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�ygl9lr'►.. <br />Staff Use Only: <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />Administrative Hearing Fee Payment Information <br />Facility ID #; <br />Fee.Amount <br />PIR ID#: <br />Z <br />AccountID#: <br />sl13l.2s <br />Invoice #: <br />$ 3414.�,0 <br />racill Name: <br />_ <br />Facility Address: <br />Employee #: <br />Service Code: <br />106 <br />Pro ram Element: <br />Date of Ilearh1 : <br />, Ig 1 <br />Accounting Use Only: <br />Pa ment Date <br />Fee.Amount <br />Ameunt Paid <br />Check#/Cash <br />Recd B <br />sl13l.2s <br />a3y,� <br />$ 3414.�,0 <br />20)57�,1?3� <br />END 4"2-031 <br />07/01/16 <br />Admin Vo kig Fee Pymt <br />ftk-6;, �A►r <br />MAY p 8 FD <br />�'ViArr <br />