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SAN JOAOUIN COUNTY '�' v� Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209468-3420 <br /> INVOICE Account ID ARoo,s71a <br /> Facility ID FA0009714 <br /> Date Printed 2/6/2002 <br /> SUSAN E ALCORIZA RE: AUI'OMEISTEi R <br /> AUTOMEISTER 4290 E CHEROKEE RD <br /> 4290 E CHEROKEE RD STOCKTON CA 952152220 <br /> STOCKTON CA 95215 OWNER: RONLY L ALCORIZA <br /> Health <br /> Date - Pmgram Description _. Hrs Employee Amount <br /> Invoice# IN0091333—Date of Invoice: 1/2212002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YF $20000 <br /> Total for thisinvoice $217.50 <br /> Payment Due Date <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 be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be addedat the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> P'A'Y:'..:.-iV <br /> SFr :i.IED <br /> LIAR 8 2002 <br /> iArJ COUNTY <br /> FUBI..IL HEALM SERVICES <br /> GNXRONUP,Ti,[ HFALTH DIVISION <br /> 5255.rpt <br />