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SIN JOAQUIN COUNTY PUBLIC IMTH SERVICES � Page 1 <br /> ENVIRONMENTAL HEALTH DIVI <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 RECEIVED <br /> 209-468-3420 <br /> MAY 18 2000 <br /> INVOICE TAX DEPTAccount1 AR001671— <br /> LMOMEMMMMEMMIll <br /> Facility I FA000B781 <br /> Date Printed 4/25/00 <br /> 3E COMPANY RE: HOMEBASE#33 <br /> HOMEBASE#33 1880 E HAMMER LN <br /> 3345 MICHELSON DR <br /> IRVINE CA 92715 OWNER: HOMEBASE <br /> Health <br /> Date Ptogram Descripiicn �. s Employee Amount. <br /> Invoice# IN0070382--Date of Invoice: 4119100 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4119/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 110.00 <br /> Total for this Invoice 1110.00 <br /> Payment Due Date 5125/2000 <br /> TOTAL DUE this Billing Period $170.00 <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 /> Penalties will be added at the Rate of 10% <br /> at the Rate of 100%of the Base Fee <br /> 30 Days alter the Due Date 60 Days atter the Invoice Date and each 30 thereafter <br /> RECEIVED <br /> MAy 26Zo <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIFtONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />