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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> S <br /> <br /> R0004782 <br /> Facility ID FA0002683 <br /> Date Printed 2/5/2002 <br /> BONNIFIELD,PATRICIA RE: LADD'S STOCKTON MARINA <br /> LADWS STOCKTON MARINA 4911 BUCKLEY COVE WAY <br /> 4911 BUCKLEY COVE WAY STOCKTON CA 95219 <br /> STOCKTON CA 95219 <br /> OWNER: BONNIF"IELD,PATRICIA <br /> Health <br /> I Date Program Description Hrs Employee Amount <br /> Invoice# IN0091261 ---Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNF; $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date XV7/2002 <br /> TOTAL DUE this Billing Period % $217.50 <br /> Please make Checks PAYABLE to: 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 /> PAYVI EENT <br /> RECEIVED <br /> SAN JOAC1LflN C&UtVTY <br /> PUBLIC HEALTH fi?Vii fS <br /> ENVIRONPAEN W\ i IFpITH.UIVISIUf� <br /> 5255.rpt <br />