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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM i <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE Amount ID AR000s�os <br /> Facility ID FA0005863 <br /> Date Printed 4/22/2014 <br /> STOCKTON ROOFING CO INC RE : STOCKTON ROOFING COMPANY <br /> PO BOX 1169 2712 E FREMONT ST <br /> STOCKTON, CA 95201 STOCKTON, CA 95205 <br /> OWNER : STOCKTON ROOFING COMPANY <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0247654---Date of invoice: 1/30/2014 �1111111Eli 1111111111111 Nil 11111111 U11 11111 IN 1111111111111111111 <br /> 1/30/2014 1921 HMBP-Regular-Primary Location $ 255.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 3/15/2014 9997 CORRECTION TO A CHARGE ($ 255.00) <br /> 3/15/2014 9997 CORRECTION TO A CHARGE ($ 35.00) <br /> Total far this Invoice $ 0.00 <br /> Payment Due Date 311/2014 <br /> TOTAL DUE this Billing Period $ 0.00 <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 the <br /> _tel rpi <br />