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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEP TMF' Page 1 <br /> 304 F WEBER AVE -3RD FLOOR <br /> aTOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0025985 <br /> Facility ID FA0015139 <br /> Date Printed 2/5/2004 <br /> DAVID J PHILPOT7 RE : PHILPOTT'S GARAGE <br /> PHILPOTT'S GARAGE 7880 W ELEVENTH ST <br /> 7880 W ELEVENTST TRACY, CA 95304 <br /> TRACY, CA 95304, <br /> OWNER : PHILPOTT, DAVID J <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0117606---Date of Invoice: /4/2004 <br /> 2/4/2004 2220 SM HW G N <5 TONS/YR $ 200.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 224.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 224.00 <br /> pAYMENT <br /> RECC--'V F- <br /> FES 12 2044. <br /> SAN JOAQUIN COUNTY <br /> HEAL-fH OEPART11F"T <br /> Please make Checks P YABLE 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 />