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SAN JOAQUIN COUNTY <br />ENV(RGNMENTAL HEALTH DEPARTM' <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />NGUYEN, HIEN <br />N AUTO REPAIR <br />3403 E MAIN ST STE B <br />STOCKTON, CA 95205 <br />Page 1 <br />Account lD AR0026382 <br />Facility ID FA0015324 <br />Date Printed 4/16/2004 <br />RE: N AUTO REPAIR <br />3403 E MAIN ST STE B <br />STOCKTON, CA 95205 <br />OWNER: NGUYEN, HIEN <br />Date Health <br />Program Description Amount <br />Invoice # IN0119080 --- Date of Invoice : 4/16/2004 <br />4/16/2004 2220 SM HW GEN <5 TONS/YR <br />PAYME>\IT <br />RECEIVED <br />APR 2 9 2UU4 <br />SAN JOAOUIN COUkyT,• <br />ENVIRONI,!- <br />HEALTH DEPAHi,,:_ , <br />$ 200.00 <br />Total for this Invoice $ 200.00 <br />Payment Due Date 5/16/2004 <br />TOTAL DUE this Billing Period $ 200.00 <br />ENVIRONT L NT TlJ <br />O THE 0R OF <br />Tam S.. ABRIR R. <br />SAN JO.. Ur n LLECTIV C Oo <br />Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br />'enalties will be added to all Permit Fees For OES / 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 thereafte <br />5255.ipt <br />