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_ SiN JOAQUIN COUNTY PUBLIC HF IHSERVICES <br />ENVIRONMENTAL HEALTH DIVISI�,.S <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />209-468-3420 <br />INVOICE <br />JOHN A BIELEFELD RE: <br />B&H TRANSMISSIONS INC <br />3422 E MINER AVE <br />STOCKTON CA 95205 OWNER <br />"O <br />Page 1 <br />Account) AR0016247 <br />Facility I FA0009247 <br />Date Printed4/25/00LMMMMOMEMMMa <br />B&H TRANSMISSIONS INC <br />3422 E MINER AVE <br />STOCKTON CA 95205 <br />JOHN BIELEFELD <br />a ` Health <br />�rooram Doscription Hrs Employee Amount <br />Invoice # IN0070033 — Date of Invoice : 4119/00 <br />4/19/2000 2220 SM HW GEN <5 TONSNR <br />4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />5255 rpt <br />$100.00 <br />$10.00 <br />Total for this Invoice $110.00 <br />Payment Due Date 5/25/2000 <br />TOTAL DUE this Billing Period $11%00 <br />PI.... —. k� Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br />Penalties will be added to all Permit Fees For all SERVICE FEES <br />at the Rate of 100%01 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 />RECEIVED <br />MAY 1220 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALT41 SF.FiVICES <br />ENVIRONMEIglAL HEALTH UIVIS,Ct4 <br />