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EWiRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR • • <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Accowit ID AR06 i4ss5— <br /> FadHy ID FA613 X1688 <br /> sal.nenw�mwaar <br /> Ontr;r'rinto(l 8/25/2003 <br /> DAN'S AUTO REPAIR RE : DAN'S AUTO REPAIR <br /> 1533 S STOCKTON ST 1533 S STOCKTON ST <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : DAN HOUSTON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0108741 ---Date of Invoice : 512312003 <br /> 5/23/2003 2244 2003 HAZMAT FEE PLUS 2 YEARS BACK BILLING $ 300.00 <br /> 5/23/2003 2399 UNIFIED PROGRAM FAG STATE SERVICE FEE $ 17.50 <br /> 7/15/2003 9987 Haz Mat Program Penally Fee r $ 30.00 <br /> Total for this Invoice $ 347.50 <br /> Payment Due Date 612612003 <br /> U_„ TOTAL DUE this Billing Period $ 347.50 <br /> I'i, <br /> WE WOUt-11 <br /> ;.rlli k 1,. t1.1f i.';.;Cf 1Pij tr` <br /> CMV:. <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 OES 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 /> 52S5.ipl <br />