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7 <br /> • DETACH AND REMIT WITH PAYMENT• <br /> - ---------------------- - - — -- <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610, COURTHOUSE <br /> 222 E. WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> Payment Due Date: August 17, 2001 Total Amount Due: $255.00 Account No.: 9771 <br /> Site Address: JACK IN THE BOX#565 RECEIVED <br /> 3506 W HAMMER LN <br /> STOCKTON,CA 95219 JUL 2 7 2001 <br /> SAN4MINCOUNTY Revision 7/96 <br /> BRF-06 OFEWRGMSERVICES <br />