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s <br /> 1' <br /> 161�N E H ; <br /> Staekto,!, t? jb2Csi <br /> r'- i2�3i 463-3425 <br /> A'" logi Khanna, M.D., Heald± offIle <br /> icer' <br /> PA <br /> REcF SND <br /> W E ALGR1`d W.E. ALDRIN AUG <br /> 2K, N. R1P,fN ROAD - ,�7� 'Y. RIF, KIM 1nn� <br /> RIPON, CA 35366 RI Ck CA "95366 �NVIkQ JJ�J <br /> PEPS%fed f�Acry <br /> 'Billing Statement Far 1363 Per'i0ii, U'itdergruuj-,d Tank, Facilit' . <br /> ->34CiheRt Date- AUgu°+ l l.cs <br /> rnYlOe.+it Dile Gd tk; beptemue± i, l'zu� <br /> F're'liouc Balance '34.0U- <br /> Pacilit.y Feel i::).rl;i <br /> C:ar:tai iter YumbeU.0 f <br /> FEES <br /> M 1,10 <br /> N OsTES <br /> NC'4iiy $Yie oar haquin Local' <br /> Health Dtst.rict of any <br /> carrectl Cv"-ls or changes <br /> r±ecessary. Your perlait 4:111 <br /> be mailed upon receipt of <br /> payment and approval of <br /> faciiit.y. <br /> Return: payment along with ane <br /> copat fl.is Stateuent tri; <br /> SAN JUNUIN LOCAL h"DUR O" STRICT <br /> E:'!"v`MUNMEidTAL 'HEALTH PERMI USERG.ES <br /> P.O. Bur 2003 <br /> $Tl1C;T'g;; CA ii5"'!f' <br /> 4 l <br /> Penalties. will be added after <br /> due date a5 5fnnHn: <br /> -30 dd ?' ±S of <br /> e <br />