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7 <br /> fl.)BLIC HEALTH <br /> zi i%j joaquin ` O . Box <br /> r <br /> 4A <br /> NYC:r-JN:':':'lULT <br /> NYUL'rR'5­e5 <br /> it.f, Inforfietat-ion : <br /> ULTRAMAf-', 2-EACON #419 <br /> S2E,0 W THIRD <br /> HANFClR,0 C 13 3 T j'3 C V"T Cl N <br /> *:';ervices were provided for You by the Environmcnt.l Healt.h Divisicwi on <br /> August. 13" i'_;92 f c;r CON' J­LTATION G/1`:';/92 <br /> Invc,ice Datet AUGU.--.T 1E3 , 19'-:)2 Tf-ITAL DUE i .50 <br /> 10% Pena I t-y w i 11 be added --r-ic h <br /> ,..0 d;ays past. invoice dat.e . <br /> PLLA'SE RE.PCIP-1 CHANGE.ki; IN THE RETURN PAYMENT 1;-iL(-_iNG WIYH ONE COPY OF <br /> S'PAC -i THP3 STATEMEN"f TI-l-, <br /> E PROVIDED SELO,,) WITHIN <br /> 1!5 OF THE UATE OF 1+11'":. <br /> ' <br /> INVOICE . IF NOTIFICATION I'S Public Heialt-h ' ;ervices, ::,an .;o,z clij i n <br /> NOT RECEIVED WITHIN THAT TIME County/Env i ronmeni-i-7-.l Health <br /> PERIOD, THE PARTY 1DENTI7=IED P .O . E;ci::.e <br /> ABOVE" WILL 13L LEGAL-LY <br /> ":,;IBLE FOR THI'_, BILL_ <br /> IF 1 H r-jB,-_lVE BILLING N01CSIIRF�'LLCJ, PL.EASE INDICATL BELOW. <br /> PHONE <br /> ._---..------------- _..-- <br /> SEP 14 1292 <br /> 0 SAN JOAQ(jlN CotjNry <br /> PUBLIC HEALTIj SERVICES <br /> ENVIRONMENTAL HEAL'FH DtVjsloN <br />