br /> 5 A N J O A Q U I N 1868 E. Hazelton Ave. <br /> Stockton CA 95205 <br /> C O U N T 1' (209)-468-3420 <br /> Receipt <br /> Payment Date 02/24/202108:40 AM PST Payment Status AUTHORIZED <br /> Confirmation Number 121080647 <br /> Payment Method Credit Card(VISA) ************1848 <br /> Expiration ##/## Transaction Type Purchase <br /> Approval Code 01044G <br /> AVS Response Y CVV2 Response <br /> — Bill To -- — <br /> Dennis Nakamoto <br /> 3050 Industrial Blvd , West Sacramento, CA - 95691 US <br /> Payment Towards - <br /> Payment Towards Service Request Or Well Permit Amount $456.00 <br /> Site Address Lt. Col. Mark Taylor Street Business Name Cannery Prk Subdivision Unit 7 and 9 <br /> Phone Number 9163721434 <br /> ---------------------------- <br /> - Charge Information <br /> Agency Amount vz { moo_ $456.00 <br /> LexisNexis Service Fee /Al 0 — $10.44 <br /> Total Amount $466.44 <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 /> https://payments.lexisnexis.com/billinglnfoConf.xhimi 1/2 <br />