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A OU I N r!T1 Purr HIALT'1 _ 1R Irz': <br /> P <br /> A;'EhJ1IF ?PD 1 ;00 • - _ <br /> rtting O'ffic_ : 209 462-3420 + - <br /> i <br /> N', <br /> tz,V czY, <br /> 3. TDMA " �E+�R i Rucrzni� <br /> — v.— <br /> 5'100 W HlJY 12 [A000unt i" 0611094 <br /> ' 'LODI , CA 95242 <br /> ATTR : FibBERT FOW ER Fac i�T tyF r7 007383 <br /> --.RE,c, FDR—ER A-L EGR€- TPt1CKTNG- T.Ne - <br /> 802 f? CLUFF AVE <br /> LODI <br /> COPY,of JH <br /> IS .STATE"ENT with YOUR PAYBERT <br /> ner ice Activity <br /> Cate Description H'_ ._. Employee Amount <br /> Invoice # 040680 -- Date of Invoice : 07 /29/97 <br /> 05/_02/91 2510 CONSULTATIOr? — 170 P!?LEY *,70 . 10 <br /> 06/09/97 2510 OT Cor?SULTATICN ( 1 HR 11 TNl . 0 FO !..FV i117 . C.0 <br /> 06/09/97 2510 COr;SULTATI0t1 0 ?624 . 00. <br /> , ,. 6r12S x107 2510 C'0.1*4 T!J CT"A TT.O r' ` �i F ,, <br /> Total- for this invoice : $936 . 0 <br /> Payment DUE DATE 31/9 <br /> If this INVOICE has been Paid, Please Oicregard th;s !?itise <br /> PAYMENT <br /> RECEIVED <br /> SEP 21997 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits -be "kdd_at the rate of IOY 60 days <br /> at the rate of 100E of the ease Fee 3e past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period : $936 . 00 <br /> Please make Checks PAYABLE to : PHS/END <br />