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Aim DETACH AND REMIT WITH PAYMENT' ` <br /> - - ---------------------------------- ------ <br /> OFFICE OF EMERGENCY SERVI <br /> ROOM 610, COUR'T'HOUSE <br /> 222 E. WEBER AVENUEHall <br /> ,NAR 14 20 <br /> STOCKTON, CA 95202 ��`�[ <br /> QF EMERGi PICY S RVM__ <br /> Payment Due Date: April 20, 2000 Total Amount Due: $85.00 Account No.: 8327 <br /> Site Address: ONE STOP MARKET <br /> 1151 W LOUISE AVE <br /> MANTECA,CA 95336 <br /> BRF-06 Revision 7196 <br />