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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVI40 � Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0016797 <br /> Lommmmmmmma <br /> Facility ID FA0009797 <br /> Date Printed4/25/00 <br /> DAVID BEADLES RE: SJC PARKS-OAK GROVE PARK <br /> SJC PARKS-OAK GROVE PARK 4520 W EIGHT MILE RD <br /> 11793N MICKE GROVE RD LODI CA 95240 <br /> LODI CA 95240 <br /> OWNER: SAN JOAQUIN COUNTY <br /> Health <br /> Date Program Description His Employee Amount <br /> Invoice# IN0070393--Date of Invoice: 4/19100 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 512 <br /> Ff0-TAL DUE this Billing Period $110.0 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will he added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%ofthe 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 /> ECEV41ED <br /> MAY 222000 <br /> SAN JOAQUIN"-VN fy <br /> pUSUC HEALTH SERVICES <br /> ENVIRONMENTAL 14EALTH DNISION <br /> 5255.rpt <br />