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JAN JUA6IUIN GUUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTMW Page 1 <br /> 304 E WEBER AVE -3RD FLOORSTOCK ' <br /> Phone: ON,209 46 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0003432 <br /> Facility ID FA000 8844 <br /> LEMOMMMEMMMMMIll <br /> Date Printed 1/30/2006 <br /> LNEMONNUMMMMIll <br /> CITY OF MANTECA -VEHICLE MAINTENAN RE : CITY OF MANTECA-VEHICLE MAINTENAN <br /> 1001 W CENTER ST 205 E WETMORE ST <br /> MANTECA, CA 95337 MANTECA, CA 95337 <br /> OWNER : MANTECA, CITY OF <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143285—Date of Invoice: 1/27/2006 1111111111 IN 1111111111111111111 <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 345.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoicel $ 569.00 <br /> Payment Due Date6 <br /> TOTAL DUE this Billing Period $ 56956900') <br /> RECEIV`i_ <br /> MAR 14 2006 <br /> SAN JOAQUIn!COUf rry <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMEW <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 />