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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMF <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 AR0021499 <br />Facility ID FA0012811 <br />Date Pnnted2/5/2004 <br />RE: J & D AUTO BODY INC <br />400 N CLUFF AVE A <br />LODI, CA 95240 <br />OWNER: GUTHRIE, DICK A <br />Health <br />t Dale pr oram Description Amount <br />Invoice # IN0116229 — Date of Invoice : 2/,V2004 <br />2/4/2004 2220 SM HW GEN <5 TONS/YR <br />2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />PAYMENT <br />RECEIVED <br />FEB 18 2004 <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 />penalties 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 Dale 45 Days after the Invoice Date 60 Days after the Involve Date and each 30 Days lhereafte <br />255. rpt <br />$ <br />200.00 <br />$ <br />24.00 <br />Total for Nis Invoice <br />$ <br />224.00 <br />Payment Due Date <br />3/6/2004 <br />$ <br />224.00'I <br />TOTAL DUE this Billing Period <br />i <br />PAYMENT <br />RECEIVED <br />FEB 18 2004 <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 />penalties 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 Dale 45 Days after the Invoice Date 60 Days after the Involve Date and each 30 Days lhereafte <br />255. rpt <br />