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60 E. Haze1tsn Aye., F'.33. 4c 2 '� <br /> rtOtktGl'I; �_� ���.'Irl1 , <br /> aGg t�trxrit�a, � . Heal ta; 0f f icepr <br /> PAYMENT <br /> VALLEY CRITE,. INC ;ALLEY C cEE, INC <br /> F. G. WX 747 <br /> sUCKTOC GA 95201 Sf"OCKTON, LA ')S202 <br /> PUBLIC HEAL'i'-! <br /> E=illin; Stat r rrt �rlai' 1 } F'lr ii., d;daPgPWrlj Tari; Facility <br /> St.averrlaDt Date zniaary 2, 1'?-)6 <br /> f'dyMet-3t Due Date, February 2, 151-4 <br /> Facility Fee: 100.00 <br /> L-r�rltdir r td t-r Pr owl 50.00 <br /> TOTAL FEES DUE <br /> A <br /> N IES, <br /> t� efi,xfy Puk11t 47k`allal ;"�`Ylii°� <br /> -: il :�,'�'�t�trl EC!i�!3l�•y Uf dllY ' <br /> Your perirlit .iii! <br /> J <br /> arid avo-aia! <br /> i`l3 y!;te]tt alr r; with rji"iL <br /> i <br /> ''=' .,Qt—,_.. r <br /> � �•Y ,ifi this S�. •�llt�il't• to. <br /> BMRO?-'iMENTAL ;EAL€H PEPhITr'E VICU, <br /> P.{{'l!.LLu{IX ,'ls 'p 06201 <br /> 1 <br /> r'i=iiGsltlM: w7,;! b� added after t <br /> ilii% of t-.ds-t Pee <br /> p <br />