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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISI <br /> 304 EPEBER AVE-3RD FLOOR <br /> i STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account 10 AR0014787 <br /> Facility ID FA0007988 <br /> Date Printed 4125100 <br /> RE: ARS HEARTWATCH <br /> ARS HEARTWATCH 51_8. BREC_K_C_T_ <br /> 518 BRECK CT Y <br /> BENECIA CA 94510 <br /> k OWNER: ARS HEARTWATCH <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> i Invoice# IN0066655---Date of Invoice: 11/18/99 <br /> 11/18/1999 4557 MED WASTE LIMITED HAULER EH Operating Permit Fee $67.00 <br /> Total for this Invoice $67.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $67.00 <br /> Please make Checks PAYABLE to: PHS/EHD I Return a Copy of This STATEMENT with Your PAYMENT <br /> Pena ties will added to all Permit Fees For all SERVICE FEE <br /> at the Rate of 100%ofthe 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 />� <br /> PAS`o © IDUIE! <br /> WE VVUrv)LD APPRECIATE YOUR <br /> PAYMENT TODAY! <br />} <br /> vies c�—. - <br /> � o <br /> 4- <br /> 5255 rpt <br />