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SAN JOAQUIN COUNTY PUBLIC HEAL H SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISIOW • <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTOI CA 5202 <br /> 209-468-3421 <br /> INVOICEn Account ID AR0003347 <br /> Facility ID FA0003768 <br /> Date Printed 5/16/00 <br /> TAYLOR TOURS — Pldd <br /> RE: <br /> a IO S <br /> 330 E KETTLEMAN IN <br /> PO BO LODI CA 95240 <br /> LODI CA 952410523 OWNER: TAYLOR,ARN% <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069647--Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Pavment Due Date 6/15/2000 <br /> TOTAL DUE this Billing Period $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 /> atthe Rate of 100%ofthe 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 /> ?o 2� <br /> �R7�cD ��lk(o0 <br /> PAYV <br /> REC%t;l�r i. <br /> JUS <br /> SAN JOP.OUIN CO' NTY <br /> ENVIRONMENTALtIJEAL18 O NSION <br /> 5255.rpt <br />