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v <br /> SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID I AR0017523 <br /> 0 <br /> Facility ID 0010523 <br /> Date Printed 2/6/2002 <br /> JOHN BERNADICOU RE: CENTRAL CALIFORNIA KENWORTH <br /> CENTRAL CALIFORNIA KENWORTH 10998 S HARLAN RD <br /> 10998S HARLAN RD FRENCH CAMP CA 95231 20 <br /> FRENCH CAMP CA 95231 <br /> OWNER: TOM G PISTACHIO <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> l <br /> Invoice# IN0091974---Date of Invoice: 1/22/2002!_ <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNF $200.00 <br /> Total for this Invoicel $217.50 <br /> Payment Due Date 3/8/2002 <br /> TOTAL DUE this Billing Period 217.50 <br /> Please make Checks PAYABLE to: 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 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 /> I � <br /> 5255.rpt <br />