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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEP RTP' 'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> <br /> <br /> <br /> <br /> Date Printed 3/5/2003 <br /> 'WY6W1Y' H!�Af <br /> SANBORN CHEVROLET INC RE : SANBORN CHEVROLET INC <br /> P.O. BOX 1057 1210 S CHEROKEE LN <br /> LODI, CA 95241-1 57 LODI, CA 95241 <br /> OWNER : SANBORN CHEVROLET INC <br /> Date Health <br /> Program Descriptio Amount <br /> Invoice# IN0103225---Date of Invoice: 2/27/2003 <br /> 2/27/2003 2227 GEN 5<2E TONS PERMIT $ 1,568.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 345.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 1,930.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 1,930.50 <br /> 1 ' <br /> ECEVE� <br /> taAR 5 2003 <br /> p,pUIN COUN n <br /> SPUBLICC 100N P.EI.TNI�ES�.10� <br /> EN\IP.ONPffNTAI F!E <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 />