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SAN JOAOUIN COUNTY PUBLOEALTH SERVICES Pagel <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE AccountiD AR0017342 <br /> FA0010342 <br /> Facility ID Lumommmmomommill <br /> Date Printed 2/1/01 <br /> a <br /> <br /> <br /> <br /> OWNER: FRANCES LEE <br /> Health <br /> Date Program Description His Employee Amount <br /> Invoice# IN0080597---Date of Invoice: 1130/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $ o <br /> Payment Due Date 31312001 <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`NT <br /> RECEIVED <br /> FEB 1 6 2001 <br /> sauJ',,- � ,("o;.c:rr <br /> r <br /> 5255.rpt <br />