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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMJ Page 1 <br /> 600 E MAIN STREET 40 <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR 0-31976 <br /> Facility ID FA0018184 <br /> Date Printed 5/27/2009 <br /> DICK GUTHRIE RE : J & D AUTO BODY INC <br /> J & D AUTO BODY INC 1011 S CHEROKEE LN <br /> 1011 S CHEROKEE LN LODI, CA 95240 <br /> LODI, CA 95240-4305 <br /> OWNER : GUTHRIE, DICK A <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0191089--Date of Invoice: 5126/2009 IIIIIIIIIIIIIVIIIVIIIVIVIIVIIIVIIVIIVIIIIIII IIIIIIVII IIIIIII <br /> Hrs Employee <br /> 4/17/2009 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 CACAPIT $ 52.50 <br /> Total for this Invoicel $ 52.50 <br /> Payment Due Date 6/26/2009 <br /> TOTAL DUE this Billing Period $ 52.50 <br /> • <br /> RECE VED <br /> JUN 5 2009 <br /> SA N iROUlNCOUNTY <br /> HEALTH DE AR MFNT <br /> iPlease 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/I 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 />