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Page 1 <br /> SAN JOAOUIN COUNTY PUBLIC HE 3 SERVICES <br /> ENVIRONMENTAL HEALTH DIVISI <br /> 304 E WEBER AVE-311D FLOOR C)5 O <br /> STOCK"TON. CA 95202 <br /> 209-468-3420 �nV tiYb'n R5 <br /> INVOICE AccountlD AR0019686 <br /> Facility ID FA0012216 <br /> Date Printed 1/20/00 <br /> RE : C DE GROOT &SONS �TF�A <br /> 13737 S AIRPORT WAY—lMF1 <br /> C DE GROOT & SONS RIPON CA 95336 <br /> 908 RUBY CT <br /> RIPON CA 95336 OWNER: DE GROOT,JERRY <br /> Health Hrs Employee Amount <br /> Date Program Description <br /> Invoice# IN0065516---Date of invoice: 11/9/99 <br /> 0.2 INFURNA $15.60 <br /> 11/2/1999 2950 312 CONSULTATION 1.6 INFURNA $124.80 <br /> 11/4/1999 2950 315 REPORT REVIEW 1.3 INFURNA $101.40 <br /> 11/5/1999 2950 310 FIELD CONSULT -$2 . <br /> 11/8/1999 9999 PAYMENT $7.80 <br /> Total for this Invoice <br /> Payment Due Date 21 91200 <br /> TOTAL DUE this Billing Period $7.80 <br /> Please make Checks PAYABLE to: PHS/E111) / Return a Copy of This STATEMENT <br /> S:with FEESrPAYMENT <br /> 1 <br /> Penalties ihll be added to all Permit Fees Penalties will be added at the Rate of 10% <br /> at the Rate of 100%of the Base Fee 60 Days afterlhe Invoice Datcand each 30 thereafter <br /> 3011a1s after the Due Date <br /> pAIrvr��� <br /> FEB 18 2000 <br /> SAN JOAQUIN Cv�J'� <br /> PUBLIC HEALTH SE"CE5 <br /> ENVIRONMENTAL HEALTH DIVISIOtd <br /> 5255.rpt <br />