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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: March 8, 1999 Total Amount Due: $255.00 Account No.: 368 <br /> Site Address: A-1 CLEANERS <br /> 136W WALNUT ST n <br /> BRF-06 STOCKTON,CA 95204 D <br /> MA — 2 Revision 7/96 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br />