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9XI JOAQUIN COUNTY PUBLIC Hr"LTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVIS,,� Page 1 <br /> 304 E WEBER AVE-3RD FLOOR 1"W <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account IDFAR0016464 <br /> Facility I FA0009464 <br /> LUENIMMENIMMMa <br /> Date Printed4/25/00 <br /> DON CLOWARD RE: TOWER PARK MARINA <br /> TOWER PARK MARINA 14900 W HWY 12 <br /> <br /> <br /> OWNER: PA MARINA INVESTORS 1 <br /> Health <br /> —Dater ---Program Description HIS Employee Amount <br /> Invoice 9 IN0070173—Date of Invoice : 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice §110.00 <br /> Payment Due Date 5/25/2000 <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 /> Penalties will be added to al 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 /> F"M <br /> ry�NW <br /> RECRg++ t 41•C <br /> LVED <br /> MAY 2420 <br /> SAN JOAQUIN COUNTY <br /> PUSL'0 HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH olvis M <br /> 5255.rpt <br />