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a <br />AQUIN COLUCNT11 {PUBLIC HE&H SERVICES <br />FVJ;RONMENTAL HEALTH DIVISICW <br />'.PO4% WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />209-468-3420 <br />DONNA MURPHY <br />JR SIMPLOT CO <br />PO BOX 198 <br />LATHROP CA 95330 <br />Health <br />Date Program Description <br />Invoice # IN0069233 --- Date of Invoice : 4119/00 <br />INVOICE <br />Page 1 <br />Account ]D=00= <br />Facility ID FA0000187 <br />Date Printed 4/24100 <br />RE: JR SIMPLOT CO <br />16777 HOWLAND RD <br />OWNER: JR SIMPLOT CO <br />Hrs Employee <br />Amount <br />4/19/2000 2228 GEN 2550 TONS PERMIT $1,600.00 <br />4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br />Total for this Involicel $1,610.00 <br />Payment Due Date 5124/2000 <br />TOTAL DUE this Billing Period 1,610.00 <br />Please make Checks PAYABLE to: PHSIEHDReturn a Copy of This STATEMENT with Your PAYMEN-T <br />atthe Rate of 100%ofthe Base fee <br />30 Days after the Due Date <br />ror ail :ShKv it,n r rsrra <br />Penalties will be added at the Rate of 10% <br />60 Days after the Invoice Date and each 30 thereafter <br />( d <br />�q'qjbop� <br />DATE SUBMITTED `� % INVOICE# <br />PO# / CII'# VENDOR# <br />❑ DISCOUNT ❑ TAX EXEMPT ❑ SPECIAL HANDLING (Attach Sheet) <br />LEDGER ACCT- COST CENTER SUB -LEDGER AMOUNT <br />��� Ofil��� - �� y9�D6 /GiD •4� I <br />IP <br />LPAI L/Q•� D BY ^_ � <br />5255. rpt <br />PAYM.EW. <br />Pr-CEVVED <br />MAY <br />SAN JOAQUIN COUNTY <br />R' ID;;r.! :!E UH SERVICES <br />ENAHON�IENTI{L HEALTH DIVISION <br />