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SAN JOAQUIN COUNTY PUBLI HE. H SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH D VISI6N <br /> 304 E WEBER AVE-3RD FLOO <br /> STOCKTON, CA <br /> <br /> <br /> 420NVOICE Account I AR0006259 <br /> Facility I FA0005626 <br /> Date Printed 4/24/00 <br /> RE: SANBORN CHEVROLET INC <br /> SANBORN CHEVROLET INC 1210 S CHEROKEE LN <br /> 1210 S CHEROKEE LN LODI CA 95240 <br /> LODI CA 95240 OWNER: SANBORN CHEVROLET INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069714---Date of Invoice: 4/19/00 <br /> 4/19/2000 2227 GEN 5<25 T NS PERMIT $1,400.00 <br /> 4/19/2000 2399 UNIFIED PR GRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $1,410.00 <br /> Payment Due Date 5/24/2000 <br /> TOTAL DUE this Billing Period $1,410.00 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be addec to all Permit Fees For all SERVICE FEES <br /> at the Rate of 1000/(of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after tt a Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> MAY 1620 <br /> sAN JoAOUON CoU#" <br /> PUBLIC HEALTH SE <br /> ENVIRONMENTAL HEALTH <br /> DIVISIOP/ <br /> 5255.rpt <br />