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M <br /> SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEAL DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID AR0016148 <br /> Facility ID FA0009148 <br /> Date Printed 2/5/2002 <br /> ASHOK PAT RE: CRYSTAL CLEANERS <br /> CRYSTAL CL ANERS 1296 W 11TH ST <br /> 1296 W 11TH T TRACY CA 95376 20 <br /> TRACY CA 9 376 OWNER: ASHOK PATEL <br /> Health <br /> Date Program Descrip ion _ Hrs Employee _ Amount <br /> Invoice# IN0090951 ---Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW 3EN<5 TONSNF $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date 3/712002 <br /> TOTAL DUE this Billing Period $217.50 <br /> Please make Che ks PAYABLE to: EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be ad led to all Permit Fees For all SERVICE FEES <br /> at the Rate of 10)%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days afte the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAy!VIC!V i <br /> RECE1 v r_ /J <br /> MAR 2002 <br /> SriN JuA,_)UIN CUUN iY <br /> � ipllf'lir', L- (RVIL'E6 <br /> 5255.rpt <br />