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SAN JOAOIIIN COUNTY PUIRIA TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIV c-ii%j T <br /> 304 F.WEBER AVE.-3RD FLOOR <br /> STOCKTON. CA 95 <br /> <br /> <br /> Facility ID FA0009449 <br /> Date Printed 2/28/01 <br /> JOHN PARKEPORAY HUEY JR RE : BOULEVARD AUTOMOTIVE SVC <br /> BOULEVARD AUTOMOTIVE SVC 2151 W COUNTRY CLUB BLVD <br /> 2151 W COUNTRY CLUB BLVD STOCKTON CA 952044820 <br /> STOCKTON CA, 95204 48 OWNER: JOHN PARKER,RAY HUEY JR <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079888---Date of Invoic : 1/30/01 <br /> 1/30/2001 2220 SM HVV GEN<5 TONSNR $100.00 <br /> 1/30/2001 2399 UNIFIED P OGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 1212 1 <br /> TOTAL DUE this Billing Periodi $110.0 <br /> Please make Checks PA ABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added bo 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 thereafter <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 1 2001 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAI HEALTH DIVISION <br /> 5255.rpt <br />