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Skm JOAQUIN COUNTY PUBLIC H�TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIS M <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account) AR0016284 <br /> Facility ID LMMOMOMEMMOca <br /> FA000g284 <br /> Date Printed 4/25/00 <br /> MARSHALL LAMPSON <br /> RE: POLY PROCESSING CO <br /> 8055 S ASH ST <br /> POLY PROCESSING CO FRENCH CAMP CA 95231 <br /> PO BOX 80 <br /> FRENCH CAMP CA 95231 OWNER: ABELL CORP <br /> Health Hrs Employee Amount <br /> Date Program Description <br /> ------------------------ <br /> Invoice# IN0070056-Date of invoice: 4119100 <br /> $100.00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSIYR $10.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE Total for this Invoice $110.00 <br /> Payment Due Date 5125/2000 <br /> TOTAL DUE this Billing Period $110.0 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> Penalties will lte added to all Permit Fees Penalties will be added at the Rate of 10% <br /> at the Rate of 100%ofthe Base Fee 60 Days atter the Invoice Date and each 30 thereafter <br /> 30 Days after the Due Date <br /> PAYMENT <br /> RECEIVED <br /> JUN 13 2000 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERNCES <br /> ENVIRONMENTAL HEALTH ONISION__-.... <br /> e jh�E6 <br /> 5255.rpt <br />