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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPART NT <br />304 E WEBER AVE - 3RD FLOOR -- <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />DICK GUTHRIE <br />J & D AUTO BODY INC <br />400A N CLUFF AVE <br />LODI, CA 95240 <br />Page 1 <br />Account ID <br />AR0021499 <br />Facility ID <br />FA0012811 <br />Date Printed <br />1/24/2005 <br />INNEENEEMEMEMEN <br />RE: J & D AUTO BODY INC <br />400 N CLUFF AVE A <br />LODI, CA 95240 <br />OWNER: GUTHRIE, DICK A <br />Date Health <br />Program Description Amount <br />Invoice # IN0128512 — Date of Invoice: 1/24/2005 <br />1/24/2005 2220 SM HW GEN <5 TONS/YR <br />1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />III IN 111111111111111 <br />S 200.00 <br />S 24.00 <br />Tout for this Invoice $ 224.00 <br />Payment Due Date 2/23/2005 <br />TOTAL DUE this Billing Period $ 224.00 <br />PAYMENT <br />RECEIVED <br />FEB 2 2005 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <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 DES / 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 />_. 5 rot <br />