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SAN JOAOUINCOUNTY <br /> ENVIRONMENTAL BlEALTHDEPARTMENT Page 1 <br /> 304 E WEBER AVE-3RD FLOOR RECEIVED <br /> STOCKTON. CA 95202 MIL DEPT. C 9 S T_A P <br /> Phone: 209-468-3420 02 FEB 20 <br /> Am B: 06 <br /> INVOICE <br /> Account 10 AR0004471 <br /> Facility ID FA0002722 <br /> Date Printed 2/5/2002 <br /> ST OF CA OFF OF THE ADJ GEN - RE: OMS#24 STATE MILITARY DEPT <br /> OMS#24 STATE MILITARY DEPT 8010 S AIRPORT WY <br /> PO BOX 269101 STOCKTON CA 95206 <br /> SACRAMENTO CA 95826-9101 <br /> OWNER: STATE MILITARY DEPARTMENT <br /> Health <br /> Dale Program Description Hr* Employee <br /> Amount <br /> Invoice IN00904!!-+Date of Invoice. 112212002 <br /> 1/22/1002 2227 GEN 5<25 TONS PERMIT <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $1,568.00 <br /> $17.50 <br /> Total for this Invoice $1,585.50 <br /> Payment Due Date 317!2002 <br /> TOTAL DUE this Billing Period $1;585.50 <br /> Please make Checks PAYABLE to: EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> ?AYMEN : <br /> RECEIVED <br /> MAR 6 2002 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAi.HEALTH DIV1510N <br /> 5255.rpt <br />