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JAN JUAUUIN t:UUN 1 Y Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM17"T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID ARo017111 <br /> Facility ID FA0010111 <br /> Date Printed 1/30/2006 <br /> Immoommmummmma <br /> YELLOW CAB RE : YELLOW CAB <br /> 6500 LINDBERGH ST 7030 S C E DIXON ST <br /> STOCKTON, CA 95206-4928 STOCKTON, CA 95206 <br /> OWNER : STOCKTON INTER TRANS CORP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142926--Date of Invoice: 112712006 IIIIIIIIIIIIIIIIIVIIIIIIDIIIIIIIIIIVIIIIIIIIIIIII'IIIIVIIIIIIIIIIIIIVIIIIIIIIIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 315.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 539.00 <br /> Payment Due Date 311/2006 <br /> i <br /> TOTAL DUE this Billing Period $ I539.00 <br /> i <br /> MAR13c: <br /> SAN JOAQUIP!QpUNT v <br /> ENVIRONM <br /> HEALTH pEpAENTAL <br /> RTMENT <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 OES/HMMP 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 /> 5254.rpt <br />