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PUBLIC &AL-,H ,t. ' <br /> • 1Mal E. Hazele <br /> Stock.+.:. <br /> J6gi Mianna •.M D.,. Yealeu u ' PA:. : <br /> v <br /> t'ntrl£u= <br /> r STGRE EhNrE'. ,�)HL R�E VE T <br /> ERNIE a GENER4L D <br /> 44Di E. WAi£Rli4t FOD. e)i t. WATERLOO RD. FEB 07 <br /> 4401 :E. CA 95OD. TicK,?,!r, CA 95 _15 SA/V j 1990 <br /> ENVIRON fNT L HE,,. ERV r�- <br /> Billing Statement For 1951; Fri snit; lnvergi Ctanv' 'anf. -a!IliaY > . <br /> State)rieat Dat- ; January Li 19'w <br /> Payment Due Gate; Fet-NBTy [, 1930 <br /> Facility Fee' ill'.iil <br /> COntaineP NUtntler; <br /> 1Y : -SO.ii?J <br /> TOTAL FEES DUEn -`) <br /> NDTESt <br /> :b. <br /> Nntity Public ;l-ai Nt ':e:'Y:ie , <br /> 'gaZioaquin County of any <br /> Cviretbttrin6 ui ClangC <br /> wry. Your •, fuot Will <br /> .. iLie mailed Upon T e(r1Gl Oj.. . . <br /> payHent a) royal rf 71 l <br /> _facility. <br /> Return pafted airing o4ith one <br /> copy of this state;tent til; <br /> PUBLIC HEALTH SERVICES <br /> Spil JDA VIN MINTY <br /> EW,MoNNENTAL HEALTH ?Er&-,iT/SERV ICES <br /> P.;}. BOX 21M <br /> ST+]C!<?Dtd, CA 952u1 <br /> Penalties igjffl [e added after' <br /> due date a5 shown; <br /> 3tJ days - i0d of Base Fee <br />