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„ SAN JOAQUIN COUNTY ENVIRONI%—NTAL HEALTH DEPARTMENT Page 1 <br /> 304E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phonec (209)468-3420 <br /> INVOICE Account lD FAR0016828 <br /> Facility ID F FA0009828 <br /> Date Printed 3/28/2002 <br /> RICHARD D AYRES RE : PISKEL'S AUTO AIR RAD&CELLULA <br /> PISKEL'S AUTO AIR RAD&CELLULAR 264 BUTTON AVE <br /> 264 BUTTON AVE MANTECA CA 953368520 <br /> MANTECA CA 95336 <br /> OWNER: RICHARD D AYRES <br /> Health — - - — - - - - -- --. <br /> Date Program Description Hm Employee Amount <br /> Invoice# IN0091421 —Date of Invoice: 1122/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNR $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date 3/7/2002 <br /> TOTAL DUE this Billing Period $217.50 <br /> Please make Checks PAYABLE to: EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will he added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will he added at the Rate of 10% <br /> 30 Days after the Due Date SO Days after the Invoice Date and each 30 thereafter <br /> l) �� /ILdT 6Er OR6 �nc� L PAST DUE <br /> l L L e WE WOULD APPPECIATE YOUR <br /> PAYMENT TODAY! <br /> PAYMENT <br /> RECEIVED <br /> APR 5 2W2 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENAAI HFoj TH pl`gSlLil; <br /> 5255.rpt <br />