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.SAN JOAQUIN COUNTY P BLIC'ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEAL DIN JN <br /> 3 <br /> <br /> <br /> <br /> FI A0009498 <br /> Facility ID <br /> Date Printed i 3/20/01 <br /> FACILITY PLANNING-BUTCH SCHMIDT RE : SUSD STAGG HIGH SCHOOL <br /> STAGG HIGH SCHOOL(SUSD) 1621 BROOKSIDE RD <br /> 1944 N EL PINA DR STOCKTON CA 95207 20 <br /> STOCKTON C 95205 OWNER: STOCKTON UNIFIED SCHOOL DIST <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079923---Date of Invoi e: 1/30/01 <br /> 1/30/2001 2220 SM HW GE <5 TONSNR $100.00 <br /> 1/30/2001 2399 UNIFIED P OGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 3/2/200 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks P YABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYME <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 t he Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMEN <br /> RECEIVEr <br /> MAR 2 0 2001 <br /> SAN JOAUIN <br /> PUBLICO HEALTH SERVICES( <br /> ENVIRONMENTAI HEALTH DIVISION <br /> 5255.rpt <br />