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4/04 <br /> DOFF E ~ -- r4 90 <br /> 491900 <br /> P.O.BOX seal•Los PAO".CA 900se•(3m)5ze-2222 <br /> Boa <br /> ,an <br /> g33It <br /> PAY Smn Hundred Seventeen Do118B and 00 Cents <br /> • DATE <br /> AMOUNT <br /> TO SAN JOAQUIN COUNTY 423/2009 <br /> OAER ENVIRONMENTAL HEALTH DEPT. S7'17.00 <br /> OF 800 E_MAIN ST. <br /> STOCKTON CA 95202 <br /> M <br /> �N691900N' 1: 12ii375221: 1891, 36531`9 ° —'0mys <br /> —. LJ sENMII FEATVAES INCLUDED.DEfANS ON BACK. V� _ .. . <br /> DHE'Inc' DETACH AND RETAIN THIS STATEMENT CHECK NO. DATE <br /> P.O.BOXANG LES. THE Nt Wra�b AF Mp�ra�i us PMro�N 11.No l Mlx SCRppo , 491900 423,2009 <br /> 40S ANGELES.CA 90059 <br /> REFERENCE NUMBER INVOICE NUN6ER AMOUNT REFERENCE NUMBEN INVOICE NUMBER AMOUNT <br /> ^6 I W U1, XTITC v _. <br /> RECEIVED <br /> PR 2 7 2009 <br /> SANJOAQN COUNTY <br /> OFFICE 0 EMERGENCY SERVICES <br /> MLCIOI\4TF JY MII�,1N0 eL WMJ1W ryr\Ey\y y,>I{ <br />