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SAN JOAQUIN COUNTY <br /> ENVIROGNA ENTAL HEALTH DEPARTN 'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR `- <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account 10 ARoo,ssaa <br /> Facility ID FA0009948 <br /> bf <br /> fit... <br /> Date Printed F 2/27/2003 <br /> JOHN ROSSI HAY CO RE : JOHN ROSSI HAY CO <br /> P.O. BOX 332 511 N AIRPORT WAY <br /> MANTECA, CA 95336 MANTECA, CA 95336 <br /> OWNER : JOHN ROSSI <br /> Date Health <br /> I Program Description Amour.! <br /> Invoice# IN0103645—Date of invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 285.00 <br /> 2/2712003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 502.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ �025O�" <br /> RECF VED <br /> MAR 7 200,3 <br /> ENVI IVC <br /> NO4"FARNSf� 'ry <br /> S�N <br /> 1 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 />