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•�. ...ri. v. VVI\1 t <br /> ENVIRONMENTAL HEALTH DEPARTMF"T Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID F'AR-0 224993 <br /> Fadlity ID F—AG 014686 <br /> LEMINUMENINEEMEMA <br /> l 10-7700 Date Printed 5/25/2005 <br /> CENTURY AUTO COLLISION RE : CENTURY AUTO COLLISION <br /> 3128 E FREMONT ST 3128 E FREMONT ST <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : NORMA CORTES <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice. IN0130036—Date of Invoice: 1124M005 IHill 1111 II11II1II1I11Nil1IIIIIINIIiIIIIIII111111Iu1IIII <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 255.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/15/2005 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> Total for this Invoice $ 304.50 <br /> PAST DUE <br /> Invoice 0 IN0131214—Data of Invoice: 3/8/2005 I IIIGII IAItl IN 11III MI 11111 <br /> II III MI III IN III IN 11111111111 <br /> il111 f ill 1111IN <br /> 3/8/2005 2220 SM HW GEN<5 TONSNR �W M,I19 II @II I1W AIu111Allpll$If9 'l11 IN 200..1 <br /> DO <br /> 5/15/2005 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this Invoicel $ 400.00 <br /> Payment Due Date 417/2005 <br /> PAST DUE TOTAL DUE this Billing Period $ 704.50 <br /> Delinquent charges ATTENTION <br /> will be forwarded to YOUR HEALTH PERMIT FOR <br /> COLLECTIONS THE CURRENT YEAR <br /> in 3g days. WILL NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS <br /> ARE PAID IN FULL <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 />