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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 0 D <br /> INVOICE MAR 12 2013 AccountD LMOMMMMMOMMEN <br /> ENVIRONMENT HEALTH Facility ID FA0010129 <br /> PERMIT/SERVICES LMMENNOMMEMMMM <br /> Date Printed 2/28/2013 <br /> MEPCO LABEL SYSTEMS RE : GASSNER, FRED/CAROL <br /> 1313 S STOCKTON ST 29 N AURORA ST <br /> LODI, CA 95240-5942 STOCKTON, CA 95202 <br /> OWNER : GASSNER, FRED/CAROL <br /> Dale Health <br /> Program Description Amount <br /> Invoice# IN0236190---Date of Invoice: 2/1/2013 IIIIIIIIIIIIIiI VIIIVIIDVIIIIIIIIVIVIIIIIIIIII VIII IIIIII <br /> 2/1/2013 1921 HMBP-Regular-Primary Location $ 420.00 <br /> 2/1/2013 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2013 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 668.00 <br /> Payment Due Date 3/3/2013 <br /> TOTAL DUE this Billing Period $ 668.00 <br /> oK <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 HMBP 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 />