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u `. <br /> SAN JOAOUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page t <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209468-3420 <br /> INVOICE Account ID AR0016750 <br /> Facility ID FA0009750 <br /> Date Printed 2/6/2002 <br /> ARTHUR C GUSTAFSON RE: ART'S AUTO WRECKING INC <br /> ART'S AUTO WRECKING INC 4223 CLARK DR <br /> 4223 CLARK DR STOCKTON CA 95215 20 <br /> STOCKTON CA 95215 OWNER: ARTHUR C GUSTAFSON <br /> Health __— <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0091357—Date of Invoice: 1/2212002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $1750 <br /> 1/22/2002 2220 SM HW GEN c5 TONS/YF $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date 3/8/20 <br /> TOTAL DUE this Billing Period $217.50 <br /> Please make Checks PAYABLE to: EHD / Return a Copy of This STATEMENT with Your PAYME <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 /> PAYMENT <br /> RECEIVED <br /> FEB 13 2M2 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERWES <br /> F:i''I "TAFhak. HUi1H0INSION <br /> 5255.rpt <br />