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e <br /> Owner' s Name: DEPT OF THE YOU* AUTHORITY <br /> Facility Name & Address Account Mailing Address <br /> NORTHERN CAL YOUTH CENTER DEPT OF THE YOUTH AUTHORITY <br /> 7650 S NEWCASTLE RD 4241 WILLIAMSBOURGH DR <br /> STOCKTON, CA 95213 SACRAMENTO, CA 95823 <br /> Name <br /> Care Of <br /> Street Number Street _ <br /> State Zip <br /> City <br /> Phone - - Alternate - - Alternate #2 - - <br /> Census 000001 District Location City code <br /> Balances - <br /> 1 to 30 S 0 . 00 <br /> 31 to 60 S 0 . 00 Last payment S 1 , 360 . 00 <br /> 61 to 90 S 0 . 00 Promised Amount <br /> 91 to 120 S 1 , 360 . 00 Sent to collections <br /> 121 Plus S 0 . 00 <br /> Total Due S 1 , 360 . 00 Prior month' s balance <br /> Page 1 <br /> Processing <br /> F ACCTREC Accounts Receivable ,�YikNENT <br /> Account ID 0003545 Facility ID 003938 C AP <br /> !: e <br /> SAN jC)Aa.JiN (;UUN'fy <br /> Responsible party PUBLIC kibE %LTFI SERVICES <br /> Name <br /> NUI ;.)VONTAL HEA IH 1)lMIQ'r3 <br /> Care Of <br /> Street Number Street <br /> City State r Zip <br /> Phone - - Alternate - - Alternate #2 - - <br /> Census 000001 District Location r City code <br /> Balances - <br /> 1 to 30 $ 0 .00 <br /> 31 to 60 S 0 .00 Last payment S 1 , 360 . 00 <br /> 61 to 90 S 0 .00 Promised Amount <br /> 91 to 120 S 1 , 360 , 00 Sent to collections <br /> 121 'Plus S 0 . 00 <br /> Total Due S 1 , 360 . 00 Prior month' s balance <br /> F=Find E=Enter U=Update D=Delete <br /> Page 1 1 : 28 : 30p <br /> Account ID: 0003545 <br /> Date P/E Description Type Receipt # Check # <br /> 1 360 .00 <br /> Invoice #017107 170 .00 <br /> 01/11 /95 2380 UST BEFORE 1/84 1 (.9 170 .00 <br /> 01 /11/95 2380 UST BEFORE 1/84 170 .00 <br /> 01 /11 /95 2380 UST BEFORE 1/84 170 .00 <br /> 01/11 /95 2380 UST BEFORE 1/84 170 .00 <br /> 01 /11/95 2380 UST BEFORE 1/84 ` 170 .00 <br /> 01/11/95 2380 UST BEFOF 1 /84 d1 170 . 00 <br /> @1/11/95 2380 UST BEFOW/84 7 10 m rA <br /> nrnnr-%no 1 100 _ .? <br />