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I , '.zy <br /> PUBLIC HEALTH SERVICES <br /> Aid J0AQUI N COUNTY r <br /> 445 N . 'San .Joaquin St . , P . O . B.nx 200 <br /> _tock:t.cni, Ca 95201 <br /> ;..2013 463-0:340 <br /> NZTRAN�;FR <br /> NZFULLG107 <br /> 'mite i -1formation; <br /> THOMAS J h EM OLDS CRAYFI=H INFERNATIONAL- <br /> P. O . BOX 266 :729 WALNUT GROVE RD <br /> THORNT�iN CA _r,;_;r THORNTON <br /> Services Were Provided for you t:..y the Environ ment-I Health Division on <br /> December 28, 1992 for TRANSFER FEE 12/28/92 <br /> i <br /> Invoice Date; JANUARY 15, 1'P9=, TOTAL DUE ; $20. 00) <br /> 10% Penalty Will be added each <br /> :.;0 days Past invoice date. <br /> PLEA :E REPORT CHANGES IN THE RETURN PAYMENT ALONG WITH ONE COPY OF- <br /> SPACE PROVIDED BELOW WITHIN THI': _;TATEMENf TO; <br /> 15 DAYS OF THE DATE OF THIS <br /> INVOICE . IF NOTIFICATION IS Public Health cervices, Sari Joaquin <br /> NOT RECEIVED WITHIN THAT TIME County/Environmental Health <br /> PERIOD, THE PARTY IGEN-11FIEG P . O . E;o::•:: 2tr0 i, E;{.cct;{.,c,�, C:a 95201 <br /> ABOVE WILL BE LEGALLY RESPON- <br /> SIBLE FOR THIS BILL . ♦ -- -� <br /> IF THE ABOVE. BILLING ADDRESS IS NO-tCORRECT, PLEASE INDICATE BELL iW ; <br /> NAME : ------------------------------------------------- PHONE #------------------- <br /> ADDRESS; --------------------------- � <br /> CITY STATEr- ;:_'IF' <br /> PAYMENT <br /> RECEIVED <br /> JAN 2 0 1993 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRQNMENTAL HEALTH DIVN)w <br />