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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HE"LTH DEPART ,T Page 1 <br /> 1868 E HAZELTON .VENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE account ID I AR0016065 <br /> Facility ID FA0009065 <br /> Date Printed 4/24/2014 <br /> AURORA BODY WORKS INC RE : AURORA BODY WORKS INC <br /> 446 N AURORA ST 446 N AURORA ST <br /> STOCKTON, CA 95202 STOCKTON, CA 95202 <br /> OWNER : DON NERI <br /> Health <br /> "vale Program Description <br /> Amount <br /> Invoice# IN0247887---Date of Invoice: 1/30/2014 11111111 EIII III 11111�1111 11111 11111 11111 11111 11111 11111 11111 1111 111111 11111 IN IN <br /> 1/30/2014 1921 HMBP-Regular-Primary Location $ 270.00 <br /> 1/30/2014 2220 SM HW GEN <5 TONS/YR $ 213.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 4/15/2014 9987 Haz Mat Program Penalty Fee $ 27.00 <br /> 4/15/2014 9994 PERMIT FEE PENALTY $ 213.00 <br /> ® ® Total for this Invoice $ 758.00 <br /> ■ �S 6T DUE Payment Due Date 3/112014 <br /> Delinquent charges <br /> TOTAL DUE this Billing Period $ 758.00 <br /> will be forwarded to <br /> COLLECTIONS <br /> in 3O days. <br /> tic <br /> 71 '-r- <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 HMBP 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.ipt <br />