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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />MARTIN CASILLAS <br />MARTINS AUTO REPAIR <br /> <br /> <br />... to Page 1 <br />Account ID AR0022683 <br />Faciiity ID FA0013574 <br />Date Printed ! 7/21/2015 <br />RE: MARTINS AUTO REPAIR <br />1824 E MAIN ST <br />STOCKTON, CA 95205 <br />OWNER: MARTIN CASILLAS <br />Date Health <br />Program Description Amount <br />Invoice # IN0261748 --- Date of Invoice : 1/29/2015 <br />1/29/2015 <br />2220 SM HW GEN <5 TONS/YR <br />1/29/2015 <br />2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />4/15/2015 <br />9994 PERMIT FEE PENALTY <br />7/15/2015 <br />9992 CORRECTION TO A PENALTY <br />Invoice # IN0268439 --- Date of Invoice : 7/21/2015 <br />7/21/2015 1921 HMBP-Regular-Primary Location <br />IIIIIII IIIIII III VIII VIII (IIII VIII VIII VIII VIII VIII ILII IIII <br />$ <br />IIIIII (IIII IIII IIII <br />213.00 <br />$ <br />35.00 <br />$ <br />213.00 <br />($ <br />213.00) <br />Total for this Invoice $ 248.00 <br />PAST DUE <br />IIIIIII IIIIII III VIII VIII VIII (IIII VIII VIII VIII VIII (IIII IIII IIIIII VIII IIII IIII <br />$ 270.00 <br />Total for this Invoice $ 270.00 <br />Payment Due Date 8/20/2015 <br />TOTAL DUE this Billing Period $ 518.00 <br />Please make Checks PAYABLE to: 'EHD' -- Return a Copy of This STATEMENT with Your PAYMENT <br />'enalties will be added to all Permit Fees For HMBP 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 thereafte <br />5254.rpt <br />