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,I%� .,i ..r <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE Account) AR0017029 <br /> LUENIIIIIIIIIIIIINIIINMEM <br /> Facility I FA0010029 <br /> LENNNNOWMNMMN <br /> Date Printe 7/26/00 <br /> LENNUMMEEMMOMA <br /> WILLIAM COSBIE RE: DELTA MARINE ENGINE INC <br /> DELTA MARINE ENGINE INC 14900 W HWY 12 <br /> <br /> OWNER: WILLIAM COSBIE <br /> Health <br /> Date Program Description -- --- -- Hrs- -Employee Amount <br /> Invoice# IN0070576—Date of Invoice: 4119/00 <br /> 7/15/2000 9994 PERMIT FEE PENALTY $100.00 <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 $710.00 <br /> PASTD(11 <br /> TOTAL DUE this Billing Period $210.00 <br /> Please make 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%of the Base Fee Penalties will be added at the Rate of t0 <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAST DUO <br /> WE b11GU'—D P,____, 77 YCL .1 <br /> PAY,'.;:, i' TODA r! <br /> 59,55 rot <br />