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F.AN JOAQUIN COUNTY PUBL C HE— TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH IVISI <br /> 304 E WEBER AVE-3RD FLO R <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0016498 <br /> <br /> <br /> <br /> H SCHOOL (SUSD) 1621 BROOKSIDE RD <br /> 55 S MADISON ST STOCKTON CA 95207 20 <br /> STOCKTON CA 95203 OWNER: STOCKTON UNIFIED SCHOOL DIST <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0070198---Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN< TONS/YR $100.00 <br /> 4/19/2000 2399 UNIFIED PRO RAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date Z-71127 <br /> TOTAL DUE this Billing Period $110. <br /> Please make Checks PAY BLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will beadded to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of he Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the u Date 60 Days after the Invoice Date and each 30 thereafter <br /> PA'YMEN 1 <br /> RECEIVED <br /> JIM 9 20 <br /> SAN uOADUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />