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SAN JOAQUIN COUNTY • • Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE o p <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> APR 18 2014 <br /> INVOICE <br /> ENVIIiONM <br /> ENT HEALTH Account ID AR0024492 <br /> PERMITISERVICES <br /> Facility ID FA0014412 <br /> Date Printed F 1/30/2014 <br /> RAI -LICENSING RE : RAI -WEST MARCH-BROOKSIDE <br /> RAI -WEST MARCH-BR IDE 3115 W MARCH LN <br /> 1550 W MCEW STE#500 STOCKTON, CA 95219 <br /> FRAN N 37067-1 76 9 <br /> S wt ftEcj�' LZA,11121 OWNER : RENAL ADVANTAGE INC <br /> CA 15115-aill <br /> Health i <br /> Date Program Description Amount <br /> Invoice# IN0245147---Date of Invoice: 1111912013 IIIIIIIIVIVIVIII VIIIVIIIIIIIIIIIVIIVIIIIIII 111111111 IIII <br /> 11/19/2013 4530 LG OUANITY GENERAT PAST ©UE! $ 182.00 <br /> WE WOULD PAYMENT TODAYI YOUR <br /> Total for this Invoice $ 182.00 <br /> Payment Due Date 12/20/2013 <br /> Invoice IN0248897...Date of Invoice: 113012014 1111111111111IIIVIII(IIIIVIIIVIIIIIIIIIIIIIIIIIIIIIII11IIIIIIIIIIIIIIIIIIIIIIIIII <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 Invoice $ 320.00 <br /> Payment Due Date 3/1/2014 <br /> TOTAL DUE this Billing Period $ 502.00 <br /> PLEASE CONTACT THIS AGENCY AS SOON <br /> AS POSSIBLE AND CHANGE YOUR <br /> MAILING ADDRESS TO THE ADDRESS OF <br /> THE CENTER. LICENSES, PERMITS AND <br /> THEIR RENEWALS ARE NOT TO BE <br /> RECEIVED AT THE FORMER RAI <br /> CORPORATE ADDRESS. THANK YOU. <br /> Please make Checks PA` <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 Data and each 30 Days thereafter <br /> 5254.rpt <br />