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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPART 'T <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br /> <br />Date Health <br />Description <br />Page 1 <br />Account ID <br />AR0028251 <br />Facility ID <br />FA0016164 <br />Date Printed <br />5/12/2005 <br />RE: TRACY POWER EQUIPMENT <br />7575 CARMELO AVE <br />TRACY, CA 95304 <br />OWNER: BOK, WADE A <br />1)►)P-5-- /tl�I 105 <br />Invoice # IN0132731 -- Date of Invoice : 5/12/2005 <br />5/12/2005 2220 SM HW GEN <5 TONSNR <br />5/12/2005 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />Amount <br />I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br />$ 200.00 <br />$ 24.00 <br />Totalforthis Invoice $ 224.00 <br />Payment Due Date 6/11/2005 <br />TOTAL DUE this Billing Period $ 224.00 <br />PAYMENT <br />RECEIVED <br />JUN 9 2005 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br />3enalties will be added to all Permit Fees For OES / HMMP 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 thereafte <br />-)2».Ip[ <br />