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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-465-3420 <br /> INVOICE Account ID ARoolsoas <br /> Fadlily ID FAO009046 <br /> Date Pnnied 2/5/2002 <br /> FRANK BROCKMAN RE: CALEFORNIA RADIATOR WORKS <br /> CALIFORNIA RADIATOR WORKS 328 S CALIFORNIA ST <br /> 328 S CALIFORNIA ST STOCKTON CA 952033520 <br /> STOCKTON CA 95203-35 OWNER: FRANK BROCKMAN <br /> Health <br /> Date Program Description -- - - - _ HM - - Employee Amount <br /> Invoice# IN0090881--Date of Invoice: 112212002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HN GEN<5 TONS/YF $ 0 <br /> Total for this Invoice $217. <br /> Payment Due Date 3/7/2002 <br /> TOTAL DUE this Bitting Period $217.50 <br /> Please make Checks PAYABLE to: ERD / Return a Copy of This STATEMENT with Your PAYMEN <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 thereafter <br /> -i <br /> .y:i,firj;UU1N COUNTY <br /> _,C HEALTH SERVICES <br /> .,,,. .n! 4FAIT4PIVISION - <br /> 5255.rpt <br />