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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIV' )N <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE AccountlD AR0020626� <br /> Facility ID FA0012540 <br /> Date Printed 9/25/00 <br /> GREG LOVE RE: LOVES COUNTRY STORES OF CA <br /> LOVES COUNTRY STORES OF CA 1510 TACK TONE RD <br /> 10601 N PENNSYLVANIA RIPON CA 95366 <br /> OKLAHOMA CITY OK 73120 OWNER: LOVES COUNTRY STORES OF CA <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0074374---Date of Invoice: 7/10/00 <br /> 7/8/2000 9999 PAYMENT -$234.00 <br /> 6/27/2000 2950 312 CONSULTATION 0.2 DUNCAN $15.60 <br /> 6/27/2000 2950 315 REPORT REVIEW 0.3 DUNCAN $23.40 <br /> 6/27/2000 2950 300 OWNERSHIP INVESTIGATION 0.6 DUNCAN $46.80 <br /> 6/30/2000 2950 312 CONSULTATION 0.1 DUNCAN $7.80 <br /> 7/10/2000 2950 310 FIELD CONSULT 0.5 DUNCAN $39.00 <br /> 7/13/2000 2950 312 CONSULTATION 0.1 DUNCAN $7.80 <br /> 7/13/2000 2950 310 FIELD CONSULT 1.5 DUNCAN $117.00 <br /> 7/14/2000 2950 310 FIELD CONSULT 0.5 DUNCAN $39.00 <br /> Total for this Invoice $62.40 <br /> Payment Due Date /2512000 ,\ <br /> TOTAL DUE this Billing Period .40 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will 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 /> SEP 2 5 2000 <br /> SpUBLI�H��HS RVICES <br /> ENVIRONMENTAL HEALTH gNISION <br /> 5255.rpt <br />