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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPA TME"'r Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0023 800 <br /> Facility IDFA0013833 <br /> Date Printed 1 3/28/2003 <br /> WILSON 8OFFE APPLIANCES RE : WILSON & COFFEY APPLIANCES <br /> 2617 S EL ORAD ST 2617 S EL DORADO ST <br /> STOCKTON, CA 95 06 STOCKTON, CA 95207 <br /> OWNER : WILSON & COFFEY APPLIANCES <br /> Date Health <br /> Program scription Amount <br /> Invoice# IN0106031 ---Date of 1 voice: 3 28/2003 <br /> 3/28/2003 2220 SM HW GE 4<5 TONS/YR 5 200.00 <br /> Total for this Invoice $ 200.00 <br /> Payment Due Date 4/27/2003 <br /> TOTAL DUE this Billing Period $ 200.00 <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 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 thereafter <br /> 5255.rpt <br />