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kAN TOAQUIN COUNTY PUBLIC LTH SERVICES <br /> NMONMENTAL HEALTH DIN <br /> WN Page 2 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> TOTAL DUB this Billing Periotf <br /> $5,970.50 <br /> Please make Checks PAYABLE to: AHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Pena ties —L M added to all Permit Fees <br /> at the Rate of 100%ofthe Base Fee For ERVI E FS <br /> 30 Days after the Due Date Penalties will be added at the Rate of 10% <br /> 60 Days atter the Invoice Date and each 30 thereafter <br /> 5255.rpt <br />