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ENVIRONMENTAL HEALTH DEPARTMF—T Page 1 <br /> 600 E MAIN STREET Id <br /> PTO 95202 COPY <br /> Phone:e: (209(209) 46 468-3420 <br /> INVOICE Account ID AR0035057 <br /> LMMENEEMMMMMMIM <br /> Facility ID FFA0019695 <br /> Date Pnnted 3/31/2010 <br /> Lummommommoomme <br /> ARMOR FIRE EXTINGUISHER CO RE : ARMOR FIRE EXTINGUISHER CO <br /> 1321 W OAK ST 1321 W OAK ST <br /> STOCKTON, CA 95203 STOCKTON, CA 95203 <br /> OWNER : ARMOR FIRE EXTINGUISHER CO <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0200834•--Date of Invoice: 212/2010 I IIII III III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII I'III VIII IIII IIII <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 255.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2010 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> Total for this Invoice $ 329.50 <br /> Payment Due Date 3/4/2010 <br /> TOTAL DUE this Billing Period $ 329.50 <br /> L 0U E, <br /> Delinquent Charges <br /> will be foo-farded to <br /> COL L E0 TNO' NA9 <br /> it 30 divs <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 /> 5254.rpt <br />