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Page 1 <br /> ,AN JUAUUIN t:UUN 1 Y <br /> ENVIRONMENTAL HEALTH DEPARTME"T <br /> 304 E WEBER AVE -3RD FLOOR _ COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AcwuntlD AR0025022 <br /> /t Facility ID FA0014715 <br /> \ —� DatePdnted 1/26/2007 <br /> 0.5 0 ST- <br /> OLYMPIC TUNE Ma,0" 2ov b RE : OLYMPIC TUNE <br /> 400 N CLUFF AVE1026 BLACK DIAMOND WAY <br /> LODI, CA 95240-0725 �� 1"'Q" 5N'(�t"S l LODI, CA 95240 <br /> OWNER : LOUIE J SOARES <br /> Date Health Amount <br /> Program De cri-tioe <br /> Invoice# IN0156303--Date of Invoice: 112512007 1111111111 IN 1111111111111111111 <br /> 1/25/2007 2220 SM HW GEN<5 TONSNR $ 206.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 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 /> Ways <br /> cFB - 2 2001 <br /> ENVIRONMENT HEALTH <br /> PERMIT/SfRWES <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 /> 5254.rpt <br />