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$"N JOAQUIN COUNTY ENVIRONtONTAL HEALTH DEPARTMENT Page 1 <br /> ` 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0017931 <br /> Facility ID FA0010931 <br /> Date Printed 6/28/2002 <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 /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5TONS/YR $200.00 <br /> Total for this Invoice $417.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Periodi $417.50 <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 /> WE WOUL0 APPPEC IA '(0 U R <br /> PAYMENT TOO- AYI <br /> PAYMENT <br /> RECEIVED <br /> JUL 18 2002 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEAITH DIVISION <br /> 5267.rpt <br />