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+N JOAQUIN COUNTY PUBLIC HFALTH SERVICES Page 1 <br /> • ENVIRONMENTAL HEALTH DIVI: <br /> .304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, <br /> <br /> <br /> <br /> Facility I FA0010359 <br /> 1 p�1 Date PrintedF 4/25/00 <br /> 9,�Iljk V \ 1`pLOOMMMOMMUNA <br /> **�+*W a nr ruu enI RE: JAMES PAULK AUTO BODY&PAINT <br /> JAMES PAULK AUTO BODY&PAINT 2211 N WILSON WAY <br /> 2211 N WILSON WAY STOCKTON CA 95205 <br /> STOCKTON CA 95205 OWNER: JAMES PAULK <br /> Health <br /> Date Program Description firs Employee Amount <br /> Invoice# IN0070852--Date of Invoice : 4119100 <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 /> Payment Due Date 51Z�2d�R� <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 /> PAYMENT <br /> RECEIVED <br /> 02NO <br /> 'V <br /> -ION <br /> 5255.rpt <br />