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0 <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: July 9, 2001 Total Amount Due: $315.00 Account No.: 1649 <br /> Site Address: MB)STATESURGE RECEIVED <br /> 1436 MAIN ST <br /> ESCALON,CA 95320 ,JUN 2 8 2001 <br /> BRF-06 Wi ftuv6WN1Y <br /> OFHCEOFENIERGENCYSOMM <br />