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SAN JOAOUIN COUNTY PUBLICALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON. CA 95202 <br />209-468-3420 <br />INVOICE <br />0*4 �A-er'ruy <br />LIC DEPT <br />WALMART #1789 <br />DEPT 8013 <br />BENTONVILLE AR 727168013 <br />Health <br />Invoice # IN0079271 --- Date of Invoice: 1/30101 <br />1/30/2001 2220 SNE HVV GEN <5 TONSIYR <br />1/30/2001 2399 UNIFIED PROGRAM FAC STATE SFRVICE FEE <br />5255 -rpt <br />Q <br />Page 1 <br />�-N <br />I <br />Account ID AR0009063 <br />i <br />FA0006691 <br />Facility ID I <br />i <br />Date Printed 1131101 <br />RE: WALMART #1789 <br />2350 W KETTLEMAN LN <br />LODI CA 95242 <br />OWNER: WALMART, INC <br />Hrs Employee Amount <br />Please make Checks PAYABLE to: PHS/EHD 1 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 />FEB 2 0 2001 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERMES <br />ENVIRONh9ENTAL HEALTH DIVISION <br />$100.00 <br />$10.00 <br />Total for this Invoice <br />$110.00 <br />Payment Due Date <br />312/2001 <br />TOTAL DUE this Billing Period <br />$110.0 <br />Please make Checks PAYABLE to: PHS/EHD 1 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 />FEB 2 0 2001 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERMES <br />ENVIRONh9ENTAL HEALTH DIVISION <br />