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SAN JOAQUIN COUNTY I <br /> ENVIRON,MENT:�L HEALTH DEPARTh, Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 9 <br /> <br /> AccountlD AR0000355 <br /> Facility ID FA0000356 <br /> &mmwr <br /> Date Printed 2/27/2003 <br /> DAVID T PRICE INC RE : DAVID T PRICE INC <br /> 21657 E DODDS ISD 21657 E DODDS RD <br /> ESCALON, CA 95'320 ESCALON, CA 95320 <br /> OWNER : PRICE, DAVID T <br /> Date ,,Health Amount <br /> .,yM�,_ flacrfinti n <br /> Invoice# IN0103734—Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HIVI 1P Annual Fee $ 405.00, <br /> 2/27/2003 2399 UNIFIED'PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 622.50 <br /> Payment Due Date 3/ 3 <br /> TOTAL DUE this Billing Period $ 622.50 <br /> PAYMENT <br /> RECEIVED <br /> MAR 18 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONNIFNITAI HEALTH DIVISION <br /> Please make Checks 11AYABLE to: 'EHD' _ Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added t 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 Days thereafter <br /> 5255.rpt <br />