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�SAN JOAOUINCOUNTY ..i Pagel <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID AR0021413 <br /> Facility ID FA0012791 <br /> Date Printed 2/6/2002 <br /> DELTA RADIOLOGY RE: DELTA RADIOLOGY MED GRP <br /> DELTA RADIOLOGY MED GRP 2320 N CALIFORNIA ST#3 <br /> 2320 N CALIFORNIA ST#3 STOCKTON CA 95204 <br /> STOCKTON CA 95204 <br /> OWNER: DELTA RADIOLOGY MEDGROUP <br /> Health <br /> Date Program Description Hrs Employee AniouYH� --' <br /> Invoice# IN0092776--Date of Invoice: 112212002 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNF $200.00 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> Total for this Invoicel $217.50 <br /> Payment Due Date 3/8/2002 <br /> TOTAL DUE this Billing Period 17.50 <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 /> PAYMENT <br /> ­;ECEIVEG <br /> v F_B 19 2002 <br /> SAN JIDAJUIN COUNTY <br /> 1 ELIC HEAI TH SERVICES <br /> r NVIRi;Mt!"NTAI HFAI.TH CAVISl. <br /> 5255.rpt <br />