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PUBLIC HEALTH ,--ERVjC4M KIA(�JIIN COTY <br /> 1601 E. Hazelton MIPP.Q. Brix 2009 <br /> stt,ckton, CA 95,201 <br /> Qffj) 469-342S <br /> Jogi Khanna, M.1), Health Off i[E-P <br /> I <br /> MEW, <br /> SUSH I L KUMM 8 UE STAR <br /> W -,m <br /> 4040 E. WN 40pm <br /> STOCKTON, CA 9-520S ........... I <br /> Billing Statement For j,% pc-rifill, Urvkpgpound Facility. <br /> gateglerit Date � januapy 2 <br /> -90 <br /> Payffient Due Date-, February <br /> -ity Fee4 <br /> Nuffbar� 0001 <br /> 0002 50-00 <br /> 0003 50.01", <br /> 0.Coo <br /> TOTAL FEES DiAE <br /> NO TIES I <br /> Notify Publir Healtri servicest <br /> San JoacpIn CoUntY 07 B", <br /> C0rTeLtiCMS: OP Chaf6eS <br /> r,,ecessary. Yr!ur rjerr4it will <br /> toe roailed upon Pect-iPt CLI <br /> payffient 871d approval. fil <br /> facility. <br /> uh <br /> Return polient alf(tIg WI' 01PE <br /> copy of ttils statement to" <br /> PLBLIC HEALTH GERVICPS <br /> SAN JOAQUIN CM.TY <br /> ENVIKRIENTAL HEALTH PERMIT/SRVICES <br /> P.C. BOX 2W-; <br /> -STOCKTON, CA rjS'201 <br /> perelt;@s will be added afhep <br /> due date as shown; <br /> ,V days - 100% C4 <br />