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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEP ENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209468-3420 <br /> INVOICE Account ID F AR0016 660 <br /> Facility ID I FA0009460 <br /> LMMMEEMMENIA <br /> Date Printed 3/5/2002 <br /> LMOMMMMMOMMA <br /> CYNTHIA C ADKISSON RE : EAST BAY MUD <br /> EAST BAY MUNICIPAL UTILITY DIST 1804 W MAIN ST <br /> PO BOX 24055 MS704 STOCKTON CA 95203 20 <br /> OAKLAND CA 94623-10 <br /> OWNER: EAST BAY MUD <br /> Health <br /> Date Program Description Him Employee Amount <br /> Invoice# IND091153--Date of Invoice: 1122/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNR $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date <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 /> Penalties will be added to all Permit Fees For all a FEES <br /> at the Rale of 100%of the Base Fee Penalties will be addeddeed at 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 /> MAR 4 2002 <br /> SAN dOAQU1N COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />