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SAN JOAQUIN COUNTY <br />ENVIRONMFNTAL HEALTH DEPARTM <br />304 E VJE•BEk AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br />Page 1 <br />Account ID <br />AR0016621 III <br />Facility ID <br />FA0609621 <br />Date Printed <br />/2003 <br />3/10NXEMMM <br />RE: JACK RABBIT <br />471 INDUSTRIAL AVE <br />RIPON, CA 95366 <br />OWNER: EARL M ANDERSON <br />Date Health <br />Program Description Amount <br />Invoice # IN0103537 --- Date of Invoice : 2/27/2003 <br />2/27/2003 2220 SM HW GEN <5 TONS/YR <br />2/27/2003 2244 2003 HMMP Annual Fee <br />2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />5255.rpt <br />$ 200.00 <br />$ 330.00 <br />$ 17.50 <br />Total for this Invoice $ 547.50 <br />Payment Due Date 3/29/2003 <br />TOTAL DUE this Billing Period $ 547.50 \ j <br />PAYMENT <br />RECEIVU) <br />MAR 1,.0 2003 <br />SAN JOAQUIN CO <br />PUBLIC HEALTH (3 R <br />E%'IRONMEWAL HEA Rf ,p , <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 all SERVICE FEES <br />at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10% <br />30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br />