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Page 1 <br /> SAN JOAOUIN COUNTY PUBLIC kLTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVI,ON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE AccountlD AROo16s67 <br /> FA0009967 <br /> Facility ID Lommmimmommod <br /> Date Printed 1/31/01 <br /> CHARLES J SMITH JR RE : PENSKE TRUCK LEASING CO LP <br /> PENSKE TRUCK LEASING CO LP 3932 BUDWEISER CT <br /> 3009 EVERGREEN AVE STOCKTON CA 95215 20 <br /> WEST SACRAMENTO CA 95691 OWNER: PENSKE TRUCK LEASING CO LP <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0080280---Date of Invoice: 1130101 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1130/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 121200 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMEN <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 /> RECEIVED <br /> FEB 2 1 2001 <br /> SAN,Ir - <br /> Frdv-�, .,. <br /> 5255.rpt <br />