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' SAN JOAOUIN COUNTY Lor rn( Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID AR0005863 <br /> Facility ID FA0005396 <br /> Date Printed 2/5/2002 <br /> JACK LA BERGE RE: BRUCE&JACK AUTOMOTIVE <br /> BRUCE&JACK AUTOMOTIVE 12 E POPLAR ST <br /> <br /> OWNER: LABERGE,JACK <br /> Health <br /> D&,. - Program Description His Employee Amount <br /> Invoice# IN0090853-Date of Invoice: 1122/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YF $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date /2002 <br /> TOTAL DUE this Billing Period $217.50 <br /> Please make Checks PAYABLE to: EHD / Retum a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 60 Days after the invoice Date and each 30 thereafter <br /> ��CE VED <br /> 5255.rpt <br />