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SAN JOAOUIN COUNTY PUBLIC LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIs,0N <br /> 3 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> CLUB BLVD <br /> 1901 COUNTR CLUB BLVD STOCKTON CA 95204 20 <br /> STOCKTON CA 95204 OWNER: MICHAEL L DAVIS <br /> Health <br /> Date Program Descriptior Hrs Employee Amount <br /> Invoice# IN0080980---Date of Invoi e: 1/30/01 <br /> 1/30/2001 2220 SM HVV GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 3/3/200 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMEN <br /> Penalties will be adde J 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 t ie Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> MAR 0 6 2001 <br /> "4PI JOai1l- ,q COUNTY <br /> p,di lC HiF.L H SERVICES <br /> 5255.rpt ENVInU'IiL cPlIAL HEALTH DIVISION <br />