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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF <br /> 3U4 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountID AR0000195 <br /> Facility ID FFA0000196 <br /> Date Printed 7/26/2004 <br /> LODI USD-TOKAY HIGH SCHOOL RE : LODI USD-TOKAY HIGH SCHOOL <br /> 1305 E VINE ST 1111 CENTURY BLVD <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : LODI UNIFIED SCHOOL DIST <br /> Date Health Amount <br /> Proaram Description <br /> Invoice# IN0121617—Date of Invoice: 6/1012004 IIIIIIIIIIIIIIIIIVIII IIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIII VIII IIIIIIIIII VIII IIIA/// <br /> $ 200.00 <br /> 6/10/2004 2220 SM HW GEN<5 TONS/YR <br /> Total for this Invoice $ 200.00 <br /> Payment Due Date 712412004 <br /> TOTAL DUE this Billing Period <br /> SECON- 7:CE- <br /> PAYMENT J <br /> l <br /> RECEIVED <br /> AUG 2 3 2004 <br /> SANJOAQUIN <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT Q - --- - <br /> Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will b added to all Permit Fees For I Fees <br /> For all SERVICE FEES <br /> at the Rate off 100%of the Base Fee Penalties will be be added <br /> at at the Rate of 10% Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255 rpt <br />