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SAN JOAOUIN COUNTY PBLI( ,ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEAL H DIN.otON <br /> 304 E WEBER AVE-3RD F OOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0020269 <br /> FA0012412 <br /> Facility ID .w <br /> Date Printed 2/1/01 <br /> STEVEN M J NES RE : DIVERSIFIED CONSTRUCTION <br /> DIVERSIFIED CONSTRUCTION SERVICES 5565 S EL DORADO ST <br /> 5565 S EL DO DO FRENCH CAMP CA 95231 <br /> FRENCH C P CA 95231 OWNER: DIVERSIFIED CONSTRUCTION SERV <br /> Health <br /> Date Program Descripti Hrs Employee Amount <br /> Invoice# IN0081467---Date of Invc ice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2001 2399 UNIFIED ROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks AYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMEN <br /> Penalties will beadd d to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100 0 of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after he Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> FEB 12 2001 <br /> SAN JO.AOI111I COUNTY <br /> PUSLIC I'E',(TH SERVICES <br /> ENVIRONIWE,',J,'1 HE^,LTH DIVISION <br /> 5255.rpt <br />