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SA,.N JOAQUIN COUNTY PUBL C HEA- TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH IVISII <br /> 304 E WEBER AVE <br /> <br /> <br /> <br /> <br /> <br /> <br /> COUNTRY CLUB SERVICE 1403 W COUNTRY CLUB BLVD <br /> 1403 W COUNTRY CLUB BLVD STOCKTON CA 95204 <br /> STOCKTON CA 95204 OWNER: CRAIG FURGISON <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0070551 ---Date of Invoice 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $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 5/25/20Q0 <br /> TOTAL DUE this Billing Period $110.00 <br /> - a <br /> Please make Checks PA ABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added I o all Permit Fees For all SERVICE FEES <br /> at the Rate of 100% f 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 /> PADS+ISM 8 <br /> neweo <br /> WV 16 <br /> SAN JOAOUIN COUNW <br /> PUBLIC HEALTH SERVIM <br /> ENVIRONMENTAL HEXTM DIVP" <br /> 5255.rpt <br />