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ENVIRONMENTAL HEALTH DEPARTMENT rage 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 APR 2 8 2004 <br /> INVOICE ry ^"eJuquUINt;uuvey� /�� Account ID AR0017772 <br /> Facility ID FA0010772 <br /> Date Printed 4/26/2004 <br /> COPE MFG CO RE : COPE MFG CO <br /> PO DRAWER 2660 20400 N KENNEFICK RD <br /> LODI, CA 95241-2660 ACAMPO, CA 95220 <br /> OWNER : DAN MILLS & MIKE VALDEZ <br /> Dale Health <br /> Program Description Amount <br /> Invoice# IN0117033—Date of Invoice: 214/2004 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 300.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/21/2004 9987 Haz Mat Program Penally Fee $ 30.00 <br /> Total for this Invoice $ 354.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 354.00 <br /> PA, <br /> 8T UE ! <br /> WE WOULD A;P,'RECIATE YOUn <br /> PAYMENT TODAY! <br /> .tp.. .�� ''!1 ._ . <br /> )&0qtaen1 charge` <br /> W-111 be forwarded to <br /> 0"r-- -r10 '— <br /> - 3 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 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 />