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SAN JOAOUIN COUNTY PUBLIALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON. CA 95202 <br />209468-3420 <br />INVOICE <br /> <br /> <br /> <br /> <br />0 Page 1 <br />AccountlD AR0016604 <br />FA0009604 <br />Facility ID LummmmmommmJ <br />Date Printed 1/31/01 <br />RE: STOCKTON GOLF & COUNTRY CLUB <br />3800 W COUNTRY CLUB BLVD <br />STOCKTON CA 95204 20 <br />OWNER: STKN GOLF & COUNTRY CLUB <br />Health <br />Cate Progrcm Description Hrs Employee Amount <br />Invoice # IN0079990 --- Date of Invoice : vsului <br />1/30/2001 2220 SM HW GEN <5 TONS/YR $100.00 <br />1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br />Total for this Invoice $110.00 <br />Payment Due Date 3 <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% 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 />PAYMENT <br />RECEIVED <br />FEB 1 2 2001 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />5255.rpt <br />