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SAN JOAQUIN COUNTY <br /> ENViRONMENTAL HEALTH DEPART VT Page t <br /> 304 E WEBER AVE -31Ra FLOOR — <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 RECEIVFD MA„ $QQ3 <br /> INVOICE ccountlD AR0023212 <br /> Facility ID FA0013802 <br /> Date Printed 2/27/2003 <br /> CEN-CAL SERVICES INC RE : CEN-CAL SERVICES INC <br /> 1169S MAIN ST PMB#278 5151 E ALMONDWOOD DR <br /> MANTECA, CA 95337 MANTECA, CA 95337 <br /> OWNER : JOHN CAMB <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0104218—Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 315.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 532.50 <br /> Payment Due Date 312912003 <br /> TOTAL DUE this Billing Period $ ( 35 2.50 <br /> F„ <br /> MAR 2 .7 2003 <br /> SAN JOAQUIN L u�N;y <br /> E%1RONMEN gLLTH HEAETH niviSI:A <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />