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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARThl..T <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE Amount ID AR0oz7szs <br /> Facility ID FA0015870 <br /> LIMMMMMMMMMEM <br /> Date Printed 1/29/2015 <br /> STOCKTON RURAL CEMETERY RE : STOCKTON RURAL CEMETERY <br /> 2350 CEMETERY LN 2350 CEMETERY LN <br /> STOCKTON, CA 95204 STOCKTON, CA 95201 <br /> OWNER : STOCKTON RURAL CEMETERY <br /> Date Health <br /> Program- Description Arooum <br /> Invoice# IN0262045---Date of Invoice: 1/29/2015 11111111 HIM 111111111111111111111111111111111111111111111111111[111111111111IN <br /> 1/29/2015 1920 HMBP-Common Materials $ 100.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice I $ 135.00 <br /> Payment Due Date 2/28/2015 <br /> TOTAL DUE this Billing Period $ 135.00 <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 />