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SAIF JOAQUIN COUNTY PUBLIC HjILLTH SERVICES Page 1 <br /> a ENVIRONMENTAL HEALTH DIVI <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> unt I AR0017971 <br /> Facility I FA0010971 <br /> Date Printed(-"a/Z5/00 <br /> MMENNUMMA <br /> RE: ALEXANDER'S QUICK LUBE <br /> ALEXANDER'S QUICK LUBE 808 S CHEROKEE LN <br /> 808 S CHEROKEE LN LODI CA 95240 <br /> LODI CA 95240 <br /> OWNER: LESLIE ALEXANDER <br /> Health <br /> Uate Program Uescnptlon Hrs Employee Amount <br /> Invoice# IN0071353--Date of Invoice: 4119/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 5/25/2000 <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 /> �IG-QaQa CCV L{.d <br /> MAY 10 M <br /> SAN JOAQUIN C:OuNI'f <br /> PUBLIC gE.ALTH SERVICES <br /> ENVIRONMFE jT 'I.t-lEALSF:IY1(!ShC'N <br /> 5255.rpt <br />