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SAN dOAOUIN COUNTY PUBLIC LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-465-3420 <br /> INVOICE Account ID I AR0017630 <br /> FA0010630 <br /> Facility ID <br /> Date Printed <br /> PAUL HANSEN RE : AUTO TUNE&BRAKE <br /> AUTO TUNE& BRAKE 720 E HAMMER LN#10 <br /> <br /> OWNER: PAUL HANSEN <br /> Health <br /> Date Pmgram Description Hr. Employee Amount <br /> Invoice# IN0080830---Date of Invoice : 1130/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 3 <br /> - TOTAL DUE this Billing Period 110.00 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMEN <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 /> RECEIVED <br /> MAR 2 9 2001 <br /> SA.N,](1, 0!,114ry <br /> NP! I' :'iii;",ius <br /> ENVllil q., <br /> 5255.rpt <br />