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SAN JOAQUIN COUNTY gage 1 <br /> ENVIRONMENTAL HEALTH EPARTNNT <br /> 1868 E HAZELTON AVENUEF <br /> STOCKTON, CA 95205 , <br /> Phone: (209) 468-3420' , <br /> Account ID AR0043000 <br /> 114VOICE ` <br /> Facility ID t FA0023345 <br /> F . <br /> Date Printed 3/17/2016 <br /> ACEVEDO, ROGELIO JR RE : ACEVEDO'S COLLISION, BODY& PAINT <br /> ACEVEDO'S COLLISION, BODY & PAINT 1107 S AURORA ST <br /> 1107 S AURORA ST STOCKTON, C4-95206 <br /> STOCKTON, CA 95206 <br /> OWNER : ACEVEDO, ROGELIO JR ' <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0277924---Date of Invoice: 3/17/2016 1111111111 IN 11111 11111 IN 111111 11111 1111 IN <br /> 3/17/2016 2220 SM HW GEN<5 TONS/YR S 213.00 <br /> 3/17/2016 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 248.00 <br /> Payment Due Date 4/16/2016 <br /> TOTAL DUE this Billing Period $ 248.00 <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 /> 25 4 rpi <br />