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` Page 1 <br /> v <br /> SAN JOAQUIN COUNTPUBLIC HEALTH SERVICES <br /> E]YVIRONMENTAL HEALTH DIVII V <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I ARoo,sola <br /> Facility IJ FA0009078 <br /> Date Print 4/25/00 <br /> CURTIS FREIH RE: FREIH'S AUTO REPAIR <br /> FREIH'S AUTO REPAIR 916 BLACK DIAMOND WAY#B <br /> 916 BLACK DIAMOND WAY#B LODI CA 95240 <br /> LODI CA 95240 OWNER: CURTISFREIH <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice A IN0069913--Date ottrvoTCe-: 4f19/00 - - -- - - - -- - <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 6/2512000 <br /> TOTAL DUE this Billing Period I170.00 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be addedto all Permit Fees For all SERVICE FEES <br /> atthe Rate of 100%ofthe 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 /> RECEIVER <br /> May 2 6 aqo <br /> SAN JOA:IUIN COUNTY <br /> RUBL. VI <br /> J I H SERCES <br /> ENVIRONk,rt_A]_HE JITH DIVISIOP <br /> 5255.rpt <br />