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SAN.IOAOUIN COUNTY PUBLIC H TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 F,WEBER AVE,-3RD FLOOR <br /> STOCKTON_ CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0016949 <br /> FA0009949 <br /> Facility ID <br /> Date Printed 2/28/01 <br /> CLIFFORD L PEERSON RE : PRO-TOUCH AUTOMOTIVE <br /> PRO-TOUCH AUTOMOTIVE 255 MOFFAT BLVD <br /> 255 MOFFAT BLVD MANTECA CA 953365720 <br /> MANTECA CA 95336 OWNER: CLIFFORD L PEERSON <br /> Health <br /> Date Program Description Hrs Employee Amount i <br /> Invoice# IN0080264---Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN <5 TONSNR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Sk Payment Due Date 001 <br /> 1` 10 ICS FTOTAL DUE this Billing Periodh 110.00 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMEN <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 /> V <br /> J 0, v— <br /> /Tk <br /> af�+ <br /> r r ? rEdVED <br /> / �.PI � � � R 0 <br /> MA 2001 g <br /> 3Ai�i- HEILHI COUNTY <br /> PUBLIC iG HEALTH SERVICES <br /> ENViiWtviiEN IAL HEALTH DIVISION <br /> 5255.rpt <br />