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r <br /> SAN JOAOUIN COUNTY PUBLIC TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DI ON <br /> ME <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE AccountlD AR0016012 <br /> LUMOMMOMMOMMAM <br /> FA0009012 h <br /> Facility ID <br /> Date Printed 1/31/01 <br /> LMUMOMMMMMUMA <br /> FRANK H PELKO JR RE : PAYLESS AUTO REPAIR INC <br /> PAYLESS AUTO REPAIR INC 26 N CHEROKEE LN#B <br /> <br /> OWNER: PAYLESS AUTO REPAIR INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# ING079584—Date of Invoice: 1130101 <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 Involcel $110.00 <br /> Payment Due Date Xff20 <br /> TOTAL DUE this Billing Period $110.00 <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 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 /> RECEIVED <br /> FEB 2 8 2001 <br /> SANJOAi"_'.' <br /> ENNIF0�4;,rr�, _ <br /> 5255.rpt <br />