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S," 1 JOAQUIN COUNTY ENVIRONr NTAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID FAR0018047 <br /> Facility ID F FA0011047 <br /> Date Printed 3/28/2002 <br /> MIKE CAMPBELL&ASSOC RE : MIKE CAMPBELL&ASSOC <br /> 13000 E TEMPLE AVE 2610 LYCOMING ST <br /> CITY OF INDUSTRY FC 91746 STOCKTON CA 95206 20 <br /> OWNER: MIKE CAMPBELL&ASSOC <br /> Health <br /> Date Program Description Hm Employee _ Amount <br /> Invoice# IN0092400--Date of Invoice: 1/22/2002 <br /> 1/2212002 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/L2 <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 /> I 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 /> � <br /> �I Lem L 1,1V% r. L t. <br /> As-1 <br /> fvF\1K�vv) 11""PocCrFTI OUB <br /> IF+D:Yom" rf,fOo Y! <br /> Rgeceveu <br /> pPR 15 2002 <br /> ENPE�,M SERU SES M <br /> 5255.rpt <br />