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;AN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM- -T Page <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> <br /> R0017359 <br /> Facility to F—FA 0-0 00359 <br /> Date Printed 1/28/2008 <br /> JAMES PAULK AUTO BODY& PAINT RE : JAMES PAULK AUTO BODY& PAINT <br /> 2354 WILCOX RD 2211 N WILSON WAY <br /> STOCKTON, CA 95215-2318 STOCKTON, CA 95205 <br /> OWNER : JAMES PAULK <br /> Date Health <br /> Program Description p Amount <br /> Invoice# IN0170497--Date of Invoice : 1/25/2008 \,. p,2S VIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII III IIII IIIIII VIII IIII IIII <br /> 1/25/2008 2220 SM HW GEN<5 TONSNR !1'] `-r ,r $ 213.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE ` Q $ 24.00 <br /> v <br /> (� Total for this Invoice $ 237.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 237.00 <br /> GEST <br /> �b <br /> �� <br /> Cb <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 />