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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 15255 <br /> �ENVIiRO1VM,ENT,AL HEALTH DIVIS N 5ta'. ent Printed : 05J20/99 <br /> 304 E bSEl3ER AVENUE — 3RD FbOR <br /> AccounSTOCKTting <br /> CA 95202 <br /> Accounting Office : 209 468-3420 ll�� <br /> r_ r-k c3. re <br /> �.3 <br /> TO : PACIFIC COAST PRODUCERS <br /> PO BOX 880 Account # 0016914—p <br /> LOD1 , CA 95241 _ 4 <br /> ATTN : BRAD OBER Facility ID 009914 <br /> RE : PACIFIC COAST PRODUCERS <br /> 631 N CLUFF AVE , <br /> LODI <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> FService Activity <br /> Date Description Hrs Employee Amount <br /> Invoice 0 057065 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> ------------------------------------- <br /> Total for this invoice: $18.50 <br /> If this INVOICE has been Paid, Please Disregard this Notice Payment DUE DATE 06/20/99 <br /> Invoice <br /> Invoice t 059253 -- Date of Invoice : 05/18/99 -7// HRq LVA <br /> "'t V� �u w $1-e0. 00 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> -------------------------------------- <br /> Total for this invoice : $110 . 00 <br /> Payment DUE DATE 06/20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice / / // 1#/D i <br /> - %j 'r/14c- is HOT A. Na-zt'Oour <br /> Gva.rtc gette.-'do^. dere re/.v. /t <br /> /cffe�- -{ov e,rjd�a,a��tkl , <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of lit 61 days <br /> at the rate of lift of the Base Fee 30 past invoice date and each 31 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period : --$3:2-S-.G6 <br /> Please make Checks PAYABLE to : PHS/EHD <br /> RECEIVED <br /> JUN 2 incl <br /> Ans'd.......... <br />