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63-0 1600 VEN <br /> Environmental Health Per- <br /> mit for underground tank Colitornin I7Ppunm•eat at Forest., <br /> at Castle Rock FFS 15670 Monterey Sllnet <br /> 91-1600-525.02-02350 Morgan Hili,CA 95097 053-206249 <br /> j NAME OF DEPARTMENT CHECK NO. <br /> [ REVOLVING FUND DISBURSEMENT VOUCHER <br /> FSAN JOAQUIN COUNTY <br /> yy° PUBLIC HEALTH SERVICES <br /> t P 0 Boa 2009 DATE 1-Z1-92 $**170.00** <br /> E Stockton CA 95201 <br /> RECEIPT OF THE ABOVE AMOUNT FOR THE PURPOSE <br /> INDICATED IS HEREBY ACKNOWLEDGED <br /> After this "R^volving Ftynd Disbursement <br /> Voucher" is slrlr•, by the payee, rcl,,wo / <br /> FORM .917 check tD payee ander return this "Revolving A L ' <br /> (REV. 9i3.1 Fund Divbursement Vouch"" to the Depart- <br /> mental Accounting Office IMMEDIATELY <br /> USE ONLY WHEN REOUIREO FOR CLAIM TO REIMBURSE REVOLVING FUND. PREPARE AS CARBON COPY OF CHECK. <br /> i <br /> 95 ]fil]0 <br /> 1 <br /> ..:.u... .r::u-S nCL Ll'alflA�'tu X -'-., .1. • - �LuGOay..�.:..n.ry..Fy'�:Z. L. .. <br /> ' r• <br /> , <br /> I, r <br />