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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART*T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR Is <br /> STOCKTON,+ CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0027142 <br /> Facility ID FA0 115684 <br /> LONOMMEMMMMMEM <br /> Date Printed 1/30/2006 <br /> Immommmommomona <br /> LEACH, CLIFF RE : WRENCHERS/CLIFF LEACH #31 <br /> WRENCHERS/CLIFF LEACH #31 819 E FREMONT ST STE 31 <br /> 819 E FREMONT ST STE #31 STOCKTON, CA 95202 <br /> STOCKTON, CA 95202 <br /> OWNER : LEACH, CLIFF <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0144596.-Date of Invoice: 112712006 11111111111111111111 IN IN <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 224.00 <br /> Payment Due Date 311/2006 <br /> TOTAL DUE this Billing Period $ 224.00 <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 DES/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 />