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SAN,jOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> EN'. NMENTAL HEALTH DIVIS Page 1 <br /> 3+04 b%VEBER AVE-3RD FLOOR Ift./ <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I ARo0166b0 <br /> Facility I FA0009680 <br /> Date Printed 6/2/00 <br /> IMMMUMMOMMUMOM <br /> ROBERT D GOSSARD RE: PG&E MANTECA SUBSTATION <br /> PG&E 246 ELM AVE <br /> 2730 GATEWAY OAKS DR MANTECA CA 95336 20 <br /> SACRAMENTO CA 95833 <br /> OWNER: PG&E <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0070301 ---Date of Invoice: 4/19100 <br /> 6/1/2000 9999 PAYMENT -$10.00 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $100.00 <br /> Payment Due Date 7/2/2000 <br /> TOTAL DUE this Billing Periodl $100.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Pemdt Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate o(10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> 5255.tpt <br />