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SAN JOAQUIN COUNTY Page 1 <br /> ENVIF1ONMENTAL HEALTH DEPARTIOT <br /> 304 E WEBER AVE -3RD FLOOR RECEIVED MAR D 4 2003 4P/3" - ld <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account p AR0020323 <br /> rJl <br /> Facility ID FA0012466 <br /> LNEMMMMMEMMA <br /> Date Printed 2/27/2003 <br /> PREMIER FINISHING RE : PREMIER FINISHING <br /> 7910S LONGEST 7910 S LONGE <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : PREMIER FINISHING (LONGS) <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0103999--Date of invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 360.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this lnvolce $ 577.50 <br /> Payment Due Date 3/ 003 <br /> TOTAL DUE this Billing Period $ 577.5 <br /> L 0 2 j 72•, p <br /> PAYMENT <br /> RECEIVED <br /> APR - 12003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <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 Days thereafter <br /> 5255.rpt <br />