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SAN JOAOUIN COUNTY PUBLI :ALTH SERVICES Page 1 <br /> ENVIROYARNTAL HEALTH DIVTOON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE Account ID AR0017428 <br /> FA0010428 <br /> FEBFacility ID <br /> B 3 2�� Date Printed 2/1/01 <br /> LOMMMMOMMMMA <br /> ACCOUNTS PAYABLE RE : IRIS USA INC <br /> IRIS USA INC 3021 BOEING WAY <br /> 1111180TH AVE STOCKTON CA 95206 20 <br /> PLEASANT PRAIRI WI 53158 OWNER: IRIS OHYAMA CORP <br /> Health <br /> Dete Program Description Hrs Employee Amount <br /> Invoice# IN0080665—Date of invoice: 1/30101 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 120 1 <br /> TOTAL 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%of the Base Fee Penal ties 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 /> moo- 11 <br /> ; <br /> _20 <br /> C-) e� <br /> MAR 0 5 2001 <br /> 5255.rpf <br />