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SAN JOAQUIN COUNTY PUW I LTH SERVICES • Page 1 <br /> ENVIRONMENTAL HEALT VIIWN <br /> 3044E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID ARoo,sza7 <br /> Facility ID FA0009287 <br /> LUNNNNINNINNOMMill <br /> Date Printed4/25/00 <br /> LOOMMOMMMMMMA <br /> EDWARD NIEMANN RE: NORTH STOCKTON AUTO SVC INC <br /> NORTH STOCKTON AUTO SVC INC 8709 N DAVIS RD <br /> 8709 N DAVIS RD STOCKTON CA 95209 <br /> STOCKTON CA 95209 OWNER: EDWARD NIEMAN <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0070058---Date of Invoice: 4119/00 <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 5/25/2000 <br /> TOTAL DUE this Billing Periodh $110.00 <br /> Please make Checks PAYABLE to: PHS/ERD / 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%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 /> IJA'4 ia`..._,t <br /> RECEIVEC) <br /> APR 28 2000 <br /> SAN JOAQUIN CUJNTI <br /> PUBUC HEALTH SERVICES <br /> ENVIRONMENTAL.HEALTH DiVtSION <br /> 5255.rpt <br />