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I JOAQUIN COUNTY Page 1 <br /> 'IRONMENTAL HEALTH DEPARTMENT <br /> 3 E HAZELTON AVENUE <br /> ICKTON, CA 95205 <br /> ne: (209)4683420 <br /> COPY <br /> INVOICE Account ID F—AR-00-0-93-56--i <br /> I men <br /> Facility ID T_A0 0-0 6-7 8—9- <br /> ---------------- <br /> Date Printed 1/29/2015 <br /> CITY OF ESCALON RE : CITY OF ESCALON POLICE DEPT <br /> CITY OF ESCALON POLICE DEPT 1855 E COLEY AVE <br /> 2060 MCHENRY AVE ESCALON, CA 95320 <br /> ESCALON, CA 95320 <br /> OWNER : CITY OF ESCALON <br /> Date Health <br /> Program Description Amount <br /> ice# IN0260710—Date of Invoice: 112912015 IIIIIIIIIIIIIIIIIVIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIiIIIIIIIIIIIiIIIIIIIIIVIIIpilpp <br /> 1/29/2015 1920 HMBP-Common Materials $ 85.00 <br /> 1/2912015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total forthisInvoice $ 120.00 <br /> Payment Due Date 212812015 <br /> TOTAL DUE this Billing Period $ 120.00 <br /> ' k"N a'AR,� -'kO G 4G <br /> — tNc NE sccv\ YN <br /> Please make Checks PAYABLE to: 'EHD' Return a Copy of This STATEMENT With Your PAYMENT <br /> malties 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% 1 <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter i <br />