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SAI JOAQUIN COUNTY PUBLIC HEAWH SERVICES Page 1 <br />EN ITAL HEALTH DIVISI <br />RO <br />304E EBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />209-468-3420 <br />INVOICE Account 1 AR0017139 <br />Facility I FA0010139 <br />Date Printed 5/23/00 <br />VINCE LARA RE: DELTA DOOR CO INC <br />DELTA DOOR CO INC 340 W SCOTTS AVE <br />433 W SCOTTS AVE STOCKTON CA 95203 20 <br />STOCKTON CA 95203 OWNER: DELTA DOOR CO INC <br />Health <br />Date Program Description Hrs Employee Amount <br />Invoice # IN0070671 --- Date of Invoice : 4/19/00 <br />4/19/2000 2220 SM HW GEN <5 TONSNR <br />4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />5255.rpt <br />$100.00 <br />$10.00 <br />Total for this Invoice $110.00 <br />Payment Due Date 6/22/2000 <br />TOTAL DUE this Billing Periodk $110.00 <br />Please make Checks PAYABLE to: PHS/EHD / 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 />MAY 2 2 O W <br />ENVIRONMENTAL <br />