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SAN JOAQUIN COUN - <br /> { ENVIRONMENTAL HEALTH DEPAUTMENT PAYMENT <br /> RECEIVED <br /> OCT -4 2011 <br /> Administrative Hearing Fee Payment Information C JTQUIN GOUNTY <br /> EWRONMEWAL <br /> HEALTH DEPARTMENT <br /> To Be Filled Out By Staff Only <br /> Facility ID## R oMs 93 P/R ID#: 053 oso <br /> Account ID# AR o ID JZ"l a Invoice#• $' <br /> Facility-Name: Mb fud a f 1'0 A L.(p_, <br /> F ac Address: Sdt7 N ac�L 70lle f�J. <br /> Emwo ee#t`: Ayear ke Code: 552 <br /> Pro. ram Element; IA�6 ( Date of Darin lO I I I <br /> To Be Filled Out By Accounting Only <br /> Payment Date Fee Amount Amoui4 Paida /C sh Recd By <br /> gL _ ,plpo I L61 <br /> EHD 48-02-031 Admin Hearing Fee Payt. <br /> 11/13/2002 <br />