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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMFNT r <br /> 374 E WEBER AVE -3RD FLOOR <br /> 3TOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE ` 1 1 AR0017359 <br /> ! 'C �' Account ID <br /> <br /> <br /> <br /> /2006 <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 Amount <br /> Invoice# IN0143010---Date of Invoice: 1/27/2006 11111111111111111111111111111111111111 <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 270.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice I $ 494.00 <br /> Payment Due Date 3/112006 <br /> TOTAL DUE this Billing Period <br /> C��rl� <br /> sMAPP �, <br /> A � 2060N JOq <br /> ENVi OU1n100 <br /> H�CN�p4���A�f <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 />