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SAN JOAQUIN COUNTY Page 1 <br /> ENVIROWMENTAL HEALTH DEPARTIOT • <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account AR0016236 <br /> Facility ID FA00092 66 <br /> Date Printed 2/27/2003 <br /> BLACKMUN EQUIPMENT LEASING RE : BLACKMUN EQUIPMENT LEASING <br /> P.O. BOX 6277 1055 S STOCKTON ST <br /> STOCKTON,CA 95206-0277 STOCKTON, CA 95206 <br /> OWNER : THOMAS J BLACKMUN <br /> Health Amount <br /> Date Program Descriptinn .— <br /> Invoice# IN0103375—Date of Invoice: 2/27/2003 $ 200.00 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 315.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 17.50 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total for this Invoice $ 532.50 <br /> Payment Due Date 3/2912003 <br /> TOTAL DUE this Billing Period $ 5 .50 <br /> RECEIVED <br /> MAR 10 2003 <br /> PUBLICSAN EOq TR 3 UINOU <br /> ENVIRONMENTg1HEAEHVI ESON <br /> Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> Penalties will be added to all Permit Fees Penalties will be added at the Rate of 10% <br /> at the Rate of 100%of the Base Fee 60 Days after the Invoice Date and each 30 Days thereafter <br /> 30 Days after the Due Date <br /> 5255.rpt <br />