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SAN JOAOUIN COUNTY `W" %wo, <br /> Page 1 <br /> ENVD20ND1E1V'fAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209468-3420 <br /> INVOICE Account ID AR0017935 <br /> Facility ID FA0010935 <br /> Date Printed 2/6/2002 <br /> -sJ <br /> <br /> <br /> <br /> <br /> OWNER: JOSE LUIS LOPEZ <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> invoice# IN0092305--Date of Invoice: 1122/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YF $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date ;t , <br /> TOTAL DUE this Billing Period 5217.5 <br /> Please make Checks PAYABLE to: EHD / Retum 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 of10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYN/ EfIl <br /> RECF!VEI <br /> MAR J 4 001 <br /> SAN,OAUU.i. . <br /> PUBLIC HEALI h t <br /> FNVIRONMENTAI HEAD. <br /> 5255.rpt <br />