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biP41l FJ. <br /> 3IVV1E WEBER A ENUEHEALTH DIV3RD ON Statement Printed : 05/20/99 <br /> 304 E WEBER AVENUE — 3RD OOR <br /> STOC <br /> <br /> <br /> ES PAULK AUTO BODY & PAINT <br /> 2211 N WILSON WAY Account # X0017359 <br /> STOCKTON. CA 95205 <br /> ATTN : RHONDA DURHAM Facility ID @10359 <br /> RE : JAMES PAULK AUTO BODY & PAINT II <br /> 2211 N WILSON WAY <br /> STOCKTON _ <br /> -� PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description H r s Employee Amount <br /> Invoice # 057485 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> --------------------------------- 1 <br /> Total for this invoice : $18. 50 <br /> If this INVOICE has been Paid, Please Disregard this Notice Payment DUE DATE 06/20/99 <br /> I <br /> I• -,ice # 059686 -- Date of Invoice: 05/18/99 <br /> 10/99 2220 SM HW GEN (5 TONS/YR $100 . 00 <br /> 05/18/99 2:399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> ------------------------------------- <br /> Total for this invoice : $110.00 <br /> Payment DUE DATE 06/20/99 <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 let 61 days i <br /> at the rate of lift of the lase Fee 31 poet invoice date and each 31 days <br /> days after the due date, thereafter>,: <br /> TOTAL DUE this Billing 'Period: $128. 50 <br /> Please make Checks PAYABLE to : PHS/EHD <br /> I <br /> I <br /> I <br /> I <br />