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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART Page 1 <br /> - <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 9 <br /> <br /> <br /> Facility ID FA0014761 <br /> Date Printed 1 6/13/2003 <br /> SCOTT M LAWRENCE RE :BODYCRAFT AUTO BODY & PAINT <br /> BODYCRAFT AUTO BODY & PAINT 17285 N BRUELLA RD <br /> 11318 FRANKLIN BLVD VICTOR, CA 95253 <br /> ELK GROVE, CA 95758 <br /> OWNER :LAWRENCE, SCOTT M <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0109119---Date of Invoice: 6/13/2003 <br /> 6/13/2003 2220 SM HW GEN<5 TONS/YR-Operating Permit Fee $ 200.00 <br /> 6/13/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 217.50 <br /> Payment Due Date 7/13/2 <br /> TOTAL DUE this Billing Period $ 217.50 <br /> RECE UFD <br /> JUL l 02003 <br /> SAN JOAQUIN COUNT <br /> ENVIRONW HEALTH SERVICES <br /> NilnFnrTAi i rF.a l FH","'•1 m" <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.ipt <br />