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SAN 30AQUIN COUNTY PUBLIC N' `LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVI�N <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account IDTWI 453 <br /> FA000g453 <br /> Facility ID <br /> Date Printed2/16/01 <br /> LEMEMMENNIMMEMIJ <br /> TRACY MILLER RE : DELTA STOCKTON PUMP <br /> DELTA STOCKTON PUMP 646 S CALIFORNIA ST <br /> 646 S CALIFORNIA ST STOCKTON CA 952033705 <br /> STOCKTON CA 952033705 <br /> OWNER; MILLER,TRACY <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079891 —Date of Invoice: 1/30/01 <br /> 1130/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> r Total forth Invoice 10.00 <br /> Payment Due Date 3/2!2001 <br /> TOTAL DUE this Billing Period 10.00 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penaltieswill 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 Dale 60 Days afterthe Invoice Date and each 30 thereafter <br /> 5255.rpt �... <br />