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SAN JO,AQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTh T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 4 <br /> count ID AR 0017971 <br /> Facility ID F FA0010971 <br /> Date Printed 2/27/2003 <br /> ALEXANDER'S QUICK LUBE RE : ALEXANDER'S QUICK LUBE <br /> 808 S CHEROKEE LN 808 S CHEROKEE LN <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : LESLIE ALEXANDER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103933--Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 130.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 347.50 <br /> Payment Due Date 31291 <br /> TOTAL DUE this Billing Period <br /> RENT <br /> ECEIVED <br /> MAR 2 6 2003 <br /> SANJAUINCOUNTy <br /> PUBLICO EQUH ERVICfS <br /> ENVIRONWNTAt HFAI TH pIVIgpN <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 /> 5255.rpt <br />