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COUNTY OF SAN JOAQUIN <br /> REFUND REQUEST FORM <br /> DATE:_ September 13 1993 <br /> DEPARTMENT: PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH <br /> REASON(S)FOR THE REFUND: OVFR PAYMENT OF 0170. FOR 1993 PERMIT FEE PAID ON DECEMBER 24 1992, TANK <br /> WAS REMOV^• IN DECEMBER 1992 <br /> C TOCKTO <br /> 1701 W WASHINGTON. STOCKTON <br /> FA ILITY 16133 <br /> Z- I <br /> RECEIPT 9 OTHER IDENTIFICATION t <br /> DEPOSIT PERMIT f DATE OF DEPOSIT PERMIT: <br /> AMOUNT OF REFUND: 0 170 <br /> REFUND PAYABLE TO: CITY OF STOCKTON <br /> ADDRESS:_C/O ENVIRONMENTAL HEALTH <br /> 446 N SAN JOAQUIN <br /> DEPARTMENT APPROVAL <br /> Aurtro•IzM BIe�AruA <br /> EXPENDITURES AUTHORIZED BY: <br /> Amho•Ized 81yutun Dib <br /> ABATE TO 1000-01 041000- 6140 0006 <br /> Claims examined and <br /> approved pursuant to Gov[ <br /> Code Sec. 29741 <br /> ADRIAN J VAN HOUTEN <br /> County Auditor <br /> by <br /> Deputy <br /> ENTITY NO FUND DEPT NO EXP CODE AMOUNT VENDOR NO <br /> Aid C.,2816nsl I <br /> i <br /> i <br /> I <br /> f <br /> law `� <br />