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CITY OF SANTA ANA <br />Santa Ana Unified School Disirland Building Agency <br />Approved <br />Project #9371104 - Payment FOR PERMIT ISSUANCE <br />Receipt <br />Master ID: <br />Date: <br />� SAUSD Developer <br />Powered by facilitron <br />Payment Receipt <br />Your payment has been processed! <br />Please note: this is NOT a certificate of compliance. A <br />certificate of compliance will be created once the district <br />has reviewed and approved the request and all fees are <br />paid. <br />Project Number: PRJ-9371104 <br />Job Location / Address: 606 s Van ness ave., 2, Santa <br />Ana, CA, 92701 <br />Payment Info <br />Payer name: Tetsuya Takeuchi <br />Payment method: AMEX ....1010 <br />Payment amount: $4,013.66 <br />Payment date: 12/16/2025 3:04 PM <br />Authorization Code: 222660 <br />Transaction ID: 024d80d8-090a-4862-b764-79f2d4ce4030 <br />Please note that the charge will appear on the card/bank <br />statement as FACILITRON, INC. <br />Thank you, <br />Santa Ana Unified School District and The Facilitron Team <br />For support, please contact <br />developerfees@facilitron.com or <br />1-800-272-2962 (ext.6) <br />