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S'AN JOAOUIN COUNTY PUBLIC) LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVI ON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 REUIVET FEB 21/ 2001 <br /> INVOICE AccountiD AR0016152 <br /> FA0009152 <br /> Facility ID <br /> Date Printed 1/31/01 <br /> JUN JAMOSMOS RE : ASSOCIATED TRACTOR SVC INC <br /> ASSOCIATED TRACTOR SVC INC 1323 W CHARTER WAY <br /> 1323 W CHARTER WAY STOCKTON CA 952061120 <br /> STOCKTON CA 95206 11 OWNER: TOM BENTZ <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079685--Date of Invoice: 1130/01 <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 Invoice $110.00 <br /> Payment Due Date42/2001 <br /> TOTAL DUE this Billing Period0.00 <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 andeach 30 thereafter <br /> RnYMENT <br /> RECEIVED <br /> MAR 0 12001 <br /> ;nN Jo-Aa-'!N COUNTY <br /> III sRVicts <br /> eavr:;o;m+a;ra1 HSM III DIVISION <br /> 5255.rpt <br />