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SAN JOA011AN QOUN TY <br /> ENVIRONMENTAL HEALTH DEPA TME Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0023280 <br /> Facility ID FA0013833 <br /> Date Printed 3/28/2003 <br /> WILSON & ICOFFE APPLIANCES RE : WILSON & COFFEY APPLIANCES <br /> 2617 S EL DORADO ST 2617 S EL DORADO ST <br /> STOCKTON, CA 95206 STOCKTON, CA 95207 <br /> OWNER : WILSON & COFFEY APPLIANCES <br /> Date Health <br /> Program 4escription Amount <br /> Invoice# IN0106031 ---Date of Invoice: /28/2003 <br /> 3/28/2003 2220 SM HVV GEN<5 TONS/YR <br /> $ 200.00 <br /> Total for this Invoice $ 200.00 <br /> Payment Due Date 4/27 <br /> TOTAL DUE this Billing Period $ /" �200.0000.00 <br /> PAYMENT <br /> RECEIVED <br /> APR m 8 2003 <br /> SAN UlN COUNTY <br /> PUBLICOHEOALTH SERVICES <br /> ENVIRONMENTAL, HEALTH I01VIS1011 <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/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Bake 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 /> 5255.rpt <br />