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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE ACcountID AR 0005663 <br /> LMMONUMMMMINA <br /> Facility ID FA0005228 <br /> LUMMMOMMOMMEN <br /> Date Printed 1/30/2006 <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 /> Program Description Amount <br /> Invoice# IN0143162---Date of Invoice: 1/27/2006 IIIIIIIII VIVI VIIIVIIVIIIVIIIVIIVII VIIIIIIIIII IIIIIIIII IIII <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 3/1/2006 <br /> - TOTAL DUE this Billing Period $ 24.00 <br /> RECEII ED <br /> PAYP. �=hlT <br /> htA 1 2006 <br /> SAN JOAQUIN COUNT! <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMEN <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 t 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 />