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` SAN JOAOUIN COUNTY PUBLI4OLTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0016236 <br /> FA0009236 <br /> Facility ID <br /> Date Printed 1/31/01 <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 /> Heat" Amount <br /> Date Program Description Hrs Employee <br /> Invoice# IN0079747--Date of Invoice: 1/30101 <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 $110.00 <br /> Payment Due Date 31212001 <br /> TOTAL DUE this Billing Period <br /> Please make Checks PAYABLE to: PHS/EHD / Returna, Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees <br /> 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 /> PAYMENT <br /> RECEIVED <br /> MAR 0 12001 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />