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• $AN 11N COON"I'\' PU DIII', Il *V WFS ' f I 1 t Page 1 <br /> I;NVIRONIRONMIsNTALHF,AI:fI11 IDIVISI� <br /> 304 E,WERER AVE-311D FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 �C <br /> I N V O K E Account 1 AR0000851 <br /> Facility I FA� <br /> Dale Printed 7/6/00 <br /> DRS IIOSP OF MANTECA/ACCI'S PAY RE: DOCTORS IIOSPTI'AL OF MANTECA <br /> DOCTORS IIOSPIi-AI,OF MANTECA 1205 E NORTH ST <br /> 1400 FLORIDA AVE STE 204 MANTECA CA 95336 <br /> MODESI'O CA 95350 OWNER: DOCTORS HOSPITAL OF MANTECA <br /> Health <br /> Dale Program Description His Employee Amonn' <br /> Invoice# IN0072483---Date of Invoice : 5123100 <br /> 5/23/2000 1625 RESTAURANTIBAR 51-100 SEATS EH Operating Permit Fee $220.00 <br /> Total for this Invoice $220.00 <br /> Payment Due Datc 612912000 <br /> Invoice If IN0074355---Dale of invoice: 716100 <br /> 716/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> Total for this Invoice $100.00 <br /> Payment Due Date 81512000 <br /> TOTAL DUE this Billing Period . 0 <br /> Please make Checks I'A\'ABI,F,to: PIIS/EIID / Return a Copy of'I'his S'fATI?MI?NT a ilh Ymn•PA\'p11sN'f <br /> ll SERIVICEFE'ES <br /> elle hr's Ir'f le nr I r'I !a n enrol 'eee 'nr e <br /> at fire Rate of 100%of fire Race Fee I'ennllics mill fie nrlrlerl n!fire Rnle o(/ll <br /> 30 DnPa after the Dee Dale 60 Days nfler the Invoice Date and each-o thereafter <br /> PAYMENT <br /> RECEIVED <br /> JUL 2 4 2000 <br /> SAN JOAOUIN COUNTY <br /> PUBLIC HEALTH SERVICLb <br /> ENVIRONMENTAL HFALTHDIVWN <br /> • <br /> 5255 rpt <br />