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SANJOAOUIN COUNTY `� Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209468-3420 <br /> INVOICE Account ID AR0022732 <br /> Facility ID FFA070135987i <br /> Dale Printed 216/2002 <br /> BUDDY MOATS RE: MOATS,BUDDY <br /> MOATS,BUDDY 1102 BLACK DIAMOND <br /> 1102 BLACK DIAMOND LODI CA 95240 <br /> LODI CA 95240 OWNER: MOATS,BUDDY <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0092613—Date of Invoice: 1[2212002 <br /> 1122/2002 2220 SM HW GEN<5 TONS/YF $200.00 <br /> 1/2212002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> Total for this Invoice $217.50 <br /> Payment Due Date 02 <br /> TOTAL DUE this Billing Period $217.50 <br /> Please make Checks PAYABLE to: ERD / Return a Copy of This STATEMENT with Your PAYME <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 /> 1 EB,2 2002 <br /> ,ri��a�ulri coi.IN I v <br /> 5255.rpt <br />