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QUIN COUNTY PUBLIC HV" ,LTH SERVICES Page 1 <br /> .0OMENTAL HEALTH DIVIS i <br /> Z WEBER AVE-3RD FLOOR <br /> .'OCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0003090 <br /> Facility IDI FA000351 D <br /> Date Printed, /24/00 <br /> PAUL BISCHOFBERGER RE: AD ART INC �� <br /> AD ART INC 3133 N AD ART RD <br /> PO BOX 8570 STOCKTON CA 95202 <br /> STOCKTON CA 95202 OWNER: AD ART INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069460—Date of Invoice: 4/19/00 <br /> 4/19/2000 2227 GEN 5<25 TONS PERMIT $1,400.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $1,410.00 <br /> Payment Due Date 5/24/2000 <br /> TOTAL DUE this Billing Periodi $1,410.00 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMEN <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 /> PAYMENT <br /> RECEIVED <br /> JUN 2 3 2000 <br /> SAN JOAOUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />