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JAI•owmwulnl l Uull I I <br /> ENVIRONMENTAL HEALTH DEPARTMF"T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKPhone: ON,209 46 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0031411 <br /> Lmumommoommood <br /> Facility ID FA0017914 <br /> Date Printed 1/26/2007 <br /> LOMMONEOMMOMMEM <br /> HAJI BAYANZAY. RE : A+ SMOG& REPAIR <br /> A+ SMOG & REPAIR 930 E CHARTER WAY STE A <br /> 930 3 CHARTER WAY STE A STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : BAYANZAY, HAJI <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0159680--Date of Invoice: 1/25/2007 11111111 IN 11111111111111111111111111111111111 IN 111111111111111111 <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 230.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 230.0 <br /> PAYMENT <br /> REOBVED <br /> FEB U 5 2007 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 I 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 />