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SAI4'JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEP 'MENT <br /> 304 E WEBER AVE-3RD FLOOR v �` <br /> STOCKTON. CA 95202 <br /> Phone: 209468-3420 <br /> INVOICE Account ID AR0017511 <br /> LMMEMEEMMMMM <br /> Facility ID I FA0010511 <br /> LMMMMMOMMMA <br /> Date Printed 4/9/2002 <br /> DERREL HOUDASHELT RE : UNIVERSITY OF THE PACIFIC-PHARM <br /> UNIVERSITY OF THE PACIFIC-PHARMAC 751 W BROOKSIDE RD <br /> 3601 PACIFIC AVE <br /> STOCKTON CA 95204 STOCKTON CA 95211 20 <br /> OWNER: UNIVERSITY OF PACIFIC <br /> Heahh <br /> Data Program Description Hm Employee D Yee Artpunt <br /> Invoice# IN0091965—Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNR $200.00 <br /> Total for this lnvolee $217.50 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period $21 0 <br /> Please make Checks PAYABLE to: 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 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 /> PAYMENT <br /> RECEIVED <br /> APR 92002 <br /> SAN JOAQUIN COUNT r <br /> PUBLIC HEALTH SERVIU, <br /> ENVIRONMENVI-11' Th,1`1 <br /> 5255rpt <br />