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}YSAN 40AOUIN COUNTY i i Page 1 <br /> -A,gVIkONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID AR0003549 <br /> Facility IDFA0003941 <br /> Date Printed 8/30/2002 <br /> ANN DOWL RE: ORCHARD SUPPLY IIARDWARE <br /> ORCHARD SUPPLY HARDWARE 2650 MACARTHUR DR <br /> <br /> <br /> OWNER: ORCHARD SUPPLY HARDWARE COR <br /> Health <br /> Dale Program Descriplion Hrs Employee Amount <br /> Invoice k IN0098633—Date of Invoice: 8/30/2002 <br /> 8/30/2002 2220 SM HW GEN<5 TONSNR $200.00 <br /> Total for this lnvolce $200.00 <br /> Payment Due Date 9/29/2002 <br /> TOTAL DUE this Billing Period $200.00 <br /> Please make Checks PAYABLE to: Rill) / Returna Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rale of 100%of the Base Fee Penalties will be added at the Rale of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> 5255.rpt <br />