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��� z9a96 Sig-+ gu.nn. -' Pe2.klm ,/ 336 i�XJ <br /> DATE RECEIPT ID NUMBER BUSINESS NAME GSH HEC OTHER AMOUNT <br /> NUMBER MT PMT RECEIVED <br /> RECEIPT N0. 29296 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> 222 E. WEBER AVE.-ROOM 610 <br /> STOCKTON, CA 95202 <br /> BY L " °✓ <br /> CASHIER <br /> DETACH AND REMIT WITH PAYMENT . <br /> ---------------- -------- --- ----- <br /> OFFICE OF EMERGENCY SERVICnS <br /> ROOM 610, COURTHOUSE <br /> 222 E. WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> Payment Due Date: July 20, 2001 Total Amount Due: $330.00 Account No.: 3184 <br /> Site Address: MUNN&PERKINS RECEIVED <br /> 26292 E RIVER RD <br /> ESCALON,CA 95320 J U L 10 2001 <br /> BRF-06 SANJOAUUIn IUUNI1 ReviSiww� 7/96 <br /> OWiCE 1F EMERGEN�YSERNCE6 <br /> MUNN & PERKINS 130 1109 <br /> DATE INVOICE NUMBER AMOUNT DATE ' INVOICE NUMBER AMOUNT <br /> f <br /> VENDOR # 13001000 <br /> 06/05/01 318401 330.00 2001 HMP ANNUAL FEE RECEIVED <br /> JUL 10 2001 <br /> CSANJ0AOUINcuUNry <br /> 0FRMERGENCYSERVICES <br /> ACCOUNT NUMBER GROSSAMOUNT DISCOUNT NET CHECK AMOUNT <br /> 1-3-91-5440 330.00 0.00 330.00 <br />