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Page 1 <br /> 6A%t JOAQUIN COUNTY PUBLIC H' LTH SERVICES �.J <br /> ENVIRONMENTAL HEALTH DIV19�..tN <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0016930 <br /> 5-1 <br /> LMMMMMMMOMEM <br /> Facility I FA0009930 <br /> Date Printed 4/25/00 <br /> LMOMMMMMMMJ <br /> <br /> <br /> <br /> OWNER: BOB R ANDERSEN <br /> Health <br /> Date Program Description - His Employee P.moont <br /> Invoice f ING070496—Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 4119/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 0 <br /> TOTAL DUE this Billing Period $110.90 <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 /> atthe Rate of 100%ofthe Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days atter the Invoice Date and each 30 thereafter <br /> IJA-f IN9r-P4 1 <br /> r,r_CEI%'E7 <br /> jffi 9 20 <br /> :'AN JOAQUIN CCUIG:Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />