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SAN JOAQUIN COUNTY PUBLICH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIV <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account) AR0016236 <br /> Facility I FA0009236 <br /> Date Printed4/25/00 <br /> LOMMMMMOMMMa <br /> MICHAEL W BLACKMUN RE: BLACKMUN EQUIPMENT LEASING <br /> BLACKMUN EQUIPMENT LEASING 1055 S STOCKTON ST <br /> PO BOX 6277 STOCKTON CA 95206 <br /> STOCKTON CA 95206 02 OWNER: THOMAS J BLACKMUN <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0070028---Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $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 /> i <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 addedto 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 /> I'�+9 TI��I1t i <br /> RECEIVED <br /> AW 8 <br /> SANJOAQ <br /> ENV f lyNMe TgfH�H p MSION <br /> 5255.rpt <br />