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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRUNMENTAL HEALTH DEPARTME <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID nRoozsa,2 <br /> Facility ID FA0015074 <br /> Date Printed 12/3/2003 <br /> CARL MASSEY RE : MASSEY HYDRAULIC <br /> MASSEY HYDRAULIC 4831 E FREMONT ST <br /> 4831 E FREMONT ST STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : MASSEY, CARL <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0114244---Date of invoice: 1213/2003 <br /> 12/3/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 12/3/2003 9996 APPLY DISCOUNT ($ 100.00) <br /> Total for this Invoice $ 100.00 <br /> Payment Due Date 1/2/2004 <br /> TOTAL DUE this Billing Period $ 100.00 <br /> I / PAYMENT <br /> RECEIVED <br /> JAN 12 2004 <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 Dale 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> _5 ipi <br />