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5AN JUAUUIN C:UUN I T <br /> ENVIRo4MENTAL HEALTH DEPARTMF"'- Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0016949 <br /> Facility ID FA0009949 <br /> Date Printed 1/30/2006 <br /> PRO-TOUCH AUTOMOTIVE RE : PRO-TOUCH AUTOMOTIVE <br /> 255 MOFFAT BLVD 255 MOFFAT BLVD <br /> MANTECA, CA 95336-5742 MANTECA, CA 95336-5720 <br /> A WD Din Me Z <br /> OWNER <br /> Date Health <br /> Program Description ,Q• Amount <br /> ^ <br /> Invoice# IN0142882---Date of Invoice: 1/27/2006 ��� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'llll�lllllllllllllllll11111IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 224.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 224.00 <br /> FEB 2 2 Zoos <br /> SAN JOAOUTA <br /> ENt;oUN7Y <br /> VIRONMEfJT <br /> HEALTH DEpARNZAL <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 />