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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0024504 <br /> LUMMMMMUMEMA <br /> Facility lD FA0014424 <br /> LMMMMMUMMMMI <br /> Date Printed 6/10/2003 <br /> TRACY VW RE :TRACY VW <br /> 2605 AUTO PLAZA DR 2605 AUTO PLAZA DR <br /> TRACY, CA 95376 TRACY, CA 95376 <br /> OWNER :ISSAC SERGIS <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0108855—Date of Invoice: 5/29/2003 <br /> 5/29/2003 2220 SM HW GEN<5 TONSNR-Operating Permit Fee $ 200.00 <br /> Total for this Invoice $ 200.00 <br /> Payment Due Date 6/2812003 <br /> TOTAL DUE this Billing Period $ '---200-.w <br /> PAYMENT <br /> RECEIVED <br /> JUN 10 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVIGTS <br /> %1RONMEICAI HF41Th;)iVl iOR <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 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 />