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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTNfT • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR f , <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0011143 <br /> Facility ID FA0007404 <br /> Date Printed 11/21/2003 <br /> ROBERT LINDSTROM DVM RE : FREMONT VETERINARY CLINIC <br /> FREMONT VETERINARY CLINIC 2223 E FREMONT ST <br /> PO BOX 1952 STOCKTON, CA 95205 <br /> STOCKTON, CA 95201 <br /> OWNER : FREMONT VETERINARY CLINIC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0113293---Date of Invoice: 11/18/2003 <br /> 11/18/2003 4557 MED WASTE LIMITED HAULER $ 70.00 <br /> Total for this Invoice $ 70.00 <br /> Payment Due Date 12/21/2003 <br /> TOTAL DUE this Billing Period $ 70.00 <br /> 9 VLe <br /> F'AYIVj <br /> RECE�VNT <br /> Ep <br /> SAN%V 12003 <br /> JOAQUIM <br /> HE d� ONMEN'rk T Y <br /> �EPAHTMENT <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 /> 5255.rpt <br />