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4100 – Safe Body Art
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PR0541082
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COMPLIANCE INFO
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Entry Properties
Last modified
3/30/2023 12:24:01 PM
Creation date
7/3/2020 10:13:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0541082
PE
4120
FACILITY_ID
FA0023520
FACILITY_NAME
SHANMARIE (MEDER, SHANNON)
STREET_NUMBER
233
STREET_NAME
DORRIS
STREET_TYPE
PL
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
233 DORRIS PL
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4110_PR0541081_233 DORRIS_.tif
Tags
EHD - Public
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Sof 2hp,;.Inc. Invoice <br /> 550 N Canyon Pkwy <br /> Livermore, CA 94551 Date Invoice# <br /> P#(925) 961.0000 <br /> F#(925) 961.0002 4/15/2016 759 <br /> Bill To Ship To <br /> Shannon <br /> Stockton,CA <br /> P.O. No. Terms Project <br /> Qty Item Description Rate Amount <br /> 20 Recover-All After Care Ointment 3.50 70.00T <br /> 2 Block-Aid Block-Aid 20.00 40.00T <br /> 2 Minnerva Minnerva2 20.00 40.00T <br /> 1 Microbrsh-Reg Regular(sz)Microbrush for applying anesthetic 12.50 12.50T <br /> 1 Dispenser for Microbrush dispenser 8.95 8.95T <br /> 1 Microbrsh-XFi Extra Fine size Microbrush for design work 12.50 12.50T <br /> I trays Single use disposable treatment table trays-50 trays per 43.00 43.00T <br /> box <br /> 4 Skin Markers Skin Markers(5 pack) 6.95 27.80T <br /> 15 CLICK STIX CLICK STIR 1.00 15.00T <br /> 15 Fish Sticks Fish Sticks 1.50 22.50T <br /> 1 700 Champagne 18.50 18.50T <br /> 1 730 Mink 18.50 18.50T <br /> 1 740 Pecan Pie 18.50 18.50T <br /> 1 009 Platinum 18.50 18.50T <br /> 1 010 Bashful Blonde 18.50 18.50T <br /> 1 020 Hazelnut 18.50 18.50T <br /> 1 030 Fawn 18.50 18.50T <br /> 1 050 Cafe Vienna 18.50 18.50T <br /> 1 070 Earth 18.50 18.50T <br /> 1 080 Mahogany 18.50 18.50T <br /> 1 140 Cocoa 18.50 18.50T <br /> 1 150 Chocolate Truffle 18.50 18.50T <br /> 1 160 Royal Fudge 18.50 18.50T <br /> 1 170 German Chocolate 18.50 18.50T <br /> Subtotal <br /> Sales Tax <br /> Total <br /> Payments/Credits <br /> Balance Due <br /> Page 1 <br />
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