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--------------------------------------------------______________________________________________ ________ __________ <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610, COURTHOUSE <br /> 222 E. WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> Payment Due Date: September 27, 2001 Total Amount Due: $285.00 - Account No.: 6571 <br /> Site Address: CASWELL MEMORIAL STATE PARK RECEIVED <br /> 28000 S AUSTIN RD <br /> RIPON, CA 95366-9527 <br /> SEP - 4 2001 <br /> BRF-06 SANJUAUUINUUUNTY Revision 7/96 <br /> APFICE OFEMERGENCYSERVICES <br /> REMITTANCE ADVICE VENDOR-ID P GL , STATE OF CALIFORNIA <br /> STD 404C(R V.4-95) 400000( 19-01 THE ENCLOSED WARRANT IS IN PAYMENT OF NVOICES SHOWN BELOW <br /> DEPARTMENT NAME ORG.CODE INVOICE DATE INVOICE-MBER RPI <br /> Pl' OF PARKS AND RECREATION 37Lr0 INVOICE AMOUNT <br /> DEPARTMENT ADDRESS CLAIM SCHIED.NO. �)8/13/0I 6571. <br /> 285 . 00 <br /> PO BOX 942896 ID00427 <br /> SACRAMENTO 296--000 <br /> VENDOR <br /> r-COUNTYOF SAN JOAQUIN � RECEIVED <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610, COURTHOUSE SEP -4 2001 <br /> 222 E . WEBER AVENUE SANJUAUUINUU11MY <br /> STOCKTON CA 95202 OMMOFEMERGENCYSERVICES <br /> PAYMENT INQUIRIES : <br /> . - <br /> FEDERAL TAX ID NO.OR SSAN RP TYPE TAX YR TOTAL REPORTED TO MS TOTAL PAYMENT 285, 00 <br /> . 00 <br /> i <br />