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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEP,I /TENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209468-3420 <br /> ARoo,sass <br /> Facility ID FA0009865 <br /> Date Printed 2/15/2002 <br /> COUNTRY NISSAN RE : COUNTRY NISSAN <br /> C/O CAROL BREWER 1515 N MAIN ST <br /> 1515 N MAIN ST MANTECA CA 95336 20 <br /> MANTECA CA 95336 <br /> OWNER: VINTAGE INVESTMENTS <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0091451 —Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNR $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date /2002 <br /> TOTAL DUE this Billing Period $217.50 <br /> Please make Checks PAYABLE to: ERD / 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 thereafter <br /> PAYMENT <br /> RECEIVc:_) <br /> FEu 15 2002 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC fIFAI TH;FROCE <br /> 5255.rpt <br />