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SAN JOAOUIN COUNTY PUBLIC ITH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIMS <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0019784 <br /> FA0012237 <br /> Facility ID <br /> Date Pnnted 4/24/01 <br /> MR CHRIS CAMMACK RE : ELKS LODGE#1016 <br /> ELKS LODGE#1016 37 W SONORA ST <br /> 8227 N FRESNO ST STOCKTON CA 95212 <br /> FRESNO CA 93720 OWN-ER: HIPOE OF W LODGE 1016 <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0083038--Date of Invoice: 4/23/01 <br /> 3/2/2001 2950 315 REPORT REVIEW 0.6 INFURNA $52.20 <br /> Total for this Invoice $52.20 <br /> Payment Due Date 5/24/20 1 <br /> TOTAL DUE this Billing Period $52.2 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYM <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 of 10 <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> MAY 14 2001 <br /> ESI l °„inrl <br /> 5255.rpt <br />