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Y <br /> • • Y 11i <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT ' <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVENUE <br /> STOCKTON, CALIFORNIA <br /> y (209) 466-6781. <br /> BILL FOR SERVICES) LISTED BELOW <br /> �/ n <br /> ADDRESS __--AL_ GTY�� _ STATE_G$----ZIP----- <br /> (1 - <br /> DBA/PROPERTY OWNER-v=�" _ -_ ------------------ <br /> BILL TO: NAME----D (- ---f" r-\-1c=o ------- <br /> ADDRESS----�D---AA `(1�� �-�------ <br /> O M l -rO N <br /> DESCRIPTION OF SERVICE(S):-------- - -------------------- <br /> --- 5---- 1 Y----=-D-Z�11[_�--- r------ <br /> ------------------------------------- <br /> DATE OF SERVICE(S) TIME SPENT LOCATION <br /> C' s SF <br /> 2 -- ----------l------------ --- <br /> TF <br /> /6_� 7 3 _ --- -L- -- ------l�------------------ <br /> TOTAL TIME .... <br /> �/ 3 PER HOUR =_�9 _ BALANCE DUE <br /> � / ------- <br /> BIL.LI R�_G%L'�7 PAYMENT MUST BE RECEIVED BY----------------- <br /> RETURN ONE COPY OF THIS BILL ALONG WITH PAYMENT. MAKE CHECKS PAYABLE TO THE <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT. <br />