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�11111 io:11 20JOB40138 ENVIRONMENTAL HEALTH PAGE 03/03 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMI Page 1 <br /> 600 E MAIN STREET ' <br /> STOCKTON, CA 95202 L_ y s <br /> Phone: (209)468-3420 RECEIVED <br /> INVOICE OCT — 2 2009 Accutaa ID AROD02011 <br /> Noma <br /> SAN JOAQUINCOUNTY Facility ID FAOD02DO3 <br /> ]IFFICE OF EMERGENCY SERVICES <br /> ' DstePnnteo 9/24/2009 <br /> TERRI CARMAN RE ; K AJN iU9-!yAJ5,HOUSE RESTAURANT <br /> BLACK ANGUS STEAKHOUSE RESTAURANT 605 W MARCH LN <br /> 1938 N WOODLAWN 0110 STOCKTON,CA 95207 <br /> WICHITA, KS 87208 <br /> OWNER : TAURIAN BA LLC <br /> Date Health <br /> Program Description Amount <br /> Invokes 180193973—Dateoflnvofoet 9124IM09 lIIg1r11NIM ample in lllimilloo�1�lell <br /> 9/242009 2244 2009 HAZMAT FEE Il��l�ll�l�lllg ample $ <br /> �1 255.C90 <br /> Total for Ihlf Invoke S 255.00 <br /> Payment Due Date 10124/2009 <br /> TOTAL DUE this Billing Period $ 255.00 <br /> RECENED <br /> EidV�t��'• ;Jlf)'!T HEALTH <br /> PEF9biy.•. ::: <br /> Please make Cheeks PAYABLE W. 'EHD' — Retum a Copy of This STATEMENT with Your PAYMENT <br /> Penaltim will be added to all Permit Fees For OES I HMMP Fees For all SERVICE FEES <br /> at the Rah of 100%of the Base Fee PenaMeswlll be added at the Rete of 10% Pennies will be added at the Rate of in% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date antl each 30 Days thereafter <br /> 5254 rpt <br />