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SAN JOAQIJIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br /> <br />Page 1 <br />Account ID <br />AR0032999 <br />Facility ID <br />FA0018634 <br />Date Printed <br />1/30/2014 <br />RE: PADILLAS AUTO REPAIR <br />270 BUTTON AVE <br />MANTECA, CA 95336-8599 <br />OWNER: MONTANO, MARIA <br />Hc <br />�,h <br />Date Program Description Amount <br />Invoice # IN0249973 --- Date of Invoice : 1/30/2014 <br />1/30/2014 1920 HMBP-Common Materials $ 85.00 <br />1/30/2014 2220 SM HW GEN <5 TONS/YR $ 213.00 <br />1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 35.00 <br />Total for this Invoice $ 333.00 <br />Payment Due Date 3/1/ <br />TOTAL DUE this Billing Period $ 333.00 <br />MAR ° <br />4:)� 2014 <br />a � 4vhME r7� <br />fp4 '44 <br />EM. <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 rpt <br />