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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTP 'T /� Page 1 <br /> 304 E WEBER AVE -3RD FLOOR q 1 <br /> <br /> <br /> AccountlD AR0016449 <br /> Facility ID FA0009449 <br /> Date Printed 2/27/2003 <br /> BOULEVARD AUT MOTIVE SVC RE : BOULEVARD AUTOMOTIVE SVC <br /> 2151 W COUNTR CLUB BLVD 2151 W COUNTRY CLUB BLVD <br /> STOCKTON, CA 9 204-4801 STOCKTON, CA 95204 <br /> OWNER : JOHN PARKER, RAY HUEY JR <br /> Date Health <br /> i Program Description) v _ Amount <br /> Invoice# IN0103463---Date of Invoice: ?1/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 2/27/2003 2244 2003 HMM Annual Fee $ 330.00 <br /> 2/27/2003 2399 UNIFIED P OGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 547.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 47. <br /> RecE'-v <br /> BAR 2 ?003 <br /> SAID JOAOUI <br /> P(/E. Ff1U C <br /> rPdl1rneL'rH_ ON <br /> SER <br /> 0ffU��..:�' <br /> Please make Checks PAY BLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all ermit Fees For all SERVICE FEES <br /> at the Rate of 100%of the ase Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due ate 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.ipt <br />