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SAN JOAOUIN COUNTY PUBLIC 'ALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIS "iON Page 1 <br /> \d <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE AccountlD AR0016453 <br /> FA0009453 <br /> Facility ID <br /> Date Printed 1/31/01 <br /> ROBERT M CROW WM H CROW JR RE : STOCKTON ARMATURE&MOTOR <br /> STOCKTON ARMATURE&MOTOR WRKS 646 S CALIFORNIA ST <br /> 646 S CALIFORNIA ST STOCKTON CA 952033705 <br /> STOCKTON CA 952033705 <br /> OWNER: ROBERT M CROW, WM H CROW JR <br /> Health <br /> Date -Program Desanptlon - - --- ----- - — --- — - <br /> F` - Employee Amount <br /> Invoice# IN0079891 --Date of Invoice: 1/30/01 <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 Invoicel $110.00 <br /> Payment Due Date 3/2/2001 <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 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 /> FEB 0 8 2001 <br /> ENVIRONMENT HEALTH <br /> PERMIT/SERVICES <br /> 5255.rpt <br />