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-SAN JOAOUIN COUNTY PUBLICy,.,jALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DMSION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE AccountlD F AR0016714 <br /> FA0009714 <br /> Facility ID <br /> Date Printed F 1/31/01 <br /> LEEMMMOMMMMOM <br /> SUSAN E ALCORIZA RE : AUTOMEISTER <br /> AUTOMEISTER 4290 E CHEROKEE RD <br /> 4290 E CHEROKEE RD STOCKTON CA 952152220 <br /> STOCKTON CA 95215 OWNER: RONLY L ALCORIZA <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0080077—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 i- T212a01 <br /> TOTAL DUE this Billing Periodl $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PA <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 /> T <br /> D <br /> FEB 2 6 2001 <br /> 's,en <br /> 5255.rpf <br />