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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME"n' `ft/ <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016751 <br /> LEEMMMMMMIUMM <br /> Facility ID FA0009751 <br /> Date Printed 4/14/2014 <br /> SRI INTERNATIONAL RE : SRI INTERNATIONAL <br /> <br /> TRACY, CA 95377 <br /> OWNER : SRI INTERNATIONL <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0248122---Date of Invoice: 113012014 I III I II I II VI I VII I III VIII VIII LII IIII I I I VII II I IIII VIII IIII IIII <br /> 1/30/2014 1921 HMBP-Regular-Primary Location $ 405.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 440.00 <br /> Payment Due Date 311V2014 <br /> TOTAL DUE this Billing Period $ 440.00 <br /> I <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 />