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SA;1 JOAQUIN COUNTY ENVIRONMEWL HEALTH DEPARTMENT • Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID 7R0017553 <br /> Facility ID FA0010 553 <br /> LOWNNNNNNNNMNM <br /> Date Printed 4/29/2002 <br /> Lassonsommoomma <br /> PHIL ACOSTA RE : MARINE SERVICES <br /> MARINE SERVICES 1302 W FREMONT ST <br /> 1302 W FREMONT ST STOCKTON CA 95203 20 <br /> STOCKTON CA 95203 <br /> OWNER: PHIL ACOSTA <br /> Health <br /> Date Program Description H m Emp!cyee Amount <br /> Invoice# IN0092002--Date of Invoice: 1/22/2002 / <br /> 4/15/2002 9994 PERMIT FEE PENALTY $200.00✓/ <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50✓ <br /> 1/22/2002 2220 SM HVV GEN<5 TONS/YR $200.00✓ <br /> Total for[his invoice $417.50 <br /> Payment Due Date 3171 <br /> TOTAL DUE this Billing Period $417.50 <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 added at the Rate of 10 <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> T Wrt=w9 <br /> IV WOULDPAYMENTTODAY!YOUR <br /> PAYMENT <br /> RECEIVED <br /> JUL 0 2 2002 <br /> SAN JOAQUIN CUUN f Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISIGN <br /> 5255.rpt <br />