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SAN JOAQUIN COUNTY PUBL C HEE- "H SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH IVISIC <br /> 304 E WEBER AVE-3RD FLO R <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0020269 <br /> Facility ID FA0012412 <br /> Date Printed 4/25/00 <br /> STEVEN M JONES RE: DIVERSIFIED CONSTRUCTION SERVI <br /> DIVERSIFIED CONSTR CTION SERVICES 5565 S ELDORADO <br /> 5565 S ELDORADO FRENCH CAMP CA 95231 <br /> FRENCH CAMP,CA 95 31 OWNER: DIVERSIFIED CONSTRUCTION SERV <br /> Health <br /> Gate Program Description Hrs Employee Amount <br /> Invoice# IN0071576---Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN< 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 5/2 <br /> TOTAL DUE this Billing Period $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 /> atthe Rate of 100%of he Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the E ue Date 60 Days after the Invoice Date and each 30 thereafter <br /> RECEIVED <br /> MY 5.` 2000 <br /> SAN JOAQUIN COUNTY <br /> PUBUC HEALTH SENVICIES <br /> _ "OONMENTAL HFAL TH DIAIM P <br /> 5255.rpt <br />