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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMIrY""-; f 0 <br /> 394,E,WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 4 4 <br /> INVOICE AccountlD AR0021209 <br /> Facility ID FA0012722 <br /> Date Printed 11!22/2005 <br /> COMMUNITY MEDICAL CENTER RE : LAWRENCE ELEMENTARY HEALTHY START <br /> LAWRENCE ELEMENTARY HEALTHY START 721 CALAVES LORI, CA 95240 ST <br /> PO BOX 779 <br /> STOCKTON, CA 95201-0779 <br /> OWNER : COMMUNITY MEDICAL CENTERS INC <br /> HealthAmount <br /> — rami--rJ2 Tr <br /> — <br /> Invoice# IN0140406---Date of Invoice: 1111812005 �1ll�f��IIIIIII�I�II�IIIIIIIIIII�IIIIIIIIIII�III�I I�Il�lll111111l1IN <br /> 11/18/2005 4557 MED WASTE LIMITED HAULER $ 70.00 <br /> Total for this Invoice $ 70.00 <br /> Payment Due Date 1 5 <br /> TOTAL DUE this Billing Period $ 70.00 <br /> ,tear .•. .r ,�-tom s s'. < �Wk UEC 9 200b <br /> 1 SAN JOAQUIN COLIN I Y <br /> l'�• ENVIRONMENTAL <br /> t-iEALTH DEPARTMENT <br /> h V <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 1 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 />