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IOACIUIN COUNTY PUBLIC HEALTH SERVICe.s St"* ement Printed : 05/20 /99 <br /> - rrdIRONMar A HEALTH DIVti�ION <br /> 304 E WEBER AVENUE — 3RD '%.O'�OOR <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> TO : KUSTOM KURVES AUTO BODY & PAIN Account # 0016370 _ <br /> 4 N HOUSTON LN --.-- <br /> LODI , CA 95240 24 --- <br /> AFacility ID 009370 <br /> TTN : GENE WAGNER <br /> RE : KUSTOM KURVES AUTO BODY & PAINT <br /> - <br /> .^V.-LODI <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Hr's Employee Amount <br /> :Da:te Description - <br /> Invoice 11 056581 -- Date of Invoice : 05/18/99 $1 50 <br /> 05 /18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total for------------------------- — <br /> this+invoice:— — 518 .5 <br /> Payment DUE DATE 06 9 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> Invoice # 058731 -- Date of Invoice: 05/18/99 $L_00 . 00 <br /> 05/18 /99 2220 SM HW GEN (5 TONS/YR <br /> 05/18 /99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $1 . 00 <br /> Total for this invoice :— $110 .0 <br /> Payment DUE DATE 20 9 <br /> If this INVOICE has been Paid., Please Disregard this Notice <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of lit 61 days <br /> at the rate of 1113 of the Base Fee 31 past invoice date and each 31 days \ <br /> days after the due date, thereafter. \� <br /> TOTAL DUE this Billing Period : $1285 <br /> Please make Checks PAYABLE to : PHS/EHD <br /> JUN 181mu <br /> .ti:n td CtiUN7Y <br /> rUulJ'L.It tAU H SEkVrCk3 <br /> ENw1RGNMENTAL HE4LTH3Vf510N <br />