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► Y <br /> SAN JOAOUINCOUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID AR0016236 <br /> Facility IDFA0009236� <br /> Date Printed 2/5/2002 <br /> MICHAEL W BLACKMUN RE: BLACKMUN EQUIPMENT LEASING <br /> BLACKMUN EQUIPMENT LEASING 1055 S STOCKTON ST <br /> PO BOX 6277 STOCKTON CA 95206 20 <br /> STOCKTON CA 95206-02 OWNER: THOMAS J BLACKMUN <br /> Health <br /> Date Proaram Description -_ Him Employee _ _ Amount <br /> invoice# ING091015--Date of invoice: 1/2212002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNF $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date 200 <br /> TOTAL DUE this Billing Period $217.50 <br /> Please make Checks PAYABLE to: ERD / 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 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> 5255.rpt <br />