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0AN JtJAWUIN t..IJUN I T Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF"T <br /> 304 E WEBER AVE -3RD FLOOR <br /> ON, 95202 <br /> Phone: COPY <br /> Phone: (2094646 8-3420 <br /> INVOICE Account ID AR0017945 <br /> Facility ID F FA0010945 <br /> INEMMMMMMEEMMOR <br /> Date Printed F 2/28/2006 <br /> Lummummumommond <br /> TULEBURG AUTO BODY TOWING GARAGE RE : TULEBURG AUTO BODY TOWING GARAGE <br /> 1075 E BIANCHI RD 1075 E BIANCHI RD <br /> STOCKTON, CA 95210 STOCKTON, CA 95210 <br /> OWNER : BYRON PAIZS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143129---Date of Invoice: 1/27/2006 IIIIIIIIIIIIIVIIVIIIVIIIVIIIIIIIIIIIVIIIVIIIIIIIIIIIIIIIIIIVIIIIIIIIIII <br /> 1/27/2006 2220 SM HW GEN<5 TONSfYR $ 200W <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 224.00 <br /> Payment Due Date 3/1/24196 <br /> TOTAL DUE this Billing Period $ - 224.00 <br /> NOTICE _ <br /> F'';;Y <br /> "AR 15 2066 <br /> SAN JOgOUTA; <br /> ENVIRONMENTAL <br /> HEALTH DEpP,RrMEMf <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 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 thereafter <br /> 5254.rpt <br />