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BILLING CONTACT
DAVID BAILEY
23183 LA CADENA DR
#101
LAGUNA HILLS, CA 92653
Payment Date: 01/12/2023
Reference Number Fee Name
Transaction Type Payment Method
Amount Paid
XR2022-3116
MODIFICATION FEE - ALTERNATE
MATERIAL/METHOD
Fee Payment
CC EPL
$297.00
3610 BLUE KEY NEWPORT BEACH, CA
SUB TOTAL
$297.00
TOTAL $297.00
January 12, 2023 8:37 AM 100 Civic Center Dr, Newport Beach, CA 92660 Page 1 of 1