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SAN JOAQUIN COUNTY PUBLIC HE TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISIbK "1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-4693420 <br /> INVOICE Account I AR0017934 <br /> Facility I FA0010934 <br /> Date Printe 4/25/00 <br /> LVEMMMMMOMMOMA <br /> <br /> <br /> <br /> OWNER: PAUL WONDRIES <br /> Health _ _— ---- - <br /> Date Pmgrarrr- --Description- -- -- ---- ---- -- - -- - Hm Employee Amount <br /> Invoice# IN0071321 —Date of Invoice: 4/19100 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4159/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date5/ 200 <br /> rTOTAL DUE this Billing Period 110.00 <br /> Please make Checks PAYABLE to: PHS/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%orthe 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 /> FU IT <br /> jlC HEN-TMSERVICES <br /> ENVIflONMENTN.HEALTH ONISIOIJ <br /> 5255.rpt <br />