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MAY^-19-01 02 : 16P Mick-.A Grove GC 209 A69 8636 P-02 <br /> i° <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> F,NVTRONMENTAI,HEALTII DIVISION <br /> 3041x;WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID -'AR0017135 <br /> Facility ID FA0010135 <br /> Date Printed 211/01 <br /> AGC C/O CORP.ACCT.DEPT. upitF : NIICKE GROVE GOLF 111 <br /> # <br /> <br /> LODT CA 95242 20 <br /> OWNER : AMERICAN GOLF CORP <br /> Health <br /> O;�t6 Program Description Hr-; Employee Amount <br /> Invoice# IN0080423-•-Date of Invoice: 1130101 <br /> 1/30/2001 2220 5M HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATS SERVIC FEE, $11).00 <br /> �( (/// Total for this Involcg $110.00 <br /> AU`� Payment Due Date 3/312001 <br /> TOTAL DUE this Billing Period $110. <br /> Please make Checks PAYABLE in. PIIS/Rifn 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 Ponal ties will be added at the Rate of 10% <br /> 30 Pays after the Due Date 6D Days after the Invoice Date and each 30 thereafter <br /> -lee <br /> PAYMENT <br /> RECEIVED <br /> APR 2 2001 <br /> SAN JOAQ.:!N COUNTY <br /> PUPUC HEALTH 6 RVICES <br /> ENViPOHNIEF11IAL HEA;iH DIVISION <br /> 5255.rpt <br />