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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMEN' <br /> 304 E WEBER AVE -3RD FLOOR +. <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0024504 <br /> Facility ID FA0014424 <br /> Date Printed F 5/29/2003 <br /> TRACY VW RE : TRACY VW <br /> 2605 AUTO PLAZA DR 2605 AUTO PLAZA DR <br /> TRACY, CA 95376 TRACY, CA 95376 <br /> OWNER : ISSAC SERGIS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0108855—Date of Invoice: 5129/2003 <br /> 5/29/2003 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> �— Total for this Invoice $ 200.00 <br /> Payment Due Date 6/28/2003 <br /> TOTAL DUE this Billing Period $ 200.00 <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 I 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 thereafter <br /> 5255.rpt <br />