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FJOAQUIN COUNTY P �EALTH SERVICE3 } 8oport #05S <br /> wTAL HEALTH ]N St �*»n� Printed ; 00 /28/99 <br /> <br /> <br /> 468-3420 <br /> ][ c:0 jL lc:-_ we <br /> ` <br />/ <br /> TO .- LU`DI HONDA ` <br /> 1700 S CHEROKEE LN Ecc:o:u:nt #�0016181 <br /> LODZ , CA 96240 <br /> ATTN : PAUL ANDERSON Facility ID 009181 <br /> RE ; LODI HONDA <br /> ,1700 S CHEROKEE LN <br /> LODZ <br /> Pi[kS[ RETURN o COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 056412 -- Date of Invoice: 06/18/99 <br /> 05/18/99 2599 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> ---------------------—---------- <br /> Total for this invoice : <br /> Pmymmnt DUE DATE <br /> If this INVOICE his been Paid, 0m^e Disregard this HoUm --^---~ <br /> Invoice * 058548 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2220 SM HW GEN (5 TONS /YR $100 . 00 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> ___________________________ <br /> Total for this invoice : <br /> Payment DUE DATE g <br /> f this INVOICE has been Paid, Please Disregard this Notice --�--~ <br /> PAYMENT <br /> p��".� ^ . <br /> . ^^~_,^~�����) ` <br /> YA| "� � ?��� <br /> °=— ° ���� <br /> Aw [or all SERVICE FEES penalties will <br /> Penalties will be added on all yermit ` ViCEs be added at the rate o/ 10% 60 days <br /> at the rate of 1011 of the 8� Foe 30 --^~~""~mww past invoice date and each 30 days <br /> days after the due dote. thereafter. <br /> TOTAL DUE this Billing Period: L 1 -50 <br /> � <br /> Pleae/ Checks PAYABLE to : PHS/EHD <br /> ` ` ^ <br /> \ � <br /> � <br /> ` | <br /> ` <br />