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' SAN JOAOUIN COUNTY PUBLI4 `ALTH SERVICES <br />ENVIRONMENTAL HEALTH DI ION <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON. CA 95202 <br />209468-3420 <br />INVOICE <br />JOHN A BIELEFELD <br />B&H TRANSMISSIONS INC <br />3422 E MINER AVE <br />STOCKTON CA 95205 <br />Health <br />lDate Program Description -- <br />Invoice # IN0079754 -- Date of Invoice : 1/30/01 <br />Page 1 <br />•W/ <br />Account ID AR0016247 <br />FA0009247 <br />Facility ID Immmmummmmmoma <br />Date Printed 1/31/01 <br />LOOMMONNOMMMI <br />RE: B&H TRANSMISSIONS INC <br />3422 E MINER AVE <br />STOCKTON CA 95205 20 <br />OWNER: JOHN BIELEFELD <br />-- -- -_. Hrs Employee <br />Amount <br />1/30/2001 2220 SM HW GEN <5 TONS/YR $100.00 <br />1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br />Total for this Invoice , 10. <br />Payment Due Date 31212001 <br />TOTAL DUE this Billing Period $110.00 <br />Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br />Penal ties 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 />14 <br />167006 <br />5255.rpt <br />RECE� VED <br />FEB ZOD1 <br />e,.es <br />DIVISION <br />