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ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE _ Page 1 <br /> STOCKTON,°CA 95205 <br /> Phone: (209)468-3420 Ulm <br /> INVOICEC� 4cmurato AR0017223 <br /> Facility to FA0010223 <br /> Date Printed 2/13/2015 <br /> RMB GARAGE <br /> PO BOX 168 RE : RMB GARAGE <br /> MOUNTAIN RANCH, CA 95246-0168 715 N HUNTER ST A <br /> STOCKTON, CA 95202-1720 <br /> OWNER : JANOFSKY, JON <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0261281 -Date of Invoice: 1/29/2015 - -_ -- --�- - - - -� _ - - �p <br /> 1/29/2015 1920 HMBP-Common Materials IIIIIIIIIIIIIIIIIIIIIIIIIIIUIIIIIIIIIiIIIIIInIIIIIIIIIIIIII�IIIIIIIHIII�I�II <br /> 1/29/2015 2220 SM HW GEN<5 TONS/YR $ 205.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SU CHARGE FEE $ 213.00 <br /> $ 35.00 <br /> Total for this Involce $ 453.00 <br /> Payment Due Date 2/2812015 <br /> TOTAL DUE this Billing Period $ <br /> ENv P M�ESE; G r%�S� 14 D i'� ,�vc <br /> eE0 � YDc�),�e <br /> GcIC CCI�SC-O D®L �Ti� �r13 Ci✓��GZ vAJ 426X <br /> 6, 1,2©/Y /J.vo Gal�/Lt,� ,c.'cacLy /'�/O✓GO d c.,>f3,c= �S/'i'v J oi�ysc7i v <br /> cd�,r�rr S/ <br /> y- <br /> !,t»•f <br /> OU< <br /> /llLsW L /C�i1/-S�S. /-f�t%� /�:�i_Z l�•�I L'�� f0 C/1LC� ,�lL <br /> /9/t' L <br /> ��yj�-c�/NlA2 <br /> Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STATEMENT wit our YMENT <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 to-/. 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 /> 254.rpi <br />