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SAN JOAQUIN COUNTY Page 1 <br /> EP" IRONMENTAL HEALTH DEPART 'T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0024346 <br /> Facility ID FA0014325 <br /> Date Printed 2/27/2003 <br /> <br /> <br /> LODI, CA 95240 <br /> OWNER : PORGES, NORM <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0104364—Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 ) <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 115.00 r / <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 v <br /> Total for this Invoice $ 332.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 332.50 <br /> PAYMENT <br /> RECEIVED <br /> MAR 17 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTES <br /> ENVIRONMEN AH <br /> L HEAL SER�DIVISON <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 /> 5255.rpt <br />