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SAN JOAQUIN COUNTY - .( <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0040916 <br /> Immummommoomma <br /> Facility ID FA0022366 <br /> lummommmmmmmme <br /> Date Printed 6/26/2014 <br /> COCKRELL, MICHAEL RE : OFFICE OF EMERGENCY SERVICES SAN <br /> OFFICE OF EMERGENCY SERVICES SAN JOAQUIN COUNTY <br /> JOAQUIN COUNTY 2101 E EARHART AVE STE 300 <br /> 2101 E EARHART AVE STE 300 STOCKTON, CA 95206 <br /> STOCKTON, CA 95206 OWNER : SAN JOAQUIN COUNTY OFFICE OF EMERGE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0253717—Date of Invoice: 6/10/2014 1p111p1IN11111111111IN IN <br /> 6/10/2014 1920 HMBP-Common Materials 5 85.00 <br /> 6/10/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 120.00 <br /> Payment Due Date 7/1 012 01 4 <br /> TOTAL DUE this Billing Period $ 120.00 <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 /> >7,4 rpt <br />