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SAN JOAOUIN COUNTY �../ Page 1 <br /> FNVI tONMENFAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209468-3420 <br /> INVOICE Account lD ARoolslza <br /> Facility ID FA0009124 <br /> Date Printed 2/5/2002 <br /> MICHAEL PHELAN RE: GEWEKE FORD MERCURY JEEP EAGLE <br /> GEWEKE FORD MERCURY JEEP EAGLE 1045 S CHEROKEE LN <br /> PO BOX 1210 LODI CA 95240 20 <br /> LODI CA 95241 OWNER: DARYLGEWEKE <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN00SO935—Date of Invoice: 1/22/2002 <br /> 1/222002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/2212002 2220 SM HVV GEN G5 TONS/YF $200.00 <br /> Total for this Invoicel $217.50 <br /> Payment Due Date 3 <br /> TOTAL DUE this Billing Period 217.50 <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 thereafter <br /> r"LiS I. LOU?, <br /> PUBLIC HEALIHS RVICE <br /> ENVIRONMENTAL HEALTH DIVI41�'' <br /> 5255.rpt <br />