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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM� Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKPhone: ON,209 46 3 202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID —AR 0005683 <br /> Facility ID I FA0005228 <br /> Date Printed 2/28/2007 <br /> MIGUEL A HERNANDEZ RE : MAIN BODY SHOP <br /> MAIN BODY SHOP 1861 E MAIN ST <br /> <br /> <br /> OWNER : HERNANDEZ, MIGUEL A <br /> Date -Health <br /> rogram DcscriNtbn Amount <br /> Invoice# IN0157003--Date of Invoice: 1/25/2007 IIIIIIIIIIIIIIVIIIVIIIIIIIIIVIVIIIVIIIIIII VIII IIII IIIIII IIIII IIII IIII <br /> 1/25/2007 2220 SM HW GEN<5 TONSNR $ 206.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 230.00 <br /> Payment Due Date 2/25/2M7 <br /> SECTOTAL DUE this Billing Period $ 230.00 <br /> ON NOCE <br /> REc�v�o <br /> MAR 21 Zp 1 <br /> SN`tNVIRONMEMEW <br /> H�LTH DEPPRT <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 />