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')AIV JUAt4UIN t:UUN I T Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTI IT g <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKy <br /> ON, <br /> Phone: 209 46 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0029214 <br /> Facility ID FA0016566 <br /> Date Pnnterl 1/30/2006 <br /> TAYLOR, ROBERT RE : TAYLOR AUTOMOTIVE <br /> TAYLOR AUTOMOTIVE 2835 CHERRYLAND AVE STE 6 <br /> 18711 MONTE VISTA DR STOCKTON, CA 95215 <br /> LINDEN, CA 95236 <br /> OWNER : TAYLOR, ROBERT B <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0144769—Date of Invoice: 1/2712006 111111111111111 IN 111111111111111101 <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 224.00 <br /> Payment Due Date 3I1I2006� <br /> TOTAL DUE this Billing Period $ 224.00 <br /> P <br /> RE IV_ r <br /> FEB 0 2bub <br /> SAN,/OAQUjN C <br /> N H PAR-mEw <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 I 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 />