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�5�7/nl 2S81b `hszl '(�G�oRnia� It�.ldi�� � �Lrr�i ✓ 33000 <br /> DATE RECEIPT ID NUMBER BUSIN S NAME %ASH HECI OTHEP AMOUNT <br /> NUMBER Li PMT PMT RECEIVED <br /> RECEIPT No. 28816 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> 222 E. WEBER AVE. -ROOM 610 <br /> STOCKTON, CA 95202 A <br /> BY <br /> CASHIER <br /> ----------------------------------------------------- <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610, COURTHOUSE <br /> 222 E. WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> Payment Due Date: May 24, 2001 Total Amount Due: $330.00 Account No.: 4521 <br /> Site Address: CALIFORNIA WELDING SUPPLY CO(LODI) RECEIVED <br /> 16 E LOCKEFORD ST <br /> LODI, CA 95240-2124 MAY 14 2001 <br /> BRF-06 �1NJOAWJIMCOUW Revision 7/96 <br /> 1EWGI§jNSERWCES <br /> CALIFORNIA WELDING SUPPLY • STOCKTON, CALIFORNIA N0.010764 <br /> 1.07E,3 — — $330.00 <br /> 4/0f:,/200:1. 4521 -20. 00 330. <br /> 00 <br /> RECEIVED <br /> MAY 14 2001 <br /> DMOFOMMMYMMES <br /> WHEN DETACHED AND PAID,THE CHECK BELOW BECOMES A RECEIPT IN FULL PAYMENT <br /> OF THE ITEMS LISTED ABOVE.NO OTHER RECEIPT NECESSARY. <br />