Laserfiche WebLink
SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZEI_TON AVENUF <br /> STOCKTON, CALIFORNIA <br /> (209) 466-6781. <br /> BILL FOR SERVICE(S) LISTED BELOW //�� <br /> ADDRESS ___�Q�1r__��z�-__ CITY_STATE__L,(4 ZIP__-__ <br /> DBA/PROPERTY OWNER____-02��_� <br /> /' --------------------- <br /> BILL TO: NAME---�/J/� <br /> ADDRESS <br /> CITY/STATE_ �/ ZIP-/81.2 _ <br /> - — ---f--� . _---- .-- ,- <br /> PROGRAM:__ <br /> DESCRIPTION OF SERVICE(S):__-, __� ---_-------- <br /> DATE OF SERVICE(S) TIME SPENT LOCATION <br /> --------------- ---------- --------------------------------------------- <br /> ----------------- <br /> ----------------- ----------------------------------------- ---------- ------------------------------------------- <br /> ------------------ ---------------------------------------------- <br /> TOlAt. <br /> ------------------------------------------ <br /> --- ------------ <br /> TOTial. T.T.MF Ra �J;6�1'✓PFR HOAR �Q.(fJ1 BAI_ANCF DUE <br /> BILLING DATE--1120/87-__ PAYMENT H11-T OF: RECFIVED BY 2/20/87 <br /> ------------------- <br /> RETURN ONE COPY OF THIS P,TI_L_ Al-ONG WTT'H PAYMENT.. MAKE CHECKS PAVABI_F TQ&F <br /> SAN JOAOUTN LOCAI.. HEALTH DT;TR 1'CT,. E V EO <br /> REG <br /> ' Fig 2 4 �ASN� <br /> �N�%QVAN SERV GES <br /> `tYl <br /> pf <br />