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i SAN JOAQUIN COUNTY PUBLIC I1ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION j <br /> 304 E WEBER AVE-3RD FLOOR k <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> a <br /> INVOICE AccountlD AR0019088 <br /> 12023 <br /> Facility ID FAOt) <br /> Date Printed 12/18/00 <br /> PAUL SUPPLE ARCO STATION#434 } <br /> ARCO PRODUCTS COMPANY 501 W KETTLEMAN LN <br /> PO BOX 6549 LODI CA 95240 <br /> MORAGA CA 94570 <br /> 1 OWNER : ARCO PRODUCTS COMPANY <br /> t <br /> Health i <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0078036---Date of Invoice: 11/16/00 <br /> 10/27/2000 2950 310 FIELD CONSULT 1.0 LAGORIO $87.00 <br /> i <br />+ Total for this Invoice $87.00 <br /> I Payment Due Date 1 8/2000 <br /> TOTAL DUE this Billing Period $87.00 <br /> I <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 I . 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 afterthe Invoice Date and each 30 thereafter <br /> i <br /> PAYMENT <br /> RECEIVED <br /> D E C 1 8 2000 <br /> SAN JOAOUIN COUNTY <br /> j PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> I <br /> I <br /> x f <br /> 5255.rpt <br />