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,�4N JOAOUIN COUNTY PUBLIC H�TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIS�_. <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420; <br /> INVOICE AccountlD AR0019686 <br /> Facility ID FA0012216 <br /> Date Printed 2/25/00 1 <br /> RE: C DE GROOT &SONS <br /> C DE GROOT&SONS 13737 S AIRPORT WAY <br /> 908 RUBY CT RIPON CA 95336 <br /> RIPON CA 95336 OWNER: DE GROOT,JERRY <br /> HealthHrs Employee Amount <br /> Date Program Description <br /> Invoice# IN0067917---Date of Invoice: 2/4/00 <br /> 12/29/1999 2950 315 REPORT REVIEW <br /> 0.8 INFURNA - $62.40 <br /> Total for this Invoice $62.40 <br /> Payment Due Date 3/26/2000 <br /> TOTAL DUE this 1�riod $62.40 <br /> Pay i a�. g� <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATE ENT with Your PAYMENT <br /> For'�1 SERVICE FEES <br /> Penalties will be added to all Permit Fees Penalties will be ed at the Ra 1 0 <br /> at the Rate of 100%of the Base Fee 60 Days after the Invoice Date ereafter <br /> 30 Days after the Due Date <br /> PAYMENT' <br /> RECEIVED <br /> MR 10- <br /> SANJOAQUN COUNTY <br /> PUBLIC HEALTH SEFVI ES <br /> '=NVIRONMENTAL HEALTH DIVISKIt, <br /> 5255.rpt <br />