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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTNW <br /> 304 WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountID AR0005748 <br /> Facility ID FA0005287 <br /> Date Printed 2/27/2003 <br /> HERMAN & HELEN'S MARINA RE : HERMAN & HELENS MARINA <br /> 15135 W EIGHT MILE VENICE ISLAND FERRY 15135 W EIGHT MILE RD <br /> STOCKTON, CA 95219 STOCKTON, CA 95219 <br /> OWNER : SMITH,ANDREW <br /> Date Health <br /> _ Program Description Amount <br /> Invoice# IN0104044---Date of Invoice: 2/2712003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 315.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 532.50 <br /> Payment Due Date 3/29/200 <br /> TOTAL DUE this Billing Period <br /> PAYMENT <br /> RECEIVED <br /> MAR 14 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <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 too./ <br /> 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 />