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• • <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> l/ 1601 E. HAZELTONAVENUE <br /> STOCKTON, CALIFORNIA <br /> (209) 466-6781. <br /> BILL-.FOR SERVICES) LISTED BELOW <br /> ADDRESS � S_�C�_ _?___CITY_([ STATE_� ZIP_-_ <br /> DBA/PROPERTY OWNERl,1� -- Q----1� ---------------------------- <br /> BILL TO: NAME-_DAM E S _- O aJ ______------ <br /> ADDRESS__-.�OO---SA-t-- S/Q� l���--j-S Z----�-y--- <br /> CITY/STRTE_ �1( CL/��r�1�__=I_'�C/____ZIP__[ �/� <br /> PROGRAM: -- <br /> DESCRIPTION OF SERVICE(S) :----"= � -- O M_O M 1-7 <br /> ------------------------------------------- <br /> DATE OF SERVICE(S) TIME SPENT LOCATION <br /> -------------- 0 --- <br /> ----�--`�------��--�-------Gv- <br /> - - --------� -- ---- ` -------------------- -`-"-------------- <br /> �fiQ_ X71 <br /> ---------------------- --- t� <br /> �- /3- //01,-9 (7-y-) _� ---------------------------------------7e�14L <br /> TOTAL- <br /> ----------------"------- <br /> TOTAL TIME ------------ 0 ---------- PER HOUR ------- BALANCF DUF <br /> BII_.L.ING DATE------------ PAYMENT MUST BE RECEIVED BY-.________________ <br /> RETURN ONE COPY OF THIS BILL ALONG WITH PAYMENT. MAKE CHECKS PAYABLE TO THF <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT.. <br /> I <br />