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SAN JOAOUIN COUNTY PUBLIC HE#SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISI <br /> 304 E WEBER AVE-3RD FLOOR <br /> ST209468-3420. CA 95202 <br /> 2950 <br /> INVOICE Account I AR0019685 <br /> Facility OFFA0012215 <br /> Date Printed 1/20/00 <br /> RE : C DE GROOT&SONS <br /> C DE GROOT&SONS 14253 S AIRPORT WAY— r(\ rJTE—CA <br /> 908 RUBY CT RIPON CA 95336 <br /> RIPON CA 95336 OWNER : DE GROOT,JERRY <br /> Health <br /> Dale Program Description Hrs Employee Amount <br /> Invoice# IN0065616—Date of Invoice: 1119/99 <br /> 11/2/1999 2950 312 CONSULTATION 0.2 INFURNA $15.60 <br /> 11/4/1999 2950 315 REPORT REVIEW 1.7 INFURNA $132.60 <br /> 11/5/1999 2950 310 FIELD CONSULT 1.3 INFURNA $101.40 <br /> 1118/1999 9999 PAYMENT -$234.00 <br /> Total for this Invoice $15.60 <br /> Payment Due Date 21191 0 <br /> TOTAL DUE this Billing Period $15.6 <br /> Please make Checks PAYABLE to: PHS/EIID / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties All be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties All be added at the Rate of 10 <br /> 30 Davi a8erthe Due Date 60 Days after the Invoice Datrand rash 30 thereafter <br /> PAVMCIV I <br /> RECEIVED <br /> FEB 18 2000 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpf • <br />