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SAN JOAQUIN COUNTY <br /> ENVIr'>.NMENTAL HEALTH DEPARTMEO • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0026987 <br /> IMMEEMIMMMUMMM <br /> Facility ID FA0015622 <br /> Date Pnnted 5/10/2005 <br /> UNITED WOOD WORKS RE : UNITED WOOD WORKS <br /> 1443 APRICOT AVE 4843 E FREMONT <br /> PATTERSON, CA 95363-9752 STOCKTON, CA 95215 <br /> OWNER : HERREERA, CARLOS A <br /> Date Health <br /> Program Description <br /> Amount I <br /> Invoice# IN0130237--Date of Invoice: 1/24/2005 IIIIIIIIIIIIIIIIIIIIIIIIVIIIVIII VIIIVIIIIIIIIIIVIIIIIIIIIIII 111111111 IIII <br /> 1/24/2005 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 4/15/2005 9994 PERMIT,FF,-P�E)uQI $ 200.00 <br /> Total for this Invoice $ 424.00 <br /> JUN 2 2005 PAST DUE <br /> ENVIRONMENT HEALTH TOTAL DUE this Billing Period $ 424.00 <br /> PERMIT/SERVICES <br /> t� <br /> jw+lot-�• ,� �.ay �or��IZ,� <br /> J- Gwlt�ws r� 12 a4 (9wr-i waolD ll)o --s <br /> WP �r10 �o rvo Tt�,� SatJ Jbflc %)Iej Wv^ITY TflK177/3s /L-\,Y,'/ <br /> f4 <br /> Coy IANy s—T/o ��Cl� op£� /ln/JP O� ��G�M�EI� <br /> ,-.> <br /> ANS Chit i o llout- of ,CC v0+4GnI -T41a �I QST 1 Ni'O t cC A17-f-1 V <br /> b� 1 ' Z4rO,j f,o GPs+.ICa=t /I�fIE �CLDu .I l - TNtS I^fo1Z/\^WT(p� <br /> 12 a'a 1 GO1C-4IF-rjqTp 'LEP'.-iE .f-cf E[_ F)ZEE 'Ta GP9L� /,/�'t£ f�T I9�✓y <br /> ---fl nAE 19-f aoq) Oto -�C17 1)ZEQ/4r21�111 ✓� T�rS M�T/ErL - I fiiA J� �/OV <br /> Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STAT&MENT 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 /> 5255.rpt <br />