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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVTSICN <br /> 1601 E. HAZELTON AVENUE <br /> STOCKTON, CALIFORNTA <br /> (209) 466-6781. <br /> BILI_ FOR SERVICF_(S) LISTED BELOW <br /> ADDRESS -__ l S S ��u2n CITY_s7` _STATE - <br /> --ZIP-----DBA/PROPERTY OWNER -l ---_� ��__ f n 1= 5__ 4�►C=------------ <br /> BILL T0: NAME_ <br /> L t� <br /> ��L 1- -------- P��<<---------------- <br /> ADDRESS-721- 05 S f�=_-- DO iZ t��o------ <br /> CITY/STATE-----S(----t\j - i° -------------ZIP------ <br /> PROGRAM:------ -f `----r-- Sr ----- <br /> DESCRIPTION OF SERVICE(S) <br /> ---- /� ----u -------------------(----------------------------------- <br /> ------------------------------------------------------------------------------- <br /> DATE OF SERVICES) TIME SPENT LOCATION <br /> TOTAL TIME ------------ G ---------- PER HOUR ----____.-- BAL.ANCF DUF <br /> BIL..LING DATE------------ PAYMFNT M SiT BE RFCFIVI=D <br /> RETURN ONE COPY OF THIS BILL ALONG WITH PAYME=NT. MAKE CHECKS PAYABLE. TO THE i <br /> SAN JOAQUIN. LOCAL HEALTH DISTRICT,. <br /> I <br />