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* ,SAN JOAOUIN COUNTY PUBLIC OLTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON. CA 95202 <br />209468-3420 <br />INVOICE <br />HEALTH PERMITS <br />LODI UNIFIED SCHOOL DIST <br /> <br /> <br />0 Page 1 <br />Account ID AR0003430 <br />FA0003842 <br />Facility ID _LMEENOMMOMEMM <br />Date Printed 1/31/01 <br />LMOMMMMMMMONOM <br />RE: LODI USD-TRANSPORATION* <br />820 S CLUFF AVE <br />LODI CA 95240 <br />1911A 1_ ZMAG]_]l1RIIWID1t�Yy [iZ�77�7FYIY <br />Health <br />Date Program Description Hrs Employee Amount <br />Invoice # IN0079478 — Date of Invoice : 1/30101 <br />1/30/2001 2220 SM HW GEN <5 TONSNR <br />1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />5255.rpt <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 after the Invoice Date and each 30 thereafter <br />PAYMENT <br />RECEIVED <br />MAR 0 R 2001 <br />SAN JOAOLIIN i.UCN1v <br />PUBLIC HEALTH SLKVCfd <br />ENVIRONMENTAI iiinl I xlfi <br />$100.00 <br />$10.00 <br />Total for this Invoicel <br />$110.00 <br />Payment Due Date <br />31212001 <br />TOTAL DUE this Billing Period <br />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 after the Invoice Date and each 30 thereafter <br />PAYMENT <br />RECEIVED <br />MAR 0 R 2001 <br />SAN JOAOLIIN i.UCN1v <br />PUBLIC HEALTH SLKVCfd <br />ENVIRONMENTAI iiinl I xlfi <br />