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SA -JOAQUIN COUNTY ENVIRON TAL HEALTH DEPARTMENT Page 1 <br /> • 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0017090 rv" <br /> ^�-10090 <br /> Facility ID FA00 <br /> Date Printed 3/28/2002 <br /> PATRICK HOLLINGSWORTH RE : AAA MACHINE <br /> AAA MACHINE 121 E LINDSAY ST <br /> PO BOX 997 STOCKTON CA 95202 20 <br /> STOCKTON CA 95201 <br /> OWNER: PATRICK HOLLINGSWORTH <br /> Health <br /> Date Program Description Hrs Empioyee Amount <br /> Invoice# IN0091631 ---Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YR $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date 3/7/2002,'-, <br /> TOTAL DUE this Billing Period $217.50 <br /> Please make Checks PAYABLE to: EHD / 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%of the 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 /> PAST DUE <br /> WE WOULD APtMECIATE YOUR <br /> PAYMENT TODAY! <br /> PAYMENT <br /> REC5IVED <br /> APR 12 2002 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENIIAL HEAITH OIVISIUP <br /> 5255.rpt <br />