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% SAN JOAQUIN COUNTY PUBLIC HF A' -ISERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIS,.,,-w 4=~ <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> a INVOICE Account, AR0016222 <br /> / I t GN'I I q Add rNSS <br /> Cho RJ e. : FA0009222 <br /> i Facility I <br /> Inc 11 <br /> N ' }�unr//��SI Date Printed q/25/00 <br /> S SOC Y RILMENOMMUMMMENN <br /> CHMAN52p2 V\n" RE: CAMPORA PROPANE INC <br /> CAMPORA PROPANE INC �1l 2525 S MARIPOSA RD <br /> 2525 S MARIPOSA RD STOCKTON CA 95205 <br /> STOCKTON CA 95205 78 OWNER: TP CAMPORA/RON CAMPORA <br /> Health <br /> Date Program Description _ _- -.. - __—. _._Hrs__ Employee Amount <br /> Invoice# ING070020--Date of Invoice: 4/19/00 .1 tAC <br /> MAY 12 2000 F <br /> ACCOUNVDMG <br /> 4/19/2000 2220 SM HW GEN c5 TONS/YR $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 5/2 00 <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 /> Stockton #2 PAYMEN1 <br /> PO # RECEIVED <br /> G.L. Code ene MAY 26;W00 <br /> Approval <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />