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SAN JOAQUIN COUNTY — `eo, Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT �� ! <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 fj^.�n <br /> INVOICE L '/ Amount to RR0001466 <br /> � � } A �j�j Facility to [ FA0001467 <br /> j ,J��`j) / Date Panted 12/2312093 <br /> Al ->NOLj <br /> IVUS\ING�+ Vy K `// RE : RAI - NO CALIFORNIA-STOCKTON <br /> RAI - NFfR 1A-STOCKTON 2350 N CALIFORNIA ST <br /> 1550 N DR STE#500 STOCKTON, CA 95204 <br /> F TN 067 <br /> OWNER : RENAL ADVANTAGE INC <br /> Daie Health <br /> Program Description Amount <br /> Invoice# IN0245164---Date of invoice: 11/19/2013 <br /> 11/19/2013 4530 LG QUANITY GENERATOR $ 182.00 <br /> Total for this Invoice $ 182.00 <br /> Payment Due Date 12/20/2013 <br /> TOTAL DUE this Billing Period $ 182.00 <br /> RECEIVED BY A/P <br /> WEST DIVISI®N <br /> tv� y '.l'IAYIT#.:.0 7 i� <br /> PAYMENT <br /> RECEIVED <br /> FEB 10 2014 <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 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 Tt <br />