Laserfiche WebLink
REMITTANCE ADVICE VEND!"- ID PG 1 �./ STATE OF CALIFORNIA <br /> STD.401C(REV ivs9, _ S JOA �'U-UTBE ENCLOSED WARRANT IS IN PAYMENT OF INVOIC91104 SHOWN BELOW. <br /> DEPARTMENT 7DEM.NO. <br /> INVOICE DATE INVOICE NUMBER RP <br /> INVOICE AMOUNT IND <br /> MILITARY DEPARTMENT 40 02105S913 003648 <br /> DEPARTMENT pDDRE55CLAIM SCHED NO. 11 2 . 00 <br /> P . O. BOX 269101 9543356 02/05/96 0033816 <br /> SACRAMENTO CA USZ6- 91 )1 112 . 00 <br /> F—SAN JOAQUIN COUNTY <br /> VENDDR: ENVIRONMENTAL HEALTH DIVISION <br /> P . O . BOX 388 <br /> 304 E. WEBER AVENUE <br /> STOCKTON CA 95201-0388 <br /> FEDERAL TAX ID NO.OR SEAN RP TYPE TOTAL REPORTED TO IRS(SEE RPPS) TOTAL 224. 00 <br /> . 00 This amount will be reported in accordance with Section <br /> 6041 of the Internal Revenue Code. <br />