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SAN JOAOUIN COUNTY PUBLIC hWO LTH SERVICES <br /> E"WRbNMENTAL HEALTH DIVISION Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0017935 <br /> Facility 1 FA0010935 <br /> Date Print 3/30/00 <br /> <br /> <br /> <br /> STOCKTON CA 95205 <br /> OWNER: JOSE LUIS LOPEZ <br /> Health <br /> Date Program Description <br /> Hrs Employee A rsoum <br /> Invoice# IN0058037--Date of Invoice: 5116199 <br /> 5/18/1999 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> $18.50 <br /> Total for this Invoice 518'x, p <br /> YASI DIF: <br /> Invoice# IN0060246---Date of Invoice : 5/18/99 <br /> 8/15/1999 9994 PERMIT FEE PENALTY <br /> 5/18/1999 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 5/18/1999 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $100.00 <br /> $10.00 <br /> Total forthislnvoice $210.00 <br /> PASTDCL <br /> TOTAL DUE this Billing Period $228.50 <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 wiU be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 the rca fter <br /> iRECIfIlvee <br /> APR 19SO <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5755 m/ <br />