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SAN•JOAQUIN COUNTY <br /> -ENVIRONMENTAL HEALTH DEPART*T Page 1 <br /> -304 E WEBER AVE - 3RD FLOOR ~v <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0031976 <br /> Facility ID FA0018 884 <br /> Date Printed 1 2/2/2007 <br /> DICK GUTHRIE RE : J & D AUTO BODY INC <br /> J & D AUTO BODY INC 1011 S CHEROKEE LN <br /> 1011 S CHEROKEE LN LODI, CA 95240 <br /> LODI, CA 95240-4305 <br /> OWNER : GUTHRIE, DICK A <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0159819---Date of Invoice : 2/2/2007 III IIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII I 111111111 IIII <br /> 2/2/2007 2220 SM HW GEN c5 TONS/YR $ 206.00 <br /> 2/2/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 230.00 <br /> Payment Due Date 3/4/2007 <br /> CX <br /> e <br /> TOTAL DUE this Billing Period $ 230.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB - 2 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/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 />