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SArN JOAQUIN COUNTY P. C HF ' i SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH IVISI <br /> 304 E W <br /> <br /> <br /> <br /> <br /> <br /> <br /> E SVC 2151 W COUNTRY CLUB BLVD <br /> 2151 W COUNTRY CLU BLVD STOCKTON CA 95204 <br /> STOCKTON CA 95204 S <br /> OWNER: JOHN PARKER,RAY HUEY JR <br /> Health <br /> Date Program Description Firs Employee Amount <br /> Invoice# IN0070164--Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN 15 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PRO RAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 5/25/20 <br /> TOTAL DUE this Billing Periodi $110.00 <br /> Please make Checks PAY BLE 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%o the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the ue Date 60 Days after the Invoice Date and each 30 thereafter <br /> VE <br /> MAY 15,M0 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />