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FAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPOMENT • <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE AccountlD AR0017931 <br /> Facility ID �FA0010931--�� <br /> Date Printed 8/9/2002 <br /> AMERICAN TIRE&TOW RE : FRENCH CAMP TIRE&AUTO <br /> FRENCH CAMP TIRE&AUTO 8288 S EL DORADO ST <br /> PO BOX 778 FRENCH CAMP CA 95231 <br /> FRENCH CAMP CA 95231 <br /> OWNER: KIM,HONG <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0092301 ---Date of Invoice: 1/22/2002 <br /> 4/15/2002 9994 PERMIT FEE PENALTY $200.00 <br /> 7/19/2002 9999 PAYMENT -$217.50 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YR $200.00 <br /> Total for this Invoice $200.00 <br /> PAST DUE .- -- -" <br /> TOTAL DUE this Billing Period $200.00'1 <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 thereafter <br /> 11/ '0ot` I a /-3 <br /> IVES <br /> SA <br /> /V <br /> JVCGgQ/UVjRpNIEqq ./s, <br /> 9c'Z0 F®S�IVISIO� <br /> N <br /> 5255.rpt <br />