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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART NT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR .., <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0024993 <br /> Facility ID FA0014686 <br /> Date Printed 3/8/2005 <br /> CENTURY AUTO COLLISION ��� <br /> RE : CENTURY AUTO COLLISION <br /> 3128 E FREMONT ST 3128 E FREMONT ST <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : NORMA CORTES <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0131214---Date of Invoice : 3/8/2005 11111 IIE 111111111111111 IN 111111111111111 IN <br /> 3/8/2005 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> Total forth is lnvo ice $ 200.00 <br /> Payment Due Date 4/7/2005 <br /> TOTAL DUE this Billing Period $ 200.00 <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 /> :'S5 rpt <br />