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SAN JOAQUIN COUNTY Paye 1 <br /> ENVIRON"RENTAL HEALTH DEPARTM T <br /> 304 E f^�EBER AVE -3RD FLOOR " <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account lD AR0016222 <br /> Facility ID FA0009222 <br /> �\ t✓FF L' 2004 Date Printed 2/.5/2004 <br /> CAMPORA PROPANE c,to'),C ' O%E : CAMPORAPROPANEjNC S(,(WY(XJ <br /> � " L 5 .J-'<I- th,.v, eUA 2525 S MARIPOSA RD <br /> STOCKTON, CA �t S2 STOCKTON, CA 95205-7820 <br /> OWNER : TP CAMPORA/RON CAMPORA <br /> Health <br /> Date Program De- Glp'0.: ...._— <br /> voice# IN0115573—Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 300.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 524.00 <br /> J Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 24.00 <br /> y RECEIVED <br /> �J \ ( FEB 12 2004 <br /> ACCOUNTING <br /> PAYMENT <br /> RECEIVED <br /> FEB 18 2004 <br /> SAN eonatrro truNTUW <br /> Y <br /> CP.,td4dP^NPA icNTAL <br /> '�. 1 � kiEir�ii �EF/aFJn,GN7 <br /> V�l V <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> 'enalties 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 /> 'Pt <br />