Laserfiche WebLink
'SERVICES <br /> AN rdAr,IUIN <br /> 446 N . COUNJ Y <br /> t.o C k.t. I P. O. Box 2010 <br /> on, . Ca 95201 <br /> (209) 46-8-0340 <br /> NZJ RANSF R <br /> N ZY U L-L G,--'-7 <br /> THOMAS i & EM OLOS --;1t-e ly1forri'lat.iorl: <br /> P . O. BOX 2SE: C'RAYFI.-,'H 1NI-ERNAff1-)NAL <br /> THORNTON CA 8725 WALNUT GROVE RD <br /> Hi RNTON <br /> Services were Provided fcor You by t-he E,T)virclIX,W_nt-1 Health Division on, <br /> December 23, V-P3SF <br /> 2 for TRANER FEE 12/28 '9-2, <br /> 111vOice Date ; JANUARY 15, TO'fAL DOEi <br /> 10 Penalty will be eacI-1 <br /> ,--0 days past. i-rivoice cAtc. . <br /> PLEA :E REPojRj C:Hf-)NGL,z-:,- l -iHERETURNPAYMEN-f ALCING WITH ONE C:i--jpy <br /> fHl_PACE; PROVIDED BELOW WITHIN <br /> IE' DAYS OF 1HE DATE OF -IHl.c - rATEMENF TO : <br /> INVOICE;. . 1F NOTlf: ICAf1ON , <br /> 1� <br /> Public S*ervices, San Jo---iluin <br /> NOT RECEIVED WITHIN THAT ff'M.E Cc,Lil-ity/Eiivi�rO)Ifilel-lt;�I Health <br /> PERIOD, 7HE PARlY IDEN11FILD P. G .ABOVE WILL BE LEGALLY 1' 2009, <br /> f.'iSL-E FOR 11-11-1. RESPON.- (:a 9-sz-,C)j. <br /> PILL . <br /> if 1HE ABOVE BILLING ADDRESS IS NOT CORREC-f , PLEASE INDICATE BELOW : <br /> NAME : PHONE <br /> A1)DRLSc; ; <br /> STATE zip <br /> PAYMENT <br /> RECEIVED <br /> 0 1993 <br /> COPY SAN JAN 2 JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br />