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SA14JOAQUIN COUNTY ENViRONN­NTAL HEALTH DEPARTMENTj Page 1 <br />304 E WEBER AVE - 3RD FLOOR �j <br />ST&EKTON, CA 95202 _. <br />Phone: (209) 468-3420 <br />INVOICE <br />ANGELA WISE, LIC DEPT <br />WALMART #1789 <br />DEPT 8013 <br />BENTONVILLE AR 72716-8013 <br />Account ID AR0009063 <br />Facility ID FA0006691 <br />Date Printed 4/29/2002 <br />RE: WALMART #1789 F <br />2350 W KETTLEMAN LN <br />LODI CA 95242 <br />OWNER: WALMART, INC <br />Health_.' A <br />NrS­ . Employee Amount]s„� <br />�• 4/15/2002 9994 PERMIT FEE PENALTY $200.00 <br />1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />1/22/2002 2220 SM HW GEN <5 TONSNR <br />5255.rpt <br />$17.50 <br />$200.00 <br />Total for this invoice $417.50 <br />Payment Due Date <br />TOTAL -DUE this Billing Period I$417.50 <br />Please make Checks PAYABLE to: EHD .1 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 />HASTD F <br />WE WOULD A�17RECIATE YOUR ,� n �j'� J� lot,/ <br />PAYMENT TODAY! �'" I <br />Aid <br />ss <br />Wal=ma-rti Stores�Inc. �I?�� <br />Attn: Martha Larss—c � - <br />1" 1301 SE 10th Street ri <br />.I,,�entonville,AR 72716-0555 <br />PAYMENT <br />RECEIVED <br />J U L 0 8 2002 <br />SAN JOAOUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIViStON <br />