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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM T Page 1 <br /> 304 E V;Zt3ER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID RR0003109 <br /> Facility ID FA0003531 <br /> Date Printed F 4/26/2004 <br /> BEST CLEANERS RE : BEST CLEANERS <br /> /54 N HUTCHINS ST 541 N HUTCHINS ST <br /> ODI, CA 9524'''0LLL LODI, CA 95240 <br /> OWNER : PANG, KYOS <br /> ll/ <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0117605---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 44/1y7nDA 9994- cEPEN7 y d V $ 200.do- <br /> F} <br /> Tolal for this Invoice $ —424;06---t <br /> Payment Due Date 3/612004 <br /> TOTAL DUE this Billing Period $ —424.00 <br /> PAST DUE ! <br /> WE WOULD APPRECIATE YOUR PA-"i C <br /> PAYMENT TODAY! a a <br /> I <br /> YOUR HEALTH PERMIT F®R <br /> THE CURRENT YEAR <br /> WILL NOT BE iSSUEO UNTIL <br /> WT DUE AMOUNTS <br /> ARB PAID IN FULL <br /> Pty(MNED <br /> RECE <br /> SAY 12 2004 <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 /> rill <br />