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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMW • Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR001744tt <br /> Facility ID FA0010448 <br /> Date Printed F 10/27/2003 <br /> BAUGUSS,JOHN RE : COTTMAN TRANSMISSIONS <br /> COTTMAN TRANSMISSIONS 4629 WEST LN 7 <br /> 4629 WEST LN #7 STOCKTON, CA 95210 <br /> STOCKTON, CA 95210 <br /> OWNER : BAUGUSS, JOHN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0111045---Date of Invoice: 9/12/2003 <br /> 9/12/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 9/12/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 9/15/2003 9996 APPLY DISCOUNT ($ 100.00) <br /> Total for this Invoice $ 117.50 <br /> S F ire C O N U, NOTICE Payment Due Date 10/12/2003 <br /> TOTAL DUE this Billing Period $ 117.50 <br /> PAYMENT <br /> rr t RECEIVED <br /> Noy - 6 2003 <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 /> 5255.rpt <br />