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SAN JOAQUIN COUNTY PUBLIC PGALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DII`,3N <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account 14 AR0016714 <br /> Facility 14 FA0009714 <br /> Date Printed4/25/00 <br /> LMMMOMMMOMOMA <br /> SUSAN E ALCORIZA RE: AUTOMEISTER <br /> AUTOMEISTER 4290 E CHEROKEE RD <br /> 4290 E CHEROKEE RD STOCKTON CA 95215 <br /> STOCKTON CA 95215 OWNER: RONLY L ALCORIZA <br /> Health <br /> Date Program Description Hrs Employee _ Amount <br /> Invoice# IN0070333—Date of Invoice: 4119/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/1912000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 5125/2000 <br /> TOTAL DUE this Billing Periodl $110.00 <br /> Please make Checks PAYABLE to: PHS/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 atter the Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> JUN 15 2000 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SFR'ACI:5 <br /> ENVIRONMENTAL HEAL H DIVISION <br /> 5255.rpt <br />