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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIVIN _ <br /> 304 E WEBER AVE-3RD FLOOR <br /> STO09KTON, CA 95202 <br /> 1209-468-3420 <br /> INVOICE Account I AR0016160 <br /> Facility I FA0009160 <br /> LMMOMMEMOMEA <br /> Date Printed 4/25/00 <br /> JACK ALQUIST <br /> RE: GUILD CLEANERS-WINE COUNTRY <br /> 1420 W KETTLEMAN IN#A <br /> GUILD CLEANERS INC <br /> LODI CA 95240 <br /> <br /> OWNER: JACK ALQUIST <br /> Health Hrs Employee Amount <br /> Date Program Description - - <br /> Invoice# IN0069974--Date of invoice: 4119100 <br /> $100.00 <br /> 4119/2000 2220 SM HW GEN<5 TONSNR $10.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total for this Invoice $110.00 <br /> Payment Due Date 512512000 <br /> TOTAL DUE this Billing Period �140,Og <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> Penalties will be added[o all Permit Fees Penalties will he added at the Rate of 10% <br /> at the Rate of 100%ofthe Base Fee 60 Days after the Invoice Date and eadt 30 imttfter <br /> 30 Days after the Due Date <br /> A <br /> th <br /> to <br /> -19 <br /> d r/ <br /> /egy <br /> '4�a 5 <br /> 5255.rpt <br />