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.... vv�VV11Y { VVryl T - - <br /> ENVIRONMENTAL HEALTH DEPARTIV-''T Page 1 <br /> 300 E MAIN STREET _ <br /> STOCKTON, CA 95202 <br /> 'hone: (209)468-3420 <br /> INVOICE �5`� Account ID AR0022643 <br /> Jt <br /> Facility ID FA0013539 <br /> Date Printed F1/28/2008 <br /> GEWEKE DODGE CHRYSLER RE : GEWEKE DODGE CHRYSLER <br /> PO BOX 1210 1255 S BECKMAN <br /> LODI, CA 95241 LODI, CA 95240 <br /> OWNER : GEWEKE DODGE CHRYSLER <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0170905--Date of Invoice: 1/25/2008 IIIIIIIIIIIIIIII IIIIIIIIVIIIVIIIVIIIVIIVIIIVIIIVI IIIIII VIIIIIIIIII <br /> 1252008 -2220 - SMHOyt®E"TIDNSNR.— $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 390.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 627.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 7.00-� \ <br /> i <br /> PAYMENT <br /> RECEI\/rn <br /> F_j 5200d <br /> SAN JOAO'JlN COUNTY <br /> a 1111 ENVIRONMENTAL <br /> Moll HEALTH DEPARTMENT <br /> � <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 Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />