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SA!` 3OAQUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIS.4 .� <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account! AR0016040 <br /> Facility I FA0009040 <br /> Date Printed 4/25/00 <br /> DENNIS CUNNINGTON RE: BIG O TIRES #30 <br /> BIG O TIRES 302 N CHEROKEE LN <br /> 302 N CHEROKEE LN LODI CA 95240 <br /> LODI CA 95240 OWNER: DENNIS CUNNINGTON <br /> Health <br /> Hrs Employee Amount <br /> Date Program Description <br /> invoice# IN0069587---Date oftnrolce: 4119100 <br /> 4/19/2000 2220 SM HW $10.00 <br /> GEN<5 TONS/YR $ <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 5125/2000 <br /> TOTAL DUE this Billing Period 110.00 <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%ofthe 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 thereafter <br /> 7. <br /> PE EIVErI <br /> MAY -l gip' <br /> 'N JO/XNU11LI..y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />