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44 <br />�. I JOAQUIN COUNTY <br />EN RO1:W7:NTAL HEALTH DEPART. T <br />304 E !NEBER,AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br />Date Health <br />Pr��-gym Descriotion <br />Invoice # IN0103656 — Date of Invoice : 2/27/2003 <br />2/27/2003 2220 SM HVV GEN <5 TONS/YR <br />2/27/2003 2244 2003 HMMP Annual Fee <br />2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />j25j.rpt <br />Page 1 <br />Account ID AR0016979 <br />Facility ID FA0009979 <br />Date Printed 2/27/2003 <br />RE: MIRACLE MILE DRY CLEANERS <br />82 W CASTLE ST <br />STOCKTON, CA 95204 <br />OWNER <br />pr.YN1 ENT <br />RECEIVED <br />MAR 1821003 <br />SAN JOAQUIN COUNT' <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH PIVIS!'JN <br />FNl <br />Amount <br />$ <br />200.00 J <br />$ <br />255.06 <br />$ <br />17.50 <br />Total for this Invoice $ <br />472.50 <br />Payment Due Date <br />3/29/2003 <br />TOTAL DUE this Billing Period $ 472. 0 <br />F= r\ <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 />