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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEP <br /> � • age 1 <br /> 304 F;WrzBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016284 <br /> LMNOEMMMMMMEMA <br /> Facility ID F FA0009284 <br /> LMEMMMMMMMEME <br /> Date Printed 2/27/2003 <br /> POLY PROCESSING CO RE : POLY PROCESSING CO <br /> P.O. BOX 4150 8055 S ASH ST <br /> MONROE, LA 71211-4150 FRENCH CAMP, CA 95231 <br /> OWNER : ABELL CORP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103397--Date of Invoice: 2127/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 390.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 607.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ &07.50 <br /> PAYMENT <br /> RECEIVED <br /> MAR 1 7 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <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 Days thereafter <br /> 5255.rpt <br />