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OM14 JW/ %dU119 t WU1V 1 T <br /> ENVIRONMENTAL HEALTH DEPARTMF"T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKPhone: ON,209 46 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0028024 <br /> LMEMMMMEMOMMMIll <br /> Facility ID FA0016061 <br /> LMEEMMUMMMMMMI <br /> Date Printed 4/25/2006 <br /> LEMMMEMEMMUMMMIll <br /> KHAN, KASHIF N RE : VALLEY SMOG & REPAIR <br /> VALLEY SMOG & REPAIR 26 N CHEROKEE LN STE C <br /> 26 N CHEROKEE LN LODI, CA 95240 <br /> LODI, CA 95240 <br /> OWNER : KHAN, KASHIF N <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0144669---Date of Invoice: 1/27/2006 IIIIIIIIIIIIIIIIIVIIIVIIIVIIIIIIIIIIIII VIII VIII VIII VIII IIII 111111111111111 IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 4/15/2006 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this Invoice $ 424.00 <br /> Payment Due Date 3/1/2006 <br /> P/AST DUE! <br /> TOTAL DUE this Billing Period 424.00424.00 ; <br /> WE WOULD APPRECIATE YOUR 8-T7ENTION <br /> PAYMENT TODAY! YOUR HEATH PERMIT FOR <br /> PAYMEN 1 <br /> RE0EIVED THE CURRENTYEAR <br /> WILL NOT BE ISSUED UNTIL <br /> MAY 11 2W6 PAST AST DUE <br /> EAMOFUNLS <br /> SAN N,41 ON% COUNTY <br /> ,I ALTM <br /> ENVIRON��-� <br /> HEALTH DEPARTMENT <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/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 />