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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTS 'T <br /> 304 E WEBER AVE -3RD FLOOR ' <br /> S <br /> <br /> INVOICE Account ID AR0016026 <br /> Facility ID FA0009026 <br /> Date Printed 1/24/2005 <br /> LODI NEWS-SENTINEL RE : LODI NEWS-SENTINEL <br /> PO BOX 1360 125 N CHURCH ST <br /> LODI, CA 95241 LODI, CA 95240 <br /> OWNER : FRED MARTY &JIM WEYBRET <br /> Date Health <br /> Drngr?m Description <br /> Amount <br /> Invoice# IN0128900---Date of Invoice:.1/24/2005 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIII <br /> 1/24/2005 2220 SM HW�EN<5 TONS/YR S 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 330.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 554.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 554.00 <br /> PAYMENT <br /> RECEIVED <br /> EB 4 2005 <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 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 /> i?ii rpt <br />