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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVI�N <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0017485 <br /> LWMMWMWMEMMj <br /> Facility ID FA0010485 <br /> LINMEWMENNEMENJ <br /> Date Printed4/25/00 <br /> CASSIE ALLEN RE: REPORT RADIATOR <br /> REPORT RADIATOR 2817 CHERRYLAND AVE#13 <br /> PO BOX 5475 STOCKTON CA 95215 <br /> STOCKTON CA 95215 <br /> OWNER: HAROLD ALLEN <br /> Health <br /> _ --- - -_ate Program Description — —Hrs Employee Amount <br /> Invoice# IN0070952—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 5/251 0 <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 /> Pen ties 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 thereafter <br /> PECEIVE111 <br /> MAY - 12= <br /> ^N JW)L 14 f <br /> PUBLIC HEALTH SERVICES <br /> ENVIF.ONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />