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SAN JOAQUIN COUNTY <br /> Page 1 I <br /> ENVIRONMENTAL HEALTH DEPARTMf <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone? (209)468-3420 <br /> INVOICE Account ID AR0021209 <br /> Facility ID FAO 12722 <br /> Date Printed 11/21/2003 <br /> f COMMUNITY MEDICAL CENTER RE . LAWRENCE ELEMENTARY HEALTHY START <br /> . LAWRENCE ELEMENTARY HEALTHY START 721 CALAVERAS ST <br /> PO BOX 779 LODI, CA 95240 <br /> STOCKTON,CA 95201-0779 <br /> OWNER : COMMUNITY MEDICAL CENTERS INC <br /> Invoice# IN0113334—Date of Invoice: 1111$12003 <br /> 11/18/2003 4557 MED WASTE LIMITED HAULER $ 70.00 <br /> i <br /> Totalfor this Invoice $ 70,00 <br /> Payment Due Date 12J2112003 <br /> TOTAL DUE this Billing Period $ 70.00 <br /> IL <br /> P�GE1vEfl <br /> 0011 Cfltyly iY <br /> SPA RpNM>t Mit 1� <br /> �EAIYH p�PA <br /> % <br /> i <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT witl�,Your PAYMENT <br /> '--f y <br /> �I <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% i <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter i <br /> 5255.Tpt <br />