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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAk. HEALTH DEPART6 T / <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (269)468-3420 <br /> INVOICE AccounIID FAR 0020236 <br /> Facility ID F FA0012382 <br /> Date Printed2/27/2003 <br /> LMONEMMEMMMMS <br /> AMERICAN MEDICAL RESPONSE (CHA RE : AMERICAN MEDICAL RESPONSE <br /> 7575 SOUTHFRONT RD 247 CHARTER WAY <br /> LIVERMORE,CA 94551 STOCKTON, CA 95206 <br /> OWNER : AMERICAN MEDICAL RESPONSE <br /> Program Description <br /> Date Health Amount <br /> Invoice# IN0103980—Date of Invoice: 2/2712003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 330.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.550 <br /> Total for this Invoice $ 547.50 <br /> Payment Due Date 3/29!2007 <br /> TOTAL DUE this Billing Period i 547 501/r <br /> \ <br /> FI��P►_TY OWING <br /> PAY INAF NI <br /> Rf_CE!VED <br /> APR 211.003 <br /> c>�,OUNn <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 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 Days thereafter <br />