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SAN JOAQUIN COUNTY • 40 Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0024994 <br /> LEMMMMMOMMIA <br /> Facility ID FA0014687 <br /> LMMMOMMMOMMA <br /> Date Printed 1/30/2014 <br /> POZAS BROS TRUCKING CO RE : POZAS BROS TRUCKING CO <br /> 8130 ENTERPRISE DR 3018 E LOOMIS RD <br /> NEWARK, CA 94560 STOCKTON, CA 95205 <br /> OWNER: POZAS BROS TRUCKING CO <br /> Health <br /> Dale Program Description Amount <br /> Invoice# IN0248942---Date ofinvoice: 1130/2014 IIIIIIIIIVIVIVIIIVIV VIIVIIIVIIIIIIIIIIIIIIIIIilllll <br /> 1/30/2014 1921 HMBP-Regular-Primary Location $ 285.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this lnvoice $ 320.00 <br /> Payment Due Date 311/2014 <br /> TOTAL DUE this Billing Periocil e32O.00 <br /> .-Gr.. �6tiw.�.,,.c;..> — GCo o� � -/y/f � /�a�- ao� i:YL��¢. �l� ✓�'/ <br /> PAYMENT <br /> RECEIVED <br /> 73o�— <br /> 37 FEB Z 8 2014 <br /> SAN JOAOUI'I C- <br /> 6NNRON6'.S':T... <br /> HEALTH DEPA!MA' <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 /> 5254.rpt <br />