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SAN JOAOUIN COUNTY PUB IC ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> NC <br /> SANBORN CH VROLET INC 1210 S CHEROKEE LN <br /> 1210 S CHER KEE LN LODI CA 95240 <br /> LODI CA 952 0 OWNER: SANBORN CHEVROLET INC <br /> Health <br /> I Date Pccgrarn Descriptio <br /> Hrs Employee Amount <br /> Invoice# IN0079205---Date of Inv Ice: 1/30/01 <br /> 1/30/2001 2227 GEN 5<2 TONS PERMIT $1,400.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $1 <br /> Payment Due Date 31212001 <br /> TOTAL DUE this Billing Period $1,410.00 <br /> Please make Check PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYME <br /> Penalties will be ad ed to all Permit Fees For all SERVICE FEES <br /> at the Rate of 1 0%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days aft r the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> FEB 13 2001 <br /> SAN J0401-9N COUNTY <br /> PUBLIC HCACiH 5 R1%ICF <br /> ENVIRO^II,,. "ai�d � illC'V! ;ON <br /> 5255.rpt <br />