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SAN JOAOUIN COUNTY <br /> Page <br /> (� Pe 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT }� (Iv � � �R (� .. <br /> 304 E WEBER AVE-3RD FLOOR LC <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> FEB 12 2002 - <br /> D . ;� INVOICE Account ID AR0003405 <br /> AAn <br /> � �u; MGR. VMF <br /> MR I 220 U Facility ID FA0003818 <br /> Date Printed 2/5/2002 <br /> ACCOUNTS PAYA-.. <br /> IYOML SERVICE/CO VMF RE: US POSTAL SERVICE <br /> U S POSTAL SERVICE 3131 E ARCH RD <br /> 3131 E ARCH RD STOCKTON CA 95206 <br /> STOCKTON CA 95213-9890 <br /> OWNER: UNITED STATES POSTAL SERVICE <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0090488--Date of Invoice: 1/22/2002 <br /> 1/22/2002 2227 GEN 5Q5 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 3/7/2002 <br /> TOTAL DUE this Billing Period $1,585.50 <br /> Please make Checks PAYABLE to: EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> Ge tflat the Ods Or 9efvil e5 des(xibed have been <br /> ,ecce and t cc and nmnerfor <br /> DaMeM <br /> number <br /> Printed or typed name and tide <br /> . =fir x �WllryCn --1/ <br /> Postal way <br /> �=� <br /> Finance number ���. . 5 <br /> Account number •_ . <br /> Order or contract number­. V00 <br /> AJC(oc2d payments) <br /> Date goods or services reodNed <br /> �l <br /> Date certified for payment •02 RA`(MEN T <br /> =i VEG <br /> Date invoice received <br /> TIN: EIN or SSN_ ' — 5 WAR 19 � Q� <br /> IRS 1099 YES NO <br /> SAN UIN I;oUNTti <br /> PU°LIC IC FIE FIEALTN SEP\'!CCS <br /> Tod$ HEALTHD0J00f; <br /> 5255.rpt <br />