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SAN JOAQUIN COUNTY PUBLIC Hv '-TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIS,,,., \J <br /> 304 E WEBER AVE-3RD FLOOR 6 PR 2 ! 20 <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0017258 <br /> Facility 14 FA0010258 <br /> Date Printedq/25/00 <br /> RAY BORGES RE: TRACY DIESEL ELECTRIC <br /> TRACY DIESEL ELECTRIC 23755 S CHRISMAN RD <br /> 23755 S CHRISMAN RD TRACY CA 95376 <br /> TRACY CA 95376 OWNER: RAY BORGES <br /> Health <br /> .Date Program Description _ - - — — - ---_HM_ _ Fmpinynva, _ _ _ Amount <br /> Invoice# IN0070773—Date of Invoice: 4/19/00 <br /> 4/192000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/192000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice s110.00 <br /> Payment Due Date 5125/2000 <br /> TOTAL DUE this Billing Period 170. <br /> Please make Checks PAYABLE to: PHS/EHD / Returns Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEE <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days atter the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMEAtli <br /> RECEIVED <br /> MAY 192000 <br /> SAN JOAQUIN COON i Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL.HEALTH OMSimi <br /> 5255.rpt <br />