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• SAN JOAOUIN COUNTY PUBLICOALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOKE AccountlD AR0017994 <br /> FA0010994 <br /> Facility ID <br /> Date Printed F 2/1/01 <br /> BRET DEBERRY RE : B&B TIRE& SERVICE <br /> B&B TIRE&SERVICE 600 W LOCKEFORD ST <br /> 600 W LOCKEFORD ST LODI CA 95240 20 <br /> LODI CA 95240 <br /> OWNER: L BRET DEBERRY <br /> Health <br /> FDate Program Description Hrs Employee Amount <br /> Invoice# IN0081127---Date of Invoice : 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date "MO-01-1 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAY WE T <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 /> PAYMENT <br /> RECD,' /=O <br /> MAR 0j % (i i <br /> SAN Jorc;, - l;,iTY <br /> PUBLIC HE. <br /> �,..�rnipAENTNI re... <br /> 5255.rpt <br />