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SAN JOAQUIN COUNTY PUBLIC HF A LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIS <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 C( <br /> 20 <br /> V <br /> INVOICE Account ID AR0010443 <br /> Facility ID FA0007174 <br /> Date Printed RE: SAN-I-PAK INC <br /> SAN-I-PAK INC 23535 S BIRD RD <br /> 23535 S BIRD RD TRACY CA 95376 <br /> TRACY CA 95376 OWNER: SAN-I-PAK INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> invoice# IN0069804---Date of Invoice: 4/19i00 <br /> 4/19/2000 2220 SM HVV GEN<5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 5/ <br /> TOTAL DUE this Billing Period $110.00 <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 For all SERVICE FEES <br /> at the Rate of 100%ofthe 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 /> ECEWE <br /> AY 18,&[) <br /> [) <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SEFiVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />