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SAN JOAQUIN COUNTY PUBLIC F"ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVI,,�N 1"014 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0016046 <br /> Facility I FA0009046 <br /> LMMMEMMUMMEN <br /> Date Printed 4/25/00 <br /> FRANK BROCKMAN RE: CALIFORNIA RADIATOR WORKS <br /> CALIFORNIA RADIATOR WORKS 328 S CALIFORNIA ST <br /> 328 S CALIFORNIA ST STOCKTON CA 95203 <br /> STOCKTON CA 95203 35 <br /> OWNER: FRANK BROCKMAN <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069891 —Date of Invoice: 469100 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $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 5/2 00 <br /> TOTAL DUE this Billing Period 110.00 <br /> Please make Checks PAYABLE to : PHS/EHD / Returns Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to 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 /> �IpY �12U60 <br /> SAN JOAOUtN COUNTY <br /> PUEIJC 4FAl.rR SEQVICFS <br /> ENVPUPUG.N�A` HF%�f"DIVV.,iOF` <br /> 5255.rpt <br />