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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTM& <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />FAQIRYAN, SHAMSUDDIN <br />LATHROP CHEVRON <br />140 E LATHROP RD <br />LATHROP, CA 95330 <br />Health <br />Date o,,,,,, 1R, Description. <br />Invoice # IN0149509 --- Date of Invoice : 5/2612006 <br />5/26/2006 0001 TRANSFER FEES/NAME CHANGE <br />5/26/2006 0001 TRANSFER FEES/NAME CHANGE <br />• Page 1 <br />Account ID AR0009655 <br />Facility ID FA0006943 <br />Date Printed 5/26/2006 <br />RE: LATHROP CHEVRON <br />140 E LATHROP RD <br />LATHROP, CA 95330 <br />OWNER: FAQIRYAN, SHAMSUDDIN <br />Amount <br />I IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br />$ 20.00 <br />$ 20.00 <br />To[al for this Invoice $ 40.00 <br />Payment Due Date 6/25/3r <br />TOTAL DUE this Billing Period <br />ours � � coos <br />SAN JO r,OUNTY <br />EN0tF' IT(AL <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 I Fees <br />For all SERVICE FEES <br />at the Rate of 100% of the Base Fee Penalties will be be a addeded at 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 th <br />