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OAN ./uPkwuml � UTI. t rage I <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Amount ID AR0016222 <br /> Facility ID F FA0009222 <br /> Date Pnnted F 1/26/2007 <br /> CAMPORA PROPANE SERVICE RE : CAMPORA PROPANE SERVICE <br /> 1421 N HUNTER ST 2525 S MARIPOSA RD <br /> STOCKTON, CA 95202 STOCKTON, CA 95205-7820 <br /> OWNER : TP CAMPORA/RON CAMPORA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN01 56474—Date of Invoice : 1/25/2007 11111111111111111111 IN IN <br /> 1/25/2007 2220 SM HW GEN<5 TONSNR $ 206.00 <br /> 1125/2007 2244 2007 HAZMAT FEE $ 300.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Tota l forth is l nvoice $ 530.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 530.00 <br /> v\ PAYNIE��T <br /> D^ RECEIVED <br /> qB 2 0 2061 <br /> RECEIVED COUNTY <br /> ,.:,I'1NIv1CNTAL <br /> JAN 3 1 207 DEPARTMENT <br /> ACCOUNTING <br /> �,>G <br /> pay <br /> Please <br /> J — <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 />