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BAN JOAQUIN Ljti1•C:AL HEALTH GI' IRIC:'i <br /> 1601 E. Hazelton Ave. P.O. e+_x 22z1U-3 <br /> 3' 468-342-111 <br /> HAMME7,' <br /> HAMMER LANE ';HELL #4 HAMIME=: LANE 'SHELL <br /> P.O. AUX 11367 ri <br /> AC:r H"'ME NTO: C:A + =:i} ,;i;�C:k::T?_►I�!, C-A 9-5y 1,21 <br /> Bi l l incl Sta i•e(ise)-1'I. HDY• 1: 'y Perlin t•, �_1ii+gel ;i�+ujld l�;i'ik: F t;1.i i•y . <br /> S'tatefileiit L+8 to , Janua-ry <br /> Payment. Due i ebruc:.i''y <br /> FaciIit-v I' t00 Q <br /> ijf�(?l ?_S.OfI <br /> , <br /> ir1;1 <br /> nQ <br /> N OT <br /> NcIt.I.#Fy tale 'Sap. 'oizv=uii; L++C tl <br /> Hea i l•I I D 1_.y.j'i c t. i i! r_t'-ly f jf)�)% SU,;){) <br /> C+YpreCtdort' or chaiega's <br /> )ieC&SSEl i•y . E OUP FIC�Pfi,:i t Will --------- <br /> be mailed ul"_n re-ceip; __-S MhE <br /> taCi%i�•y . <br /> Return payment ct_lC+'i'� iii i•Il C+lie <br /> Copy alt this Statement. tot <br /> ISAN ,.iC•?AQ,1UIN HEALTH l:?I_' RIC1 <br /> Eid4llrONMEniTAL HEALTH f'ERtilTiSERV1C:Eti= <br /> rEnitIt'•]e,� -4:1Il becejCed citt•e)- <br /> dued&t•e a5 St 1OW i <br />