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ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0016508 <br /> Facility ID FA0009508 <br /> Date Printed 6/27/2003 <br /> GUARANTEE REPAIR SERVICE RE :GUARANTEE REPAIR SERVICE <br /> 101 COMMERCE ST 101 COMMERCE ST <br /> LODI, CA 95240-0845 LODI, CA 95240 <br /> OWNER :BONNIE BERNEISER <br /> Dale Health <br /> Program Description <br /> Amount <br /> Invoice# IN0103489—Date of Invoice: 212712003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR-Operating Permit Fee $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 315.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 4/15/2003 9987 Haz Mat Program Penalty Fee $ 31.50 <br /> 5/15/2003 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this Invoice $ 764.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 764.00 <br /> PAST CLUE! <br /> WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! PAST D U E <br /> Delinquent Charge <br /> will be forwarded to <br /> COLLECTIONS <br /> in QQ days. <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 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 Days thereafter <br /> 5255.rpt <br />