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SAN JOAQUIN COUNTY PUBLIC 1 ' LTH SERVICES Page 1 <br /> ErX-1119NMENTAL HEALTH DIVI-__jN <br /> 304 E WEBER AVE-3RD FLOOR <br /> S'fOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOIC tj���� Account IDL AR0003376 <br /> VL Facility I FA0003791 <br /> Date Printed 4124/00 <br /> TUFF BOY INC RE: TUFF BOY INC* <br /> TUFF BOY INC* 5151 ALMONDWOOD DR <br /> 5151 ALMONDWOOD DR MANTECA CA 95337 <br /> MANTECA CA 95337 <br /> OWNER: HARRIS,WILLIAM'R&L E <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069560--Date of Invoice: 4119100 <br /> 4/15/2000 9991 Credit Adjustment -$10.00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $100.00 <br /> Payment Due Date 5/2412000 <br /> TOTAL DUE this Billing Period $100.00 <br /> Please make Checks PAYABLE to : PNS/EI-ID / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <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 thereafter <br /> RECEIVE[ <br /> MAY 8 20 <br /> SAN JOAQUIN COUNTY <br /> P,1iL!C-IEALTH SERVICES <br /> ENbYrrONMIENTAL HEALTH DIVISION <br /> 5255.rpt <br />