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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEAL H DEP RTMr-"T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0023280 <br /> Facility ID FA0013833 <br /> Date Printed I 1�0 <br /> BRYAN TEVES RE : WILSON & COFFEY APPLIANCES <br /> WILSON &COFFE APPLIANCES 2617 S EL DORADO ST <br /> 2617 S EL DORADO ST STOCKTON, CA 95207 <br /> STOCKTON, CA 9206 <br /> OWNER : PHILLIPS, LEON R <br /> Date Health <br /> Program Descriptio Amount <br /> Invoice# IN0171780---Date of Invoice: /25/2008 1111111111111 E 11111 11111 111 11111 11111 1111�11111 11111 11111 1111 111111 11111 1111 IN <br /> 1/25/2008 2220 SM HW G N <5 TONS/YR $ 213.00 <br /> 1/25/2008 2399 UNIFIED ROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 237.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 7.00 <br /> E3.��-s 200a <br /> SAN JOAC)UIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make C ecks PA7ABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES/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 thereafter <br /> 5254.rpt <br />