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SAN JOAOUIN COUNTY PUBLICTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVqPN <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> !NVOIC5 Account lG AR0021092 <br /> LUMMENNEEMMMMM <br /> FA0012638 <br /> Facility ID LiamalimmonalowaaaaM <br /> Date Printed 8/23/01 <br /> RE : WILD ROSE VINEYARDS <br /> GEOMATRIX CONSULTANTS,INC 1294 COLETTE ST <br /> 2444 MAIN ST STE 215 LODI CA 95242 <br /> FRESNO CA 93721 OWNER: WILD ROSE VINEYARDS <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0086660—Date of Invoice: 8/16/01 <br /> 8/15/2001 9997 CORRECTION TO A CHARGE -$1.00 <br /> 7/18/2001 2960 FIELD CONSULT 0.50 DUNCAN 44.50 <br /> 7/19/2001 2960 FIELD CONSULT 1.50 DUNCAN 130.50 <br /> Total for this Invoice $174.00 <br /> Payment Due Date 9 2001 <br /> TOTAL DUE this Billing Period $174.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYME <br /> Penalties will be added 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 the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> -PAYMENT <br /> R EIV <br /> OCT 001 <br /> SA , ulN cou <br /> P I_IC HC AITH SERVICES <br /> EN ONMEN IAL HFAITH DIVISION <br /> PAYMENT <br /> RECEIVED <br /> NOV 0 12001 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMEN IAL HEALTH DIVISION <br /> 5255.rpt <br />