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SAN JOAOUIN COUNTY <br />ENV[RON ENTAL HEALTH DEPARTNIEN T <br />304 E WEBER AVE -3RD FLOOR <br />STOCKTON. CA 95202 <br />Phone: 209-468-3420 <br />INVOICE <br />DICK GUIHRIE <br />J & D AUTO BODY INC <br />400A N CLUFF AVE <br />LODI CA 95240 <br />Page 1 <br />Account ID AR0021499 <br />Facility ID FA0012811 <br />Date Printed 2/6/2002 <br />RE: J & D AUTO BODY INC <br />400 N CLUFF AVE # A <br />LODI CA 95240 <br />OWNER: GUTHRIE, DICK <br />Health <br />Data Program Description Hn: Employee Amount <br />Invoiee d INOnaesaIF — n.... ..� �_.._�-_ . . m........ <br />1/22/2002 2220 SM HW GEN c5 TONSKF <br />1QWD02 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $200.00 <br />$17.50 <br />Total for this invoice $217.50 <br />Payment Due Date p02 <br />TOTAL DUE this Billing Period 2117,5 <br />Please make Checks PAYABLE to: EIDI / Returna Conyof This STATFNFNT ..;r6 v,.,..nearaRrwm <br />Penalties will be added to all Permit Fees <br />For all SERVICE FEES v <br />at the Rate of 100% of the Base Fee Penalties will be added at the Rate of to% <br />30 Days after the Due Date 60 Days after the Invoice Data and each 30 thereafter <br />PAYMP" T <br />HECEI , ) <br />FE812 2002 <br />SAN JOAQUIN <br />C�)LINTY <br />'o7 Fs <br />5255.rpt <br />