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SAN jOAQUIN LOYAL HEALTH DISTRICT <br /> 001 E. Hazelton Ave, , P,O. Box 2009 <br /> CA _42 <br /> (209) 468-3425 <br /> . g1 Khanna, <br /> ra_ _ct {x•1:7. H''••.Elt•h: ;-(f i a,.-'i` <br /> HOWARD E. RICHARDSON RICKS NORWALKS SERVICE <br /> 2662 N. WILSON WAY 2662 N. WILSON WAY <br /> billing Statement For 'i`8 ; Permit, 1_ndei•or'•:u d Ts4}-1:._ Facility, <br /> Statement Date jaiilial'y is, 1983 <br /> Payment mei t Due Date: February 1988 <br /> Previous Balance .512.00 <br /> Facility i 100.00 <br /> - i- +llt•aailei' tYu,l,bc :•_}:r 1. - ._,i}•i}(,} <br /> 0002 So.00 <br /> I <br /> TOTAL FEE; CME � $712.00 0 f <br /> Nil;!`_ <br /> INoti f Y. the San joaquin Local <br /> Health <br /> District <br /> corrections or changes <br /> necessary . Your permit will <br /> be mailed upon rLc+='1p'+ Llt ' <br /> payment and ci;=•Froval of <br /> Return payment along with one <br /> (.+vi-y of this statement- to; <br /> :_:,y,q jCtAQUaid LOCAL HEATHDISTRICT <br /> _ <br /> ENVIRONMENTAL HEALTH <br /> P.O. BOX 2009 <br /> ST SCK T}N, A 95201 <br /> • <br /> Penalties <br /> __ s <br /> t les will be added atter <br /> due date as shown: <br /> 0 t aYs -' 100 of Base -tee - <br /> + <br />