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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 Amount ID I AR0024510 <br /> Facility ID FA 0014430 <br /> Date Printed F 1/29/2015 <br /> lummoommonommomms <br /> SODEXO LAUNDRY STOCKTON RE : SODEXO LAUNDRY STOCKTON <br /> <br /> STOCKTON, CA 95206 <br /> OWNER : SODEXO INC <br /> Date Health <br /> Program Description <br /> Arr uuri I <br /> Invoice# IN0261866---Date of Invoice: 1/29/2015 (IIIIII IIIIII III VIII VIII VIII VIII(IIII(IIII(IIII VIII VIII IIII IIIIII 111111111 <br /> IIII <br /> 1/29/2015 1921 HMBP-Regular-Primary Location $ 375.00 <br /> 1/29/2015 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 623.00 <br /> Payment Due Date 2/28/2015 <br /> TOTAL DUE this Billing Period $ 623.00 <br /> 4;'0jex0 sold i4� e tacjfl� iD <br /> Aravv-41-K 01^ Y. ?'9, 2-01y. Ara-aj-K w',11 rt-opt,,. <br /> e 00 Dr- a6oJ+ Malt 11 <br /> For �-rtfr tl t4(6r'tS, C4M 5e re,4 e ej <br /> 1i qIC 875- 5-3 (I <br /> D <br /> FE813 2015 / <br /> VXW <br /> ENVIRUNMSER\'ICESH <br /> V.V <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 /> i2S4.rpt <br />