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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPA T 0 T <br /> Page 1 <br /> 600 E MAIN STREET <br /> ST©CKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0020959 <br /> Facility ID FA0012658 <br /> Date Printed 5/24/2007 <br /> CRAWFORD, KENNETH RE : BACK ROADS CUSTOM CYCLE <br /> BACK ROADS CUSTOM CYCLE 7939 E 11TH ST <br /> 7939 E 11TH ST TRACY, CA 95304 <br /> TRACY, CA 953041, <br /> OWNER : CRAWFORD, KENNETH <br /> Date Health <br /> Program Descriptio i Amount <br /> Invoice# IN0157048---Date of Invoice: 1/25/2007 11111 11111 1111 111111 11111 IN IN <br /> 1/25/2007 2220 SM HW EN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2399 UNIFIED ROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 4/15/2007 9994 PERMIT FEE PENALTY $ 206.00 <br /> Total for this Invoice $ 436.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 436.00 <br /> PASS` DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> in 30 days, , <br /> Please maks Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Feel 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 thereafter <br /> 5254.rpt <br />