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�nrr .rvnatvur vvvir� � <br /> ENVIRONMENTAL HEALTH DEPARTMr . Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0020299 <br /> Facility ID FA0012442 <br /> D 1 -7 � Date Printed L 5/25r2005 <br /> COMPLETE AUTO BODY& PAINT RE : COMPLETE AUTO BODY&PAINT <br /> 335 S WETMORE ST#5 335 S WETMORE ST <br /> MANTECA,CA 95337-5700 MANTECA, CA 95337 <br /> OWNER: COMPLETE AUTO BODY& PAINT <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128468—Date of Invoice: 1/24/2005 Il�ll��� � �u11I VIII�l�111l���Il lull I�n U�ll�(I)alto 1'I '!I illi <br /> 1/24/2005 2220 SM HW GEN W TONSNR Ii$f!It 1�1I 1200..0 <br /> .1/2412005 2244 2005.HAZMAT FEE <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 2 <br /> 3/15/2005 9987 Haz Mat Pr Pena $ 24.00 <br /> Program 8Y Fee $ 27.00 <br /> 4/15/2005 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this Invoice $ 721.00 <br /> PAST DUE <br /> PAST DIUSE <br /> TOTAL DUE this Billing Period $ 721.00 <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS AffEWIGN <br /> in 30 days. YOUR 14EALTH PERMIT FOR <br /> THE CURRENTYEAR <br /> WILL NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS <br /> ARE PAID IN FULL <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 /> 5255.rpt <br />