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SATI JOAQUIN COUNTY PUBLIC ,LALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIMN <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0017994 <br /> Facility ID FA0010994 <br /> LNWWWWOOMMMMIR <br /> Date Printed4/25/00 <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 <br /> LODI CA 95240 <br /> OWNER: L BRET DEBERRY <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0071373—Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 5/2512000 <br /> TOTAL DUE this Billing Period $110.00 <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 /> atthe Rate of 100%ofthe 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 /> RECEIVED <br /> MAY 1820p <br /> SAN JOAQUIN COUNTY <br /> ENVIPUBLIC RONMENTAL HEALTHDITH VSION <br /> 5255.rpt <br />