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| ' ' <br />| Facility_Name & Addre r' s Name : GAN JOAQUIN �i <br />� S J CO DEPT OF CApITA��� Account no Address <br /> l500 HOSPITAL RD L PROJECTB J CO DEPT OF CAPITAL PROJFCT <br /> � FRiENCH CAMP, CA 95231 . 222 E WEBER AVE RM 678 ; <br />� 5TOCKTON; OA 9SO02 / <br /> ' ` <br /> Name ~' <br /> Care Of !| <br /> Street NumberStreet <br /> City / <br /> State Zip <br /> Phone Alternate __--__--____ Alternate #2 <br /> Census District Location City code <br /> ' ---- -- <br /> Balances <br /> ' <br /> ' <br /> 1 to 30 $ 0. 00 ' <br /> 31 to 60 $ 296. 40 ^ Last payment ' <br /> 61 to 90 $ 319' 80 <br /> 91 to 120 $ 0. 00 Sent to collections / <br /> 121 Plus $ 0' 00 <br /> Total Due $ 616' 20 Prior month' s balance <br /> " <br /> Processing Page 1 � <br /> F ACCTREC ,ccounts Receivable � <br /> Account ID 0006432 i Facility ID 000 1 <br /> / <br /> Name <br /> Care Of ' <br /> i <br /> Street Number Street <br /> City State ' - <br /> ��������I� <br /> . ""~~~~~~" � °~�� <br /> Phone - - Alternate - - AltevUO10 ____ ' <br /> � � <br /> Census Distric ' Location ~'^` ' ~ � <br /> -PUBLIC 4.-A <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ' <br /> Balances - ^ <br /> ' } <br /> 1 to 30 m <br /> 01 to 60 $ Last payment ` <br /> 61 to 90 $ 1 <br /> 91 to 120 $ � Sent to collections ^ <br /> 121 Plus $ 0. 00 <br /> Total Due $ 616. 20^ Prior month' s balance ' <br /> � Page 1 J 0:21 :23a <br /> F=Find E=Enter U=Update D=Delete ,~ <br /> : <br /> .| <br /> Account <br /> /ID: <br /> D0@06432ion Type Receipt # Check # !' Amount <br /> � <br /> Date r = =��' ^r~ ` <br /> invoice #�04582 <br /> nvo ' 39. 0W <br /> 09/16/931 S312 CONSULTATION � 54. 60 � <br /> 09/16/93 S315 REPORT REVIEW . 39. 00 � <br /> 09/17/93 ` S315 REPORT REVIEW 1S>1. 40 ' <br /> 09/2��/93 ` 5310 FIELD CONSULT ' . <br /> � . 23. 40 <br /> 09/20/93 G�1� RFPORT REVIEW . <br /> ` 68. 40 <br /> 09/29/S3 < 9315 REPORT REVIEW ^ ' <br /> Invoice05202 <br /> '' 117. 00 ' <br /> 09/27/93 S310 FIELD CONSULT ~ <br /> 23. 40 <br /> 09/28/93 S310 FIELD CONSULT , � <br /> ' ' . 78 00 <br /> 09/28/93 S310 FIELD CONSULT � ^ <br /> ^ � <br /> . . <br /> � <br /> ' <br /> | <br /> ' <br /> `� <br /> �!/ ' <br /> 3 \ ^^~ <br /> Press any key to return to input screen <br />| ! <br /> | <br />