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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPA TV T <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0016386 <br /> <br /> <br /> <br /> Printed F-9—/27/2006--71 <br /> - z A <br /> FIELD TOWER SY TEMS (KS SOLUTI RE : FIELD TOWER SYSTEMS (KS SOLUTIONS) <br /> PO BOX 504 28135 E COPPEROPOLIS RD <br /> ELVERTA, CA 95 26 FARMINGTON, CA 95230 <br /> OWNER : FIELD, DAVID <br /> Health <br /> Date Prcg,,,„ -)?scrinti n Amount <br /> ,may, �, <br /> Invoice# IN0136768---Date of Invoice: 8/26/2005 11111111$H 11111 X1111111111111111111111111111 X111111T 111111111111111111 IN <br /> 8/26/2005 2245 ADDITIOq OF 1 CHEMICAL TO INVENTORY $ 185.00 <br /> Total for this Invoice $ 185.00 <br /> Payment Due Date 9/25/2005 <br /> R> TOTAL DUE this Billing Period $ 185.00 <br /> 3,S-0 <br /> 140V 2005 <br /> SAN JOAOVIN COUNTY <br /> ENVIRONMENTAL <br /> Vi, DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> S?ii.rht <br />