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Vendor: SAN JOAQUIN COUNTY PO Date: PO Number: 06-1630 <br /> :.:... .... ::::.:....:.::.:::..............:......:.:...:::.....<.a..,.... <br /> s ` . k. a: M <br /> X0.. <br /> . <br /> Vendor: SJCPUB Ship To: Bill To Customer Number: <br /> SAN JOAQUIN COUNTY DAMERON HOSPITAL DAMERON HOSPITAL-AP <br /> EHD-ENVIRONMENTAL HEALTH DEPT. 525 W. ACACIA STREET 525 W. ACACIA STREET <br /> 304 E.WEBER AVE.-3RD FLOOR. STOCKTON CA 95203 STOCKTON CA 95203 <br /> STOCKTON CA 95202-2708 <br /> 209-468-3420 DIANA SELLES (209)461-3144 1 FAX 1209)461-7510 <br /> Comments:INVOICE#IN0142861 Tax ID Number: <br /> \ Purchasing LIC: P99801 <br /> )Terms: CHECK ENCLOSED <br /> Delivery Date: 02/06/06 <br /> Composed by:RHONDA PO Type: GEN <br /> Ordered Via:CHECK ENCLOSED Ship Terms: F.O.B. Destination <br /> Item Order Stock Vendor Mfg. Unit Extended Account <br /> No. Qty Unit Number Number Number Description Price Price.. Number <br /> EA FAC ID#FA000988 FAC ID0FA000988 OES/HMMP PERMIT FEES 224.00 224.00 018850 <br /> RE:445 W.ACACIA ST. <br /> FACILITYID#FA0009885 <br /> 1 <br /> 1. Mail invoices in DUPLICATE upon shipment of order in full <br /> or part. Please Fax all Confirmations to 209-461-7510. Page Total: 224.00 <br /> 2. We reserve the right to reject and return, at your PO Total: 224.00 <br /> expense, merchandise which does not conform to our ,,QQ n� 4^ Discount: 0.00 <br /> standards. /��v 'WI' Tax: 0.00 <br /> 3. Price increases will not be accepted without 30 days <br /> advance notice. AUTHORIZED SIGNATURE Grand Total: 224.00 <br /> 4. Direct all inquiries to the Purchasing Mgr. 209-461-3144. <br /> DAMERON HOSPITAL ASSOCIATION ASSOCIATED WITH SUTTER/CHS STOCKTON Page 1 <br />