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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 Account lD AR000316 <br /> Facility ID FA0003591 <br /> 0 > Date Printed7/13/2004 <br /> AMARJIT SINGH RE : LINDEN MARKET* <br /> LINDEN MARKET* 8203 E HWY 26 <br /> <br /> <br /> OWNER : SINGH, AMARJIT <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0122382---Date of Invoice: 7/13/2004 I(IIIIII IIIIII III VIII VIII VIII IIIII IIIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 7/13/2004 2220 SM HW GEN<5 TONS/YR <br /> $ 200.00 <br /> Total for this Invoice $ 200.00 <br /> Payment Due Date 8/12/2004 <br /> TOTAL DUE this Billing Period $ 200.00 <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 /> 5255.rpt <br />