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SkN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-465-3420 <br /> INVOICE Account ID AR0000209 <br /> Facility ID FA0000210 <br /> i <br /> Date Printed 5125100 <br /> RE: CARPENTER COMPANY INC <br /> CARPENTER COMPANY INC 17100 S HARLAN RD <br /> PO BOX 279 LATHROP CA 95330 <br /> LATHROP CA 95330 OWNER: CARPENTER COMPANY INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069234---Date of Invoice: 4119/00 <br /> 4/15/2000 9991 Credit Adjustment -$10.00 i <br /> 4/19/2000 2220 SM HW GEN <5 TONSIYR $100.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#001 $170.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 1i?:40 <br /> Total for this Invoice $270.40 <br /> Payment Due Date 6!2412000 <br /> i <br /> TOTAL DUE this Billing Period $270.00 <br /> i <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%ofthe Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the nue Date 60 Days after the Invoice Date and each 30 thereafter <br /> 1Y 24zfo <br /> %.N <br /> ?USLVC 1iF_ALTH SEFIri <br /> ENVIRONMENTAL HEALi H UiVIb ik"i <br /> 5255.fpt <br />