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SA§JOAQUIN COUNTY PUBLIC H TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISR • <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0016439 <br /> Facility I FA0009439 <br /> Date Printe 6/5/00 <br /> LUMMOMENOMMUMN <br /> KURT A KEMMER RE: AMERICAN TRANSIT MIX <br /> AMERICAN TRANSIT MIX 899 E ROTH RD <br /> 318 BEARD AVE FRENCH CAMP CA 95231 20 <br /> MODESTO CA 95354 OWNER: JERRY LARSEN <br /> Health <br /> Date Program Description Hm Employee Amount <br /> Invoice# IN0070157---Date of Invoice: 4119/00 <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 /> Pavmeut Due Date 71512000 <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 afterthe Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> RF�EWEU <br /> MAY 312WO <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />