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i <br /> SAN JOAOUIN COUNTY PUBLIC NALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID 'R 0017146 <br /> FA0010146 <br /> Facility ID <br /> Date Printed17: 2/1/01 <br /> PATEL CHARLES B RE : C&S ONE HOUR MARTINIZING <br /> C&S ONE HOUR MARTINIZING 5756 PACIFIC AVE#1 <br /> 5756 PACIFIC AVE#1 STOCKTON CA 95207 20 <br /> STOCKTON CA 95207 OWNER: PATEL CHARLES <br /> Health <br /> 11rs Employee Amount <br /> Date Program Description <br /> Invoice# IN0080433---Date of Invoice: 1130101 <br /> 1/30/2001 2220 SM HVV GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 31312001`, <br /> TOTAL DUE this Billing Periodl $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMEN'1 with Your PAYAiENT <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 /> w C-d 4 2001 <br /> ,OAQUIN COUNTY <br /> i,e BLiC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />