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SAN JOAOdIN COUNTY Page 1 <br /> ENVtRUNMENTAL HEALTH DEPARTN, .T './ <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0041103 <br /> Facility ID FA0022460 <br /> ��� Date Printed 8/28/2014 <br /> tv <br /> RONN AND LANCE LEFFLER \ RE : ill BEARS RANCH, LLC <br /> Q ANDA-RE BEARS RANCH, LLC 6488 E EIGHT MILE RD <br /> l� 6488 E. EIGHT MILE RD. STOCKTON, CA 95212 <br /> STOCKTON, CA 95212 <br /> OWNER : RONN AND LANCE LEFFLER <br /> Date Health <br /> Program Description _ _ -__ _ i Amount_ <br /> Invoice# IN0255778---Date of Invoice: 8/28/2014 IIIIII IVIIVII VIIIVIIIIIIIVII VIIIIIII IIIIIIIIII 'l <br /> 8/28/2014 1921 HMBP-Regular-Primary Location $ 360.00 <br /> Total for this Invoice $ 360.00 <br /> Payment Due Date 9/27/2014 <br /> TOTAL DUE this Billing Period $ 360.00 <br /> PAYMENT <br /> RECEIVED <br /> SEP 19 2014 <br /> MN.IciAOYIN W w.n <br /> CNMRGNMENiAI <br /> NBALTH nEW RTbEM <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 /> 5'S1rpt <br />