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SAIL JOAQUIN COUNTY PUBLIC HF ' -TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISI <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA <br /> <br /> AR0016026 <br /> Facility ID FA0009026 j <br /> Date Printed 4/25/00 <br /> JIM WEYBRET RE: LODI NEWS-SENTINEL <br /> LODI NEWS-SENTINEL 125 N CHURCH ST <br /> PO BOX 1360 LODI CA 95241 <br /> LODI CA 95241 OWNER: FRED MARTY &JIM WEYBRET <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069875---Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW 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 5/25/2 00 <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%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 /> RE VED <br /> MAy 152000 <br /> SAN JOAOUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />