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SAN JOAOUIN COUNTY PUBLIC.,_ LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE Account ID FA—ROO17429 <br /> FA0010429 <br /> Facility ID Lameappeemasesweill <br /> Date Printed 211101 <br /> LMMMOMMMMMMA <br /> ANDREW SALMERON JR RE : DOUBLE A TRUCK&TRAILER SVC <br /> DOUBLE A TRUCK&TRAILER SVC 1675 W CHARTER WAY#D <br /> PO BOX 7310 STOCKTON CA 95206 20 <br /> STOCKTON CA 95267 OWNER: ANDREW SALMERON SR <br /> Health <br /> Date _ Program Description Hrs Employee Amount <br /> Invoice# IN0080666—Date of Invoice: 1130101 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1130/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 3/3 <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 /> 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 thareaRer <br /> PAYMENT <br /> RECEIVED <br /> FEeaL; 2001 <br /> SAN JOAOW!`!COUNTY <br /> PUi+I Ir HF"I T9'•EHVKFS <br /> 5255.rpt <br />