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SAN JOAQUIN COUNTY <br /> ENVIRONh-1cNTAL HEALTH DEPARTI' IT <br /> Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account 1D AR0016959 <br /> Facility ID FA0009959 <br /> Date Printed 2/27/2003 <br /> JUAN'S AUTO REPAIR 44RE : JUAN'S AUTO REPAIR <br /> 1145 S AURORA ST 1145 S AURORA ST <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : JUAN O MORGA <br /> Health <br /> I Am. N <br /> I <br /> nate <br /> Program Desorption " <br /> Invoice# IN0103648—Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 300.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 517.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ / 517.5 <br /> I <br /> C 4 <br /> *n� <br /> sl <br /> Fyl�grj�e�/Wn <br /> 'T 'CCj <br /> tit!y'��/F Sly <br /> v <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />