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SAN JOAQUIN COUNTY / Page 1 <br /> ENVI: ON- MENTAL HEALTH DEPARTMr <br /> 304E WEBER AVE - 3RD FLOOR / <br /> S"i OCKI'ON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0018047 <br /> Facility ID FA0011047 <br /> LMMMMEEMMMONS <br /> Date Printed 2/27/2003 <br /> MIKE CAMPBELL &ASSOC RE : MIKE CAMPBELL & ASSOC <br /> 13000 E TEMPLE AVE 2610 LYCOMING ST <br /> CITY OF INDUSTRY, CA 91746 STOCKTON, CA 95206 <br /> OWNER : MIKE CAMPBELL & ASSOC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0104170---Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 315.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 532.50 <br /> Payment Due Date 3/2912 <br /> TOTAL DUE this Billing Period $ 532.50 <br /> PAYMENT <br /> RECEIVED <br /> APP, 7 2003 <br /> pU8L1�µEOALIN COUNTY <br /> TH$EHVICES <br /> ENVIR9"'"=[NTAL HFPITH DINSION <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 Days thereafter <br /> 5255.rpt <br />