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SAN JOAOUIN COUNTY 0 0 Pagel <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID AR000s7aa <br /> Facility ID FA0005287 <br /> Date Printed 2/5/2002 <br /> DAVID M SMITH RE: HERMAN&HELENS MARINA* <br /> BERMAN&HELENS MARINA* 15135 W EIGHT MILE RD <br /> VENICE ISLAND FERRY STOCKTON CA 95209 <br /> STOCKTON CA 95209 OWNER: SMITK ANDREW <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0090838—Date of Invoice: 112212002 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNF $200.00 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> Total for this Invoicel $217.50 <br /> Payment Due Date 3 <br /> TOTAL DUE this Billing Period $217.50 <br /> Please make Checks PAYABLE to: 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 /> Av <br /> 5255.rpf <br />