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SAN JOAQUIN COUNTY PUBLIC I TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVAS <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0005683 <br /> Facility I FA0005228 <br /> LEMENNIMMMMMA <br /> Date Printed 4/24/00 <br /> MIGUEL A HERNANDEZ RE: MAIN BODY SHOP <br /> MAIN BODY SHOP 1861 E MAIN ST <br /> <br /> <br /> OWNER: HERNANDEZ,MIGUEL A <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069700—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 /> Payment Due Date 5124/2000 <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 /> 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 /> PAYM,FENT <br /> RECE- s© <br /> MAY 1 O2) <br /> SAN JOACON COUNTY <br /> PLFMJC HEALTH SERVICES <br /> ENVIRONMENTAL HFJLLD4 DIVMON <br /> 5255.rpt <br />