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JAN JUAUUIN COLONI Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 304 EWEBER AVE -3RD FLOOR • • <br /> 'STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0020334 <br /> Facility ID FA0012474 <br /> Dale Printed F 6/27/2003 <br /> A-1 AUTO SERVICE RE :A-1 AUTO SERVICE <br /> 1850 N MAIN ST 1850 N MAIN ST <br /> MANTECA,'CA 95336 MANTECA, CA 95336 <br /> OWNER :GILL, SUKHJIT <br /> Dale Health <br /> Program Description <br /> Amount <br /> Invoice p IN0104087—Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONSIYR-Operating Permit Fee $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 100.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 4/15/2003 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> 5/15/2003 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for lhls Invoice $ 527.50 <br /> PAST DUE <br /> PAST DUE ! TOTAL DUE this Billing Pericdj $ 527.50 <br /> WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! <br /> PAT 011 <br /> Delinquent Charge, <br /> will be feRv'lydoci to <br /> COL F=C T�0-, <br /> in ;30 �Iw: <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 Rale 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.rp1 <br />