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SAN JOAQUIN COUNTY PUBL C kLTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH IVINION <br /> 304 E WEBER AVE-3R <br /> <br /> <br /> ntID1 AR0000355 <br /> Facility ID FA0000356 <br /> r� <br /> Date Printed "'-"'"4/224/00�� <br /> PRICE,DAVID T. INC RE: DAVID T PRICE INC <br /> DAVID T PRICE INC 21657 E DODDS RD <br /> 21657 E DODDS RD <br /> ESCALON CA 95320 <br /> OWNER: PRICE,DAVID T <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069245—Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN 5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PRO 3RAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 5/24/2000 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PA 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 Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> WAY - 12000 <br /> 4N J'9<IL 'Y,o,! r <br /> PUdUG HEALTH sI:RVWES <br /> ENVIRONMENTAL HEALTH DIVI9;n�,, <br /> 5255.rpt <br />