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JMIVdVMaUIIY tIVUIV 1 r <br /> ENVIRONMENTAL HEALTH DEPARTMEf Page 1 <br /> 304 E WEBER AVE -3RD FLOOR ...i <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE qVV Account l0 AR0020311 <br /> � RECEIVED <br /> APR 2() 2007 Fac liry l0 FA0012454 <br /> aAN JUAUUIN UUUN I Y Date Printed 3/27/2007 <br /> OFFICE OF EMERGENCY SERVICES <br /> ACCOUNTS PAYABLE RE : HENKELS & McCOY <br /> HENKELS & McCOY 17751 S IDEAL PKWY <br /> 506A STUMP RD MANTECA, CA 95336 <br /> MONTGOMERYVILLE, PA 18936 <br /> OWNER : C T TITUS L M ET AL <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0158030—Date of Invoice: 1/25/2007 ��II��I�I���I�I��II�I���II�I��I��IIIIIIIIIIIIIIIIIII1IIIIII111INIIIINIIIIIIIIi1II1 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 100.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/1512007 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> Total for this Invoicel $ 134.00 <br /> Payment Due Date 2125/2007 <br /> TOTAL DUE this Billing Period $ 134.00 <br /> PAPST DUE! <br /> WE v4OULD APP"FCIATE YOUR <br /> P�:TME-hj—TODAYI <br /> ■ AST DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> in 30 days. <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 DES I 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 /> i254.rpt <br />