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iftiN.JOAQUIN COUNTY PUBLI LTH SERVICES <br /> ENVIRONMENTAL HEALTH Dl Page 2 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AROt]14432 <br /> FA000781i7� <br /> Facility ID <br /> Date Printed 8/14100 <br /> RE: COMMERCIAL PROPERTY <br /> ERLINDA C HERNANDES 3012 E WATERLOO RD <br /> 4302 BOULDER CREEK STOCKTON CA 95205 <br /> STOCKTON CA 95219 <br /> OWNER: HERNANDES, ERLINDA C <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0049009---Date of Invoice : 6/3198 <br /> 6/3/1998 2301 UST STATE SURCHARGE $8.00 <br /> 613/1998 2301 UST STATE SURCHARGE $8.00 <br /> 613/1998 2301 UST STATE SURCHARGE 0 <br /> Total for this Invoice $24.00 <br /> Invoice# IN0049010---Date of Invoice : 6!3198 <br /> PAST DUE <br /> 6/3/1998 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18.50 <br /> Total for this Invoice 8. D <br /> Invoice# IN0055992---Date of Invoice : 4128199 <br /> PAST DUE <br /> 4/28/1999 2301 UST STATE SURCHARGE 7"# <br /> � q 1p Total for this Invoice $8.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Periodh $6,170.50 <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 SERVICEF <br /> at the Rate of 100%ofthe 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 therealler <br /> PAYMENT <br /> RECEIVED <br /> AUG 9 2000 <br /> SAN,IOAQUIN COUNTY <br /> PUBLIC HEALTH SEPVICES <br /> ENVIRONMENTAL i e,6'1,10+VL�IGt4 <br /> 5255.rpt <br />