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al " JwF wullm UUUNFY <br /> FNV WEB E AV HEALTH DEPARTA T � Page 1 <br /> 304 E WEBER AVE -3RD FLOOR � <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccounIID AR0022667 <br /> Facility ID FA0013558 <br /> Date Printed 2/27/2003 <br /> KEMPER <br /> <br /> CA 95240 <br /> OWNER : KEMPER REFRIGERATION <br /> Health <br /> I Program Description <br /> Amount <br /> Invoice# IN0104083—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 $ 285.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this In%toicel $ 502.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period 2.50 <br /> PAYMENT <br /> RECEIVED <br /> MAR 14 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC RCE <br /> ENVIRONMENTAL F HEALTH SE <br /> HVIDIVISION <br /> Please make Checks PAYABLE to: 'EHD' – Return a Coov 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 />