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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0017235 <br /> INVOICE <br /> Facility ID FA0010235 <br /> Date Printed 9/27/2018 <br /> AGENO, TONI RE : AMERICAN TRUCK & TRAILER BODY CO <br /> AMERICAN TRUCK & TRAILER BODY CO 7474 W ELEVENTH ST <br /> 100 W VALPICO RD TRACY, CA 95376 <br /> TRACY, CA 95376 <br /> OWNER : LINDY B BACCHETTI <br /> Date Health <br /> 1 Program Description Amuuni <br /> Invoice# IN0313435---Date of Invoice: 9/26/2018 11111 1111 11111 1111 IHI 11111 11111 11111 IN 11111�11111 1111 IN <br /> 9/26/2018 2220 SM HW GEN<5 TONSNR $ 249.00 <br /> 9/26/2018 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> Total for this Invoice $ 298.00 <br /> Payment Due Date 10/27/2018 <br /> TOTAL DUE this Billing Period $ 298.00 <br /> 1 <br /> V <br /> 2p1a <br /> yPN�O 0.aNN nµt A,N <br /> EN pCP <br /> HEP��N <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 HMBP 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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />