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.. _Jr i- --. iI -_v".�". <br /> � s , - � /) <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES Page 1 7 (� V <br /> ENVIRONMENTAL HEALTH DIVISION a <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468.34201 <br /> INVOICE %D%, G �7 AccountlD AR0011540 <br /> Inummmmmmmms <br /> ✓� FA0007466 <br /> Facility ID LwAmmoommommmill <br /> Date Printed 5123/01 <br /> BRAD DICKSON �Jw RE : GEORGIA PACIFIC CORP(FORMER) <br /> BROWN AND CALDWELL 75 W VALPICO RD <br /> TRACY CA 95336 <br /> PO BOX 8045 OWNER: S W REALITY COMP INC <br /> WALNUT CREEK,CA 945963864 <br /> Health <br /> Date Program Description Firs Employee Amount <br /> Invoice A ING082012—Date of Invoice: 2127101 <br /> 1/16/2001 2960 315 REPORTREVIEW 0.9 INFURNA $78.30 <br /> 1/22/2001 2960 312 CONSULTATION 0.5 INFURNA $43.50 <br /> 1/23/2001 2960 312 CONSULTATION 0.4 INFURNA $34.60 <br /> Total for lhls Invoice $156.60 <br /> Payment Due Date 313012001 <br /> TOTAL DUE this Billing Period $156.60 <br /> Please make Checks PAYABLE 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%of the Base Fee Penalties will he added at the Rale of 10 <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> vST ®WJE! <br /> WE MOULD APPRECIATE YOUR <br /> PAYMENT TODAY! <br /> 11 <br /> 0 <br /> w5255.rp1 <br />