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1 liV %.UbLUMCr raumoer: Lu7400ZV00 <br /> Order Number: 775613 <br /> PO Number: Morada Prod. PH <br /> cordPO Box 989 Billing Date: 8/26/09 <br /> Stockton,CA 95201 Due Date: 9/4/09 <br /> To place an ad:(209)943-1112 <br /> Toil free(800)606-9741 Amount Enclosed <br /> Biliingnnvoice questions:(209)546-8345 Please pay this amount: $ 0.00 <br /> To use your credit card,please complete the following: <br /> S.J. CO. ENVIRONMENTAL HEALTH Visa MasterCard American Express Discover <br /> 600 E. MAIN ST. <br /> ATTN: 'KRISTINE LYNN ❑ ❑ ❑ ❑ <br /> STOCKTON CA 95202 Card# <br /> PLEASE MAKE CHECK OR MONEY ORDER PAYABLE TO: THE RECORD Signature p MoNr <br /> ---- ------ --- ----------- -------------------------------------------- <br /> PLEASE DETACft AND RETURN UPPER PORTION WITH YOUR PEW a 1'ANCE <br /> Start Date Class Description Times Linestinches Amount <br /> 8/26/2009 PAYMENT ($121.94) <br /> 8/26/2009 9310 NOTICE OF PUBLIC HEARING-----AUGUST 20 2 92.00 L $121.94 <br /> The Amount to Pay: $0.00 <br /> Reuord <br /> Customer Number: 2094682986 <br /> PO Box 989 Order Number: 775613 <br /> Stockton,CA 95201 PO Number: Morada Prod. PH <br /> To place an ad:(209)943.1112 <br /> Toll Free(800)606-9741 Billing Date: 8/26/09 <br /> Billing/invoice questions:(209)546-8345 Due Date: 9/4/09 <br />