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SAN JOAQUIN COUNTY i <br /> ENVIRONMENT A'- HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0027635 <br /> Facility ID FA0015879 <br /> LOOMMOMMOMMOMMA <br /> Date Printed 1/30/2014 <br /> HARBOR SERVICES COMPANY RE : HARBOR SERVICES COMPANY <br /> <br /> TRACY, CA 95376 <br /> OWNER : HARBOR SERVICES COMPANY <br /> Date health <br /> Program Description Amount <br /> Invoice# IN0249095---Date ofInvoice: 1/30/2014 IIIIIIIIVIVIVIIVIVIIIIIIAIIIIIIIIA IIIIIIIIIIIIIIIIIIIIIIIIIII <br /> 1/30/2014 1921 HMBP-Regular-Primary Location 5 270.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 305.00 <br /> Payment Due Date 311/2014 <br /> TOTAL DUE this Billing Period $ 305.00 <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 Rale of 10% Penalties will be added at the Rale of 10 <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Dale and each 30 Days thereafter <br /> 5 A rpt <br />