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;Ah3 r�rr;€;�lllN LOCA' <br /> nct_'.,LTH ?I°M�I IC:T <br /> 1601 E. Hazelton <br /> ,,ogi Khanna, M.D. , Health Officer <br /> SUNS 19S 1/ <br /> E SERVE, Iii :, SUNRISE MARKET & LI���.��1R�-�-7a�aT <br /> P. 0. BOX 215.1-10 952 S. WILSAN WAY <br /> ONTARIO, CA 91761 STOC KTi_N, CA ` 9S2r3S <br /> Billing S-t.aterrment. For Pe:'Firm t-, 1'nders round Tarr-: Facility , , <br /> Ctatelflent }ate jaj-tuary <br /> - - <br /> Payment Due Date: FebruRi+ y 15, 191 <br /> Facility Fee, 1Csc_�,C� k <br /> Container Number : 0001 50.00 <br /> 000.21 5C1.00 <br /> 000 50.00 <br /> TOTAL 'FEES DUE � $2,So.Ilo <br /> NOTES: <br /> Notify the -can Joaquin Local <br /> Health District of any <br /> corrections or -changes <br /> necessary . Your permit will <br /> be mailed upon ,receipt of <br /> payment and approval of <br /> facility, <br /> Return payment- along With one <br /> coy of this statement toc <br /> c;AN JOAQUIN LOCAL HEALTH DI''TnIC.T <br /> Ei' I F:ONNENTAmL HEALTH F EPM I T/SE_RV I m::ES <br /> P.6. E;Li 1L3lfa <br /> STOC TON CA 55201 <br /> Permalties will be added after - <br /> due date a's Shovn; . <br /> 0. gays 100% of Ease Fee <br />