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-SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> COPY <br /> Amount ID AR0016032 <br /> INVOICE <br /> Facility ID FA0009032 <br /> LWOMMMOMMMONA <br /> Date Printed 11/30/2017 <br /> RIPON AUTO CENTER INC RE : RIPON AUTO CENTER INC <br /> <br /> RIPON, CA 95366 <br /> OWNER : RALPH MEEMS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0297679--Date of Invoice: 9/26/2017 VIII IVI VIII VVIIV VIIVIIIIIIIIIII 111111111 IIII <br /> 9/26/2017 1920 HMBP-Common Materials $ 149.00 <br /> 9/26/2017 1922 CERS Processing Fee $ 25.00 <br /> 9/26/2017 2220 SM HW GEN<5 TONSNR $ 249.00 <br /> 9/26/2017 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> Total for this Invoice $ 472.00 <br /> I pp Payment Due Date 10/29/2017 <br /> PAST D U�1 TOTAL DUE this Billing Period $ 472.00 <br /> WE WOULD A!'PRECIATE YOUR <br /> FA'1t.1L�v'i 1(7JAY". <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 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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />