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SAN JOROUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0043MM <br /> Facility ID FA0023415 <br /> Date Printed 1/26/2017 <br /> VILLARREAL, LIONEL RE : Al MOBIL COMPANY <br /> Al MOBIL COMPANY 1501 W CHARTER WAY#B <br /> 1501 W CHARTER WAY#B STOCKTON, CA 95206 <br /> STOCKTON, CA 95206 <br /> OWNER : VILLARREAL, LIONEL <br /> D e Healt <br /> Prog am Description Amount <br /> Invoice# 1 0290631 —Date of Invoice N 2017 11111111111111111111IRIIIIII IIIIIHIIIN <br /> 1/26/2017 2399 UNIFIED FROG FAC STATE SURCHARGE FEE $ 35.00 <br /> 1/26/2017 APSA APSA SURCHARG $ 26.00 <br /> Total for this Invoice $ 61.00 <br /> Payment Due Date 2/25/2017 <br /> TOTAL DUE this Billing Period $ 61.00 <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 /> 9-Lqv <br />