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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART40T • <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID —AR 0016840 <br /> Facility l0 F—F A-0 009840 <br /> LUMOMMMMIMMUMIll <br /> Date Printed 3/27/2014 <br /> WEST LANE MUFFLER & PERFORMANC RE : WEST LANE MUFFLER& PERFORMANCE <br /> <br /> STOCKTON, CA 95204 <br /> OWNER : TRAN, QUYEN <br /> Date Health <br /> I Program Description Amount <br /> Invoice# IN0248158--Date of Invoice: 1/30/2014 llllll IIIIII 111 VIIVIIVIIIIIIIIII VIIVIIIIIIIIIIIIIIIIVIIIIII'll <br /> 1/30/2014 1921 HMBP-Regular-Primary Location $ 255.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice I $ 290.00 <br /> �j Ii Payment Due Date 3/112014 <br /> 4b0 TOTAL DUE this Billing Period $ 290.00 <br /> ";ECIATE YOUR <br /> r�A`r M ENT TODAYI <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 HMBP 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 />