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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME* Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017782M <br /> .:gym <br /> Facility ID FA0010782 <br /> Date Printed 3/12/2007 <br /> MUMM,JERRY RE : PAPE MACHINERY <br /> PAPE MACHINERY 8855 S EL DORADO ST <br /> 8621 S EL DORADO ST FRENCH CAMP, CA 95231 <br /> FRENCH CAMP, CA 95231 <br /> OWNER : PAPE MACHINERY <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0156938---Date of Invoice: 1/25/2007 I IIIIIII IIIIII III VIII VIII VIII VIII IIIII IIIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 230.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 230.00 <br /> PAYMENT <br /> RECEIVED <br /> MAR 12 2007 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 OES/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 />