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SANJOAOUIN COUNTY �./ Page 1 <br /> EWIRONMEN'TAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID AR0017623 <br /> Facility ID FA0010623 <br /> Date Printed 2/6/2002 <br /> SAM TOY RE: SAM LUNG LAUNDRY INC <br /> SAM LUNG LAUNDRY INC 742 E MAIN ST <br /> 742 E MAIN ST STOCKTON CA 952023120 <br /> STOCKTON CA 95202 OWNER: SAM TOY <br /> Health <br /> Program D=s 1pY Hrs Employee Amount <br /> Invoice fi IN0092058--Date of Invoice:11/2212002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YF $200.00 <br /> Total for this invoicel $217.50 <br /> Payment Due Date Y812002 <br /> TOTAL DUE this Billing Period $217.50 <br /> Please make Checks PAYABLE to: EHD / Return a Copy of This STATEMENT with Your PAYM1IENT <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 /> PAYMENT <br /> RECEIVE -) <br /> FEB,2 7 2002 <br /> S?,N JUAWIN CUUN IY <br /> ^"uQ ppm Tu SC"VICES <br /> 5255.rpt <br />