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1113LJD 755+) & 5'lPLr J Z CXR <br /> DATE RECEIPT ID NUMBER BUSINESS NAME �HECI JOT AMOUNT <br /> NUMBER PMT PMT RECEIVED <br /> RECEIPT No. 25541 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> 222 E. WEBER AVE.-ROOM 610 <br /> STOCKTON, CA 95202 <br /> BY <br /> CASHIER <br /> REMITTANCE ADVICE VENDOR-ID PAS-E 1 STATE OF CALIFORNIA <br /> STO.404C(REV.4.95) 400 0 0( 99-01 THE ENCLOSED WARRANT IS IN PAYMENT Or HE INVOICES SHOWN BELOW <br /> DEPARTMENT NAME ORG.000E INVOICE DATE INVOICE NUMBER RPI <br /> DEPT OF PARKS AND RECREATION 3790 INVOICE AMOUNT <br /> DEPARTMENT ADDRESS CLAIM 6571M SCXED.NO. 2 8 5 . 0 0 <br /> PO BOX 942896 9DO1434 1t 5'71 <<•s mew aI S7At P ' <br /> SACRAMENTO CA 94296-000 <br /> VENDOR <br /> rCOUNTY OF SAN JOAQUIN � D 'IIJ� 1UV1 �SS , <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610 , COURTHOUSE 12 <br /> 222 E. WEBER AVENUE <br /> STOCKTON CA 95202 <br /> SAN JOP.QUIN COUNTY <br /> PAYMENT INQUIRIES = OFFICEFICEOFEMERGENCY SERVCES <br /> ( 916) 653-5605 <br /> FEDERAL TAX ID NO.OR SSAN RP TYPE TAX YR TOTAL REPORT®TO IRS TOTAL PAYMENT <br /> . 00 <br /> I <br />