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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMof • <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016522 <br /> LMMMMMMEMMMMA <br /> Facility ID F FA0009522 <br /> LMOOMMMMMOMEMA <br /> Date Printed 9/24/2008 <br /> HITCHCOCK,JAMES RE : CLUTCH AND BRAKE XCHANGE INC <br /> CLUTCH AND BRAKE XCHANGE INC 900 N SHAW RD <br /> <br /> <br /> OWNER : HITCHCOCK,JAMES <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0179818---Date of Invoice: 9/18/2008 I IIIIIII IIIIII III VIII VIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> 9/15/2008 9996 APPLY DISCOUNT ($ 106.50) <br /> 9/18/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> Total forthislnvoice $ 106.50 <br /> Payment Due Date 10/1808 <br /> I <br /> r TOTAL DUE this Billing Period $ 106.50 <br /> Pwm t4 D <br /> F4ECE <br /> OCT 2 4 2008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 />