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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 />ZARIFAKIS, MATHIOS <br />MAT'S CAR REPAIR <br />720 E LODI AVE <br />LODI, CA 95240 <br />Page 1 <br />Account ID <br />AR0022800 <br />Facility ID <br />FA0013644 <br />Date Printed <br />3/2/2007 <br />RE: MAT'S CAR REPAIR <br />720 E LODI AVE <br />LODI, CA 95240 <br />OWNER: ZARIFAKIS, MATHIOS <br />Date Health <br />Program Description Amount <br />Invoice # IN0157169 --- Date of Invoice : 1/25/2007 <br />1/25/2007 2220 SM HW GEN <5 TONS/YR <br />1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />IIIIIII III III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIII VIII III IIII <br />$ 206.00 <br />$ 24.00 <br />Total for this Invoice $ 230.00 <br />Payment Due Date 2/25/2007 <br />TOTAL DUE this Billing Period $ 230.00 <br />PAYMENT <br />RECEIVED <br />MAR 0 2 <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 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 />57i4.rpt <br />