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WARRANT REQUEST FORM JMSJC0E <br /> SPIRE <br /> Vendor: San Joaquin County Environmental Vendor# 002842/19 Date:07/02/2021 <br /> inlealth <br /> Mailing Address: 1868E Hazelton Ave Phone: (209)468-3420 W-9 on File: ❑Yes El No <br /> City, State,Zip: Stockton CA 95206-6263 Fax: 1099 Vendor: ❑Yes❑No <br /> ATTN.: SSN: <br /> (Lest 4 Di&) <br /> ❑ Dept/Program contact to pick up Warrant: <br /> SHIP TO: SAN JOAQUIN COUNTY OFFICE OF EDUCATION <br /> WENTWORTH EDUCATION CENTER <br /> 2707 TRANSWORLD DRIVE <br /> STOCKTON CA 95206 <br /> QUANTITY DESCRIPTION UNIT PRICE EXTENDED PRICE <br /> 1 San Joaquin County Environmental Health Dept.Permit Request(New Site for one.Light,331.4 152.00 152.00 <br /> Delaware Ave.Stockton CA 95204 <br /> 00 <br /> 00 <br /> 1.00 <br /> 00 <br /> 00 <br /> 00 <br /> 00 <br /> 00 <br /> 00 <br /> 00 <br /> 00 <br /> 00 <br /> G�� rhJ �r 07/02/2021 SUBTOTAL 152.00 <br /> Requested By Date <br /> 07/02/2021 SALES TAX <br /> HANDLING <br /> De artmenUProgramManager's Approval Date <br /> HANDLING <br /> gaV%oTJ 07/04/2021 152.00 <br /> Authorized for Payment by Purchasing Date TOTAL <br /> Canine Wagner r <br /> BUDGET NUMBER(S): PROGRAM CONTACT: ACTUAL COST <br /> 01-0240-3500-1000-5800-300-3020 $ 152.00 <br /> Fund - Resource - Year - Goal - Function - Object - School - Mgmt 152.00 <br /> xx xxxx x xxxx xxxx xxxx xxx xxxx $ <br /> TOTAL <br /> WARRANT REQUEST FORM WHITE-BUSINESS OFFICE PINK-REMITTANCE COPY <br /> SJCOE Business Revised 05/2017 CANARY-PROGRAM GOLDENROD-CLAIMANT <br />