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SAN1QOA0.UIN COUNTY <br /> ENVIF;ONICFtNTAL HEALTH DEPARTMr Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR00 777 66 <br /> Facility ID F FA00-10-7 4-6 <br /> Date Printed F 1/30/2006 <br /> SAN, SOPHEAK MEAS RE : JAAS AUTO SERVICE <br /> JAAS AUTO SERVICE 414 W CHARTER WAY <br /> <br /> <br /> OWNER : SAN,SOPHEAK MEAS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143083--Date of Invoice: 112712006 111111111111111111111111 IN 1111111111111111111111111111111111111111 IN IN <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 224.00 <br /> Payment Due Date 311/2006 <br /> TOTAL DUE this Billing Period $ 224.06 <br /> REOMVED <br /> FEB 0 7 20, <br /> SAN JOAQU1NCO <br /> HEqUSDE ARM M <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 DES I 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 /> 5254.rpt <br />