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4 <br /> POBLU: HEALTH SERVICES <br /> ' <br /> US N. --,'AN JOAQUIN COUNTY <br /> c,8�1 Joaquin St. J P.0. <br /> '7P'tock.-ton, Ca <br /> ' 2 <br /> 468-C,447 <br /> �s RrRE I N'-3F1j <br /> 3RHORS T i <br /> HORS-( HANF informatior, <br /> .- <br /> 834 FRANCI'--;CCiBLVL1 SEPTIC REkAIR <br /> '8 W <br /> .-nAN RAFAEL, CA 94901 498 - , MC DONALD RD <br /> zlePvices were provided for you 1-y tr1E. Environmentl health Division on <br /> August 1, 1991 <br /> for SEPTIC REPAIR INSPECTION <br /> 111YOice Date; <br /> TOTAL DUE-_': i 69.00 <br /> Penalties Will be added <br /> Notify the Environmental Health Diviric-n <br /> Oay'= Past invoice date. of arty corrections or Man'?&S necessary. <br /> Return payment along with one copy of <br /> this statement to: <br /> Public Haalttj 0"'ejvIces, <br /> 'Sall Joaquin <br /> C:CIUTI"L.Y/ErivircinrfiEritaI flea itt-i <br /> P.O. Box X009, Ca 9!20i <br /> W41� <br />