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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 15255 <br /> -°ENV•IRONPIENTAL HEALTH DIVISION Statement Printed : 08 /17 /99 <br /> '#'04- @ WEBER AVENUE — 3RD FLOOR <br /> STOCKTON . CA 95702 <br /> Accounting Office : 209 4681-3420 <br /> TO : RO—TILE _ <br /> <br /> <br /> ATTN : LAVOR C THOMPSON <br /> FPcillty ID 003.94.5 <br /> I <br /> :__ <br /> RE : RO—TILE <br /> 310 CLUFF AVE <br /> LODI <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> a Service Activity <br /> nate De�,cr.i.ption Hr's :Employee Amount <br /> Invoice 0 059507 -- Date of Invoice : 05/18/99 <br /> 05/ 18 /99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total for thjW in <br /> voice : jiO . O9 <br /> Payment P T .DUE <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> i <br /> _ For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 108 60 days <br /> at the rate of 110% of the Base Fee 30 past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period : 10.00 . <br /> Mai, I :a <br /> CW <br /> nr VIE <br /> Please make Checks PAYABLE to : PHS/EHD. <br /> I <br /> bKlc 7Y <br /> �TW <br />