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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID AR0004379 <br /> Facility ID FA0002387 <br /> Date Printed 2/5/2002 <br /> ROBERT EEY RE: KEYSTONE AUTOMOTIVE INDUSTRIES INC <br /> KEYSTONE A OMOTIVE INDUSTRIES INC 632 S EL DORADO ST <br /> PO BOX 6096 STOCKTON CA 95206 <br /> STOCKTON C 95206 <br /> OWNER: KEYSTONE AUTOMOTIVE IND INC <br /> Health <br /> Date Program Descriptio i Hrs Employee Amount <br /> Invoice# IN0092605---Date of Ir voice: 1/22/2002 <br /> 1/22/2002 2220 SM HW G N<5 TONSNF $200.00 <br /> 1/22/2002 2399 UNIFIEDOGRAM FAC STATE SERVICE FEE $17.50 <br /> Total for this Invoice $217.50 <br /> Payment Due Date -3/T2�2--, <br /> TOTAL DUE this Billing Period $217.50 <br /> Please make Chec PAYABLE to: EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be adde I 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 thereafter <br /> RECE'VED <br /> FEB 19?002 <br /> SANJOAQO <br /> PUBLICEpITHSEFiyiCES <br /> NT <br /> EfJVI (,tiggFrJlil, 0F,4ITF♦DIVISIOIy <br /> 5255.rpt <br />