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iAN JOAQUIN COUNTY ENVIRONM^NTAL HEALTH DEPARTMENT Page 1 <br /> 304E WEBER AVE-3RD FLOOR �J <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0022685 <br /> FA0013576 <br /> Facility ID Loommmommmmmd <br /> Date Printed F 2/11/2002 <br /> DINO S LAROZA RE : PREMIER SMOG&TUNE <br /> PREMIER SMOG&TUNE 900 S CHEROKEE LN <br /> 1429 E MINER AVE STOCKTON CA 95205 <br /> STOCKTON CA 95205 <br /> OWNER: LAROZA,DINO S <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0092617—Date of Invoice: 1/22/2002 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNR $200.00 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> Total for this invoice $217.50 <br /> Payment Due Date 3/13/2002 <br /> TOTAL DUE this Billing Period $217.50 <br /> Please make Checks PAYABLE to: PHS/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 /> 2 4 <br /> F; <br /> "F a:.n'.DnuSiOt, <br /> 5255.mt <br />