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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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2350
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1600 - Food Program
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PR0549056
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Entry Properties
Last modified
9/18/2024 10:03:15 AM
Creation date
5/17/2024 8:51:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0549056
PE
1618
FACILITY_ID
FA0028162
FACILITY_NAME
FIVE BELOW INC
STREET_NUMBER
2350
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2350 W KETTLEMAN LN
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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VENDOR NO.: DATE: CHECK NO.: <br />SJEHD 01/22/24 0100105729 arainier <br />AMOUNT REFERENCE <br />0100105729 DATE <br />01/22/24 <br />C/J c sc <br />PNC Bank, N.A. 001 60-162 CHECK NUMBER <br />4.33 CSC <br />251 Little Falls Drive <br />Wilmington, DE 19808-1674 <br />Authorized Signature <br />DO NOT HONOR IF INK APPEARS TO HAVE BEEN ERASED OR REMOVED. <br /> <br />WARNING: THIS DOCUMENT CONTAINS UV FIBERS, A WATERMARK IN THE PAPER AND A NON-ERASABLE FEATURE. <br />PAY EXACTLY TWO HUNDRED EIGHTY SEVEN AND 00/100 DOLLARS <br />PAY <br />TO THE SAN JOAQUIN ENVIRONMENTAL HEALTH DEPARTMENT ORDER <br />OF <br />AMOUNT <br />$**287.00 <br />DAYS VALID 0 <br />ESR:.UII DOVER <br />2500 <br />thorized ignature <br />VOID <br />SIGNA <br />DATE INVOICE NUMBER <br />0 1/2 2/24 $**287.00 1384805-14
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