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HEAR SEFRI IT <br /> 445 �j &Rn <br /> .-'- VICES, SAN TOA QUIN -0t]"ITY <br /> Joaquin S 0413'T A MAILI L' I'l <br /> NG ADDRESS <br /> BOX <br /> D Health 0 f f i ca-,-f <br /> DOCTORS HOSPITAL OF MANTECA DOC:T0412 <br /> P. <br /> PDX is-n, K'3P J.TA! OF MAN <br /> ;ECA <br /> MANTECA, CA <br /> MA 'TE CA. <br /> 411-1 <br /> Statement Date january 10, 1992 <br /> - L; r <br /> Payment Due matt; rebruapy W, <br /> 0002 170.00 <br /> TOTAL FEES D(rc <br /> $170.00 <br /> NOtTE'3': <br /> NoL-.L1Y Public Health S-er-vices' <br /> San -Toa4u'n County ofany'correri-i <br /> 0n,s or changes <br /> necessary. Your permit will <br /> be thai led UPOn Peceipt of PAYMENT <br /> Payment an!j �pprov-:"-.! of RECEIVED <br /> z <br /> ) aCility . F E B 0 6 1992 <br /> 'n payment. along DOCTO SA-N 0 NTY <br /> • H SERVICES <br /> 4 <br /> this statement to: fR TAL HEALTH DIVISiON <br /> TH <br /> "LTH PERM IT/'SERV 1;L-.-ES <br /> A <br />