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oe ",TAN JOAOUIN COUNTY PUBLIC H TH SERVICES <br />ENVIRONMENTAL HEALTH DIVISW <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON. CA 95202 <br />209-468-3420 <br />TAMMY KIDDER/ACCT <br />PREMDOR INC <br />433 W SCOTTS AVE <br />STOCKTON CA 95203 <br />Page 1 <br />10 <br />AccountlD AR0017139 <br />FA0010139 <br />Facility ID <br />Date Printed 3/7/01 <br />RE: PREMDOR INC <br />340 W SCOTTS AVE <br />STOCKTON CA 95203 20 <br />OWNER: PREMDOR INC <br />Health <br />Date Program Description Hrs Employee Amount <br />Invoice # IN0080427 --- Date of Invoice : 1/30/01 <br />1/30/2001 2220 SM HW GEN <5 TONSNR $100.00 <br />1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br />Total for this Invoice $110.00 <br />Payment Due Date 2/200 <br />TOTAL DUE this Billing Period $110.00 <br />Please make Checks PAYABLE to: PHS/ED / Return a Copy of This STATEMENT with Your PAYMENT <br />Penalties will be 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 />SAN JOAU .id CCUUN i Y <br />PUBLIC Hv-1 ii ,A R CES <br />ENVIRONN;ETA� Hh"11 hiu:ViSU)N <br />5255.rpt <br />