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0 <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account) AR0004273 <br /> Facility I FA0004532 <br /> Date Prinle 6/22/00 <br /> RE: KEARNEYNATIONAL(FORM.KEARNE <br /> KEARNEY NATIONAL(FORM.KEARNEY KI 1624 E ALPINE AVE <br /> 108 CORPORATE PARK DR STE 114 STOCKTON CA 95205 <br /> WHITE PLAINS NY 106043805 OWNER: KEARNEY NATIONAL INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0074246---Date of Invoice: 6121/00 <br /> 5/15/2000 2960 315 REPORT REVIEW 1.0 KNOLL $78.00 <br /> III Total for this Invoice $78.00 <br /> Payment Due Date 7122/2000 <br /> TOTAL DUE this Billing Period $78.00 <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 /> 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 /> F9Ffi m1 <br />